1.Easy
Both parents carry one gene for an autosomal recessive condition such as cystic fibrosis. What is the chance that each child is affected?
- A50%
- B25%
- C75%
- D100%
2.Easy
When is screening for gestational diabetes usually done in women without early risk factors?
- AAt 36 to 38 weeks
- BAt 8 to 10 weeks
- COnly after the birth
- DAt 24 to 28 weeks
3.Easy
What is the normal axillary temperature range for a newborn?
- A34.5 to 35.5 °C (94.1 to 95.9 °F)
- B37.8 to 38.5 °C (100.0 to 101.3 °F)
- C35.0 to 36.0 °C (95.0 to 96.8 °F)
- D36.5 to 37.5 °C (97.7 to 99.5 °F)
4.Medium
Why is indomethacin generally not used as a tocolytic after about 32 weeks?
- AIt triggers maternal hypoglycaemia
- BIt can close the fetal ductus arteriosus too early
- CIt stimulates stronger contractions late in pregnancy
- DIt causes severe maternal hypertension
5.Medium
A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?
- AUse a soft brush and keep up routine dental care
- BAvoid all dental visits until after the baby is born
- CReport it at once because it is a sign of a clotting disorder
- DStop brushing until the bleeding has settled after birth
6.Medium
A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?
- ATell her that cannabis is a natural remedy and safe in pregnancy
- BRefuse to continue her care until she stops
- CExplain the risks without judgement and offer safer treatments
- DAdvise her to switch to tobacco instead
7.Hard
A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?
- AOnly the newborn's blood glucose
- BOnly the mother's temperature
- CUterine tone, bleeding and newborn injury
- DThe mother's ability to walk alone
8.Hard
Which statement by a woman in early labour shows a need for further teaching about pain relief?
- A"Changing position often and walking can help me cope."
- B"Breathing slowly and focusing can help between contractions."
- C"A warm bath or shower may ease the pain."
- D"If I have an epidural, I will not need my blood pressure checked."
Answer key
- 1. B · 25%
- 2. D · At 24 to 28 weeks
- 3. D · 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 4. B · It can close the fetal ductus arteriosus too early
- 5. A · Use a soft brush and keep up routine dental care
- 6. C · Explain the risks without judgement and offer safer treatments
- 7. C · Uterine tone, bleeding and newborn injury
- 8. D · "If I have an epidural, I will not need my blood pressure checked."
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