1.Easy
When is the best time to teach a new mother about baby care, according to Rubin's phases?
- AIn the letting-go phase
- BIn the taking-hold phase
- CIn the taking-in phase
- DIn the first hour after birth
2.Easy
Respiratory distress syndrome in preterm babies is mainly caused by:
- ASurfactant deficiency
- BToo much amniotic fluid in the lungs
- CAspiration of meconium
- DA heart defect
3.Easy
When should a healthy newborn normally pass urine for the first time?
- AAfter the first week
- BWithin the first hour only
- CWithin the first 72 hours
- DWithin the first 24 hours
4.Medium
Why must the fetal heart rate be monitored before and after external cephalic version?
- AThe procedure can cause cord compression or abruption
- BIt is used to diagnose gestational diabetes
- CIt confirms the baby's sex
- DIt is needed only to record the baby's position for billing
5.Medium
Which woman on the antenatal unit should the nurse see first?
- AAt 34 weeks: severe headache, BP 164/110 mmHg
- BAt 28 weeks: due for routine anti-D
- CAt 30 weeks: mild ankle swelling in the evening
- DAt 38 weeks: irregular Braxton Hicks contractions
6.Medium
A woman at 24 weeks reports burning on urination and urinary frequency. What is the priority action?
- AAdvise cranberry juice and no further action
- BAdvise her to drink less to reduce frequency
- CReassure her that urinary frequency is normal in pregnancy
- DCollect a urine sample for culture and inform the provider
7.Hard
A woman at 12 weeks has light bleeding and mild cramping. The cervix is closed and fetal heart activity is seen on ultrasound. How is this classified?
- AIncomplete miscarriage
- BMissed miscarriage
- CInevitable miscarriage
- DThreatened miscarriage
8.Hard
One hour after birth, the large baby of a mother with diabetes is jittery and feeding poorly. What should the nurse do first?
- AWrap the baby tightly and recheck in 4 hours
- BCheck the baby's blood glucose
- CReassure the parents that jitteriness is normal
- DGive a bath to wake the baby up
Answer key
- 1. B · In the taking-hold phase
- 2. A · Surfactant deficiency
- 3. D · Within the first 24 hours
- 4. A · The procedure can cause cord compression or abruption
- 5. A · At 34 weeks: severe headache, BP 164/110 mmHg
- 6. D · Collect a urine sample for culture and inform the provider
- 7. D · Threatened miscarriage
- 8. B · Check the baby's blood glucose
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