Maternity & obstetric nursing worksheet with answers

A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?

1. APoint the toes downwards as far as possible
2. BLie flat on her back and raise both legs
3. CMassage the calf firmly with the knee bent
4. DStraighten the leg and pull the foot upwards

When is screening for gestational diabetes usually done in women without early risk factors?

1. AAt 36 to 38 weeks
2. BAt 24 to 28 weeks
3. COnly after the birth
4. DAt 8 to 10 weeks

How should a postnatal woman clean her perineum after using the toilet?

1. ARinse with water and wipe front to back
2. BUse a scented douche each time she voids
3. CAvoid washing the area for a week
4. DWipe from back to front with dry paper

At 32 weeks the fundal height is 37 cm. Which explanation should be considered?

1. AToo little amniotic fluid
2. BA multiple pregnancy or excess amniotic fluid
3. CThe fetus has dropped into the pelvis
4. DFetal growth restriction

A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?

1. AAt least 6 wet nappies a day and yellow stools
2. BThe baby feeds for exactly 5 minutes each side
3. CHer breasts never feel full
4. DThe baby sleeps for 8 hours without feeding

A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?

1. AUse a soft brush and keep up routine dental care
2. BAvoid all dental visits until after the baby is born
3. CReport it at once because it is a sign of a clotting disorder
4. DStop brushing until the bleeding has settled after birth

A woman on a magnesium sulfate infusion has a respiratory rate of 10/min and absent patellar reflexes. What should the nurse do first?

1. ARecheck the reflexes in 2 hours
2. BStop the infusion and call the provider urgently, with calcium gluconate ready
3. CIncrease the infusion rate, because these signs show her pre-eclampsia is worsening
4. DGive a dose of naloxone

On abdominal palpation, the nurse feels a hard, round, movable mass in the fundus, and the fetal heart is heard above the umbilicus. What does this suggest?

1. AA transverse lie with the head in the pelvis
2. BA breech presentation
3. CAn occiput posterior position
4. DA cephalic presentation