1.Easy
What is the main purpose of an ultrasound scan in the first trimester?
- ATo find out the baby's blood group
- BTo measure fetal lung maturity
- CTo diagnose gestational diabetes
- DTo date the pregnancy and count fetuses
2.Easy
What does "multipara" mean?
- AA woman who has never given birth
- BA woman who has given birth two or more times
- CA woman who is pregnant for the first time
- DA woman who is pregnant with twins
3.Easy
An ultrasound report says "oligohydramnios". What does this mean?
- AToo little amniotic fluid
- BToo much amniotic fluid
- CInfection of the amniotic fluid
- DBlood in the amniotic fluid
4.Medium
Which substance in amniotic fluid is used to judge fetal lung maturity?
- AGlucose, assessed by its concentration
- BAlpha-fetoprotein, assessed by its level
- CSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- DBilirubin, assessed by its colour
5.Medium
Which is the correct order of the first cardinal movements of labour?
- ADescent, extension, engagement, flexion, internal rotation
- BFlexion, engagement, extension, descent, internal rotation
- CEngagement, descent, flexion, internal rotation, extension
- DInternal rotation, engagement, descent, extension, flexion
6.Medium
When the newborn's head is turned to one side, the arm on that side extends and the other arm flexes. Which reflex is this?
- ATonic neck reflex
- BMoro reflex
- CRooting reflex
- DPalmar grasp reflex
7.Hard
A woman with known mitral stenosis is pregnant. When is she at greatest risk of heart failure?
- AOnly in the first trimester, when nausea is worst
- BOnly during the first stage of labour
- CRisk is the same at every point in pregnancy
- DWhen blood volume peaks in late pregnancy and in the hours after birth
8.Hard
Fluid leaking from the vagina is tested. Which result supports rupture of the membranes?
- AA ferning pattern on a dried slide under the microscope
- BA nitrazine test that turns yellow, showing acidic fluid
- CFluid that smells of ammonia
- DFluid that contains glucose on a urine dipstick
Answer key
- 1. D · To date the pregnancy and count fetuses
- 2. B · A woman who has given birth two or more times
- 3. A · Too little amniotic fluid
- 4. C · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 5. C · Engagement, descent, flexion, internal rotation, extension
- 6. A · Tonic neck reflex
- 7. D · When blood volume peaks in late pregnancy and in the hours after birth
- 8. A · A ferning pattern on a dried slide under the microscope
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