Maternity & obstetric nursing worksheet with answers

Shortly after birth the fundus feels soft and boggy. What is the first nursing action?

1. ARecord the finding and reassess the fundus again in 4 hours
2. BGive the woman a large glass of water
3. CMassage the fundus while supporting the lower uterus
4. DApply an ice pack to the perineum

Which is a main function of the placenta?

1. AExchange of gases and nutrients
2. BProduction of insulin for the fetus
3. CProduction of fetal bile
4. DProduction of fetal antibodies

Which measure is most helpful for perineal pain in the first 24 hours after a vaginal birth?

1. AA hot water bottle on the perineum
2. BCold packs on the perineum
3. CTight underwear without a pad
4. DSitting on a hard chair

Which feature best distinguishes true labour from false labour?

1. AProgressive dilation and effacement of the cervix
2. BDiscomfort that eases with a warm bath and rest
3. CContractions that are felt only in the lower abdomen
4. DContractions that stop when the woman walks around

On day 1 after birth, a woman's white cell count is mildly raised and she has no symptoms. How should this be interpreted?

1. AIt shows she is dehydrated
2. BIt means she has leukaemia
3. CIt can be normal soon after birth
4. DIt proves she has an infection

A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?

1. APlace her flat on her back
2. BChange the woman's position
3. CStart pushing efforts straight away
4. DIncrease the oxytocin infusion

At a booking visit, a woman says she drinks heavily most weekends. Which nursing response is most appropriate?

1. ATell her the damage is done, so stopping will not help
2. BReassure her that weekend drinking is safe if she avoids weekdays
3. CAdvise her to change to beer, which has less alcohol
4. DExplain the risks and refer her for support to stop

Shortly after an epidural is started, a labouring woman's blood pressure falls to 86/50 mmHg and the fetal heart rate drops. What should the nurse do first?

1. AIncrease the epidural infusion rate
2. BAsk her to walk around the room
3. CTurn her onto her side to move the uterus off the large vessels
4. DRaise the head of the bed to a high sitting position to improve her breathing