Maternity & obstetric nursing worksheet with answers

Which definition of a fetal heart rate acceleration applies from 32 weeks?

1. AA rise of at least 15 bpm lasting at least 15 seconds
2. BA rise of 5 bpm lasting 5 seconds
3. CA fall of 15 bpm lasting at least 15 seconds
4. DA rise of 30 bpm lasting 2 minutes

Which sign is typical of placenta praevia?

1. ASevere abdominal pain with a hard uterus
2. BBleeding that is always dark and clotted
3. CPainless, bright red vaginal bleeding
4. DHigh fever with foul-smelling discharge

What is a nuchal cord?

1. AA cord with only two vessels
2. BA cord that is unusually short
3. CA cord wrapped around the baby's neck
4. DA cord that comes out before the baby

Why is indomethacin generally not used as a tocolytic after about 32 weeks?

1. AIt triggers maternal hypoglycaemia
2. BIt causes severe maternal hypertension
3. CIt stimulates stronger contractions late in pregnancy
4. DIt can close the fetal ductus arteriosus too early

Which finding on day 4 after a caesarean suggests a wound infection?

1. ARedness, warmth and discharge
2. BMild numbness of the skin near the scar
3. CMild tenderness without redness
4. DA closed incision with intact edges

How does breast milk jaundice usually differ from early breastfeeding jaundice?

1. AIt always needs the baby to stop breastfeeding permanently
2. BIt appears later, after the first week, in a thriving baby
3. CIt appears in the first 24 hours in a sick baby
4. DIt is caused by too little milk intake

On day 2 after a caesarean birth, a woman has a temperature of 38.4 °C, a tender uterus and foul-smelling lochia. What is most likely?

1. AEndometritis
2. BBreast engorgement
3. CPostpartum blues
4. DNormal postpartum recovery

Why does the foramen ovale close soon after birth?

1. ALeft atrial pressure rises above right atrial pressure
2. BProstaglandin levels rise in the newborn's blood
3. CBlood flow to the lungs decreases after birth
4. DThe umbilical vein carries more blood to the heart