1.Easy
Taking folic acid before conception and in early pregnancy mainly reduces the risk of:
- AGestational diabetes
- BPostpartum haemorrhage
- CNeural tube defects
- DPre-eclampsia
2.Easy
A pregnancy that continues to 42 weeks or more is called:
- AFull term
- BEarly term
- CPost-term
- DLate preterm
3.Easy
What is Goodell's sign?
- AA bluish colour of the cervix
- BFetal movements felt by the examiner
- CSoftening of the cervix
- DSoftening of the lower uterine segment
4.Medium
Why is a baby of a mother with poorly controlled diabetes often large?
- AFetal hyperinsulinaemia acts as a growth hormone
- BThe mother's insulin crosses the placenta
- CDiabetes always prolongs the pregnancy
- DThe baby inherits a gene for large size
5.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
6.Medium
A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?
- AWater intoxication
- BHypoglycaemia
- CSpinal headache
- DMagnesium toxicity
7.Hard
At 7 weeks of pregnancy, a woman reports sudden severe pain on one side of the lower abdomen, pain in the shoulder tip and dizziness. What should the nurse suspect?
- ABraxton Hicks contractions
- BHyperemesis gravidarum
- CNormal round ligament pain caused by the growing uterus
- DA ruptured ectopic pregnancy with internal bleeding
8.Hard
A woman in labour has a breech presentation and her membranes rupture. What should the nurse check first?
- AHer blood glucose level
- BThe baby's sex on ultrasound
- CThe colour of her urine
- DThe fetal heart rate and for cord prolapse
Answer key
- 1. C · Neural tube defects
- 2. C · Post-term
- 3. C · Softening of the cervix
- 4. A · Fetal hyperinsulinaemia acts as a growth hormone
- 5. A · It shunts blood from the right atrium to the left atrium
- 6. A · Water intoxication
- 7. D · A ruptured ectopic pregnancy with internal bleeding
- 8. D · The fetal heart rate and for cord prolapse
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