1.Easy
The first stage of labour ends when:
- AThe cervix is fully dilated (10 cm)
- BThe baby is born
- CContractions become regular
- DThe placenta is delivered
2.Easy
For how long does the World Health Organization recommend exclusive breastfeeding?
- AAbout the first 6 weeks
- BAbout the first 2 weeks
- CAbout the first 12 months
- DAbout the first 6 months
3.Easy
A newborn's cot is placed next to a cold outside window. Which type of heat loss is most likely?
- ARadiation
- BEvaporation
- CConvection
- DConduction
4.Medium
A newborn has a cleft lip and palate. Which feeding approach is most appropriate?
- AFeeding lying flat on the back
- BWithholding feeds until surgery
- CFeeding only with a spoon from birth
- DSpecial teats and an upright position
5.Medium
What is a "reactive" non-stress test?
- AA baseline heart rate above 160 bpm
- BLate decelerations with every contraction
- CAt least 2 fetal heart rate accelerations within 20 minutes
- DNo accelerations of the fetal heart rate within 40 minutes
6.Medium
Which newborn finding is linked to a vacuum-assisted birth?
- AClubfoot (talipes)
- BA harmless erythema toxicum rash
- CA chignon or cephalhaematoma
- DCleft lip and palate
7.Hard
A fetus has severe oligohydramnios from the second trimester. Which complication is a major concern for the newborn?
- ANeural tube defect
- BMacrosomia
- CNeonatal hypoglycaemia
- DPulmonary hypoplasia
8.Hard
A newborn is pale, has a heart rate of 170/min and weak pulses after a difficult vacuum birth. The scalp is boggy and swelling across the sutures is increasing. What should the nurse suspect?
- ANormal moulding
- BSimple cephalhaematoma
- CSubgaleal haemorrhage
- DCaput succedaneum
Answer key
- 1. A · The cervix is fully dilated (10 cm)
- 2. D · About the first 6 months
- 3. A · Radiation
- 4. D · Special teats and an upright position
- 5. C · At least 2 fetal heart rate accelerations within 20 minutes
- 6. C · A chignon or cephalhaematoma
- 7. D · Pulmonary hypoplasia
- 8. C · Subgaleal haemorrhage
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