Maternity & obstetric nursing worksheet with answers

What does "effacement" of the cervix mean?

1. ADescent of the presenting part into the pelvis
2. BSoftening of the cervix in early pregnancy
3. COpening of the external cervical os
4. DThinning and shortening of the cervix

A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?

1. APainful sickle crises
2. BPolycythaemia
3. CMacrosomia of the baby
4. DHyperthyroidism

Which drug class is used to ripen an unfavourable cervix before induction?

1. ABeta blockers
2. BProstaglandins
3. CCorticosteroids
4. DTocolytics

Which baby is at greatest risk of early-onset group B streptococcal infection?

1. AA baby of a GBS-positive mother with no antibiotics
2. BA baby born at 40 weeks to a mother with no risk factors
3. CA baby whose mother was GBS-negative at 36 weeks
4. DA baby born by planned caesarean with intact membranes

Which substance in amniotic fluid is used to judge fetal lung maturity?

1. ABilirubin, assessed by its colour
2. BGlucose, assessed by its concentration
3. CAlpha-fetoprotein, assessed by its level
4. DSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio

Which test estimates how much fetal blood has entered the mother's circulation, to guide the dose of anti-D?

1. AGlucose tolerance test
2. BDirect Coombs test on the baby
3. CNitrazine test
4. DKleihauer–Betke test

A woman with a fourth-degree tear is being discharged. Which instruction is appropriate?

1. ATake rectal temperatures twice daily
2. BUse stool softeners and avoid suppositories and enemas
3. CDo strong straining exercises to strengthen the muscles
4. DUse rectal suppositories each day to prevent constipation

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?

1. AMissed miscarriage
2. BIncomplete miscarriage
3. CThreatened miscarriage
4. DInevitable miscarriage