1.Easy
How should a postnatal woman clean her perineum after using the toilet?
- ARinse with water and wipe front to back
- BAvoid washing the area for a week
- CWipe from back to front with dry paper
- DUse a scented douche each time she voids
2.Easy
Pre-eclampsia is new hypertension after 20 weeks of pregnancy together with:
- APainless vaginal bleeding from a low-lying placenta
- BProteinuria or signs of organ dysfunction
- CA raised haemoglobin
- DLow blood glucose
3.Easy
Which fetal structure carries oxygen-rich blood from the placenta to the fetus?
- AThe pulmonary artery
- BThe ductus arteriosus
- CThe umbilical arteries
- DThe umbilical vein
4.Medium
A woman at 16 weeks has an amniocentesis. Which instruction after the procedure is correct?
- ADrink no fluids for 24 hours
- BBed rest is required for 2 weeks
- CNo follow-up is needed for any symptoms
- DReport fever, leaking fluid or bleeding
5.Medium
In the leg check of BUBBLE-HE, how is a postpartum woman assessed for venous thromboembolism today?
- ALook for one-sided swelling, warmth, redness and tenderness of the leg
- BCheck only the capillary refill of the toes
- CMassage the calf to feel for a clot
- DForcefully bend the foot upward and rely on calf pain (Homans' sign)
6.Medium
Which newborn complication is particularly linked to a forceps birth?
- AUmbilical hernia
- BFacial nerve palsy
- CNeonatal jaundice from ABO incompatibility
- DHip dysplasia
7.Hard
A preterm baby is being prepared for discharge. Which statement by the parents shows understanding of kangaroo (skin-to-skin) care?
- A"She should be fully dressed and wrapped before I hold her."
- B"Skin-to-skin is only for full-term babies."
- C"Skin-to-skin increases her risk of getting cold."
- D"Holding her on my bare chest keeps her warm."
8.Hard
A baby was stillborn at 38 weeks. Which nursing action is most appropriate?
- AAvoid using the baby's name to prevent more grief
- BOffer the parents time to see and hold their baby
- CTell the parents they can try for another baby soon
- DRemove the baby quickly so the parents are not upset
Answer key
- 1. A · Rinse with water and wipe front to back
- 2. B · Proteinuria or signs of organ dysfunction
- 3. D · The umbilical vein
- 4. D · Report fever, leaking fluid or bleeding
- 5. A · Look for one-sided swelling, warmth, redness and tenderness of the leg
- 6. B · Facial nerve palsy
- 7. D · "Holding her on my bare chest keeps her warm."
- 8. B · Offer the parents time to see and hold their baby
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