1.Easy
A pregnancy that continues to 42 weeks or more is called:
- AEarly term
- BPost-term
- CLate preterm
- DFull term
2.Easy
What is the best way to relieve breast engorgement in a breastfeeding mother?
- AFeed only from one breast
- BStop breastfeeding for 2 days to let the breasts rest
- CBreastfeed often and empty the breasts well
- DDrink less fluid
3.Easy
A newborn is placed on a cold scale without a cover. Which type of heat loss is this?
- ARadiation
- BConvection
- CEvaporation
- DConduction
4.Medium
In fetal circulation, what is the function of the foramen ovale?
- AIt shunts blood from the right atrium to the left atrium
- BIt carries blood from the pulmonary artery to the aorta
- CIt carries blood from the aorta back to the placenta
- DIt lets blood from the umbilical vein bypass the liver
5.Medium
Which newborn is at greatest risk of hypoglycaemia in the first hours after birth?
- AA baby with an APGAR of 9 at 5 minutes
- BA term baby of average weight who is breastfeeding well
- CA large baby of a mother with diabetes
- DA baby born by planned caesarean to a healthy mother
6.Medium
A postpartum woman who is not immune to rubella receives the vaccine before discharge. What advice is essential?
- AStop breastfeeding for 4 weeks
- BHave the vaccine repeated in 6 months
- CAvoid becoming pregnant for at least 4 weeks
- DKeep away from her newborn for 2 days
7.Hard
A labouring woman has frequent contractions on oxytocin: 6 in 10 minutes over the last half hour. The fetal heart rate tracing is normal. What is the most appropriate action?
- ANo action is needed because the fetal heart rate is normal
- BReduce or stop the oxytocin per protocol and inform the provider
- CAsk her to push to shorten labour
- DIncrease the oxytocin to complete labour faster
8.Hard
A newborn whose mother had a fever and prolonged rupture of membranes is well at birth. Why does the nurse monitor this baby closely?
- AThe baby is likely to be post-term
- BThe baby has a higher risk of early sepsis
- CThe baby has a higher risk of hip dysplasia
- DThe baby will certainly develop jaundice
Answer key
- 1. B · Post-term
- 2. C · Breastfeed often and empty the breasts well
- 3. D · Conduction
- 4. A · It shunts blood from the right atrium to the left atrium
- 5. C · A large baby of a mother with diabetes
- 6. C · Avoid becoming pregnant for at least 4 weeks
- 7. B · Reduce or stop the oxytocin per protocol and inform the provider
- 8. B · The baby has a higher risk of early sepsis
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