1.Easy
Which is a function of amniotic fluid?
- ASupplying oxygen to the fetus
- BCushioning the fetus against injury
- CRemoving carbon dioxide from the fetus
- DProducing fetal red blood cells
2.Easy
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AThe first 3 days after conception
- BAbout weeks 3 to 8 after conception
- CThe last month of pregnancy
- DAbout weeks 20 to 28 after conception
3.Easy
What is "lightening" in late pregnancy?
- APainless practice contractions
- BThe descent of the fetus into the pelvis
- CLoss of the mucus plug
- DThe first fetal movements
4.Medium
A woman who has had a caesarean asks when she can drive again. Which answer is most accurate?
- AThe same day she is discharged
- BOnly after her stitches are removed by a doctor
- CWhen she can brake hard without pain
- DNever before 6 months
5.Medium
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt is injected under the skin; report unusual bleeding
- BIt is given into the muscle of the thigh
- CIt is a tablet taken with meals
- DIt must be stopped if she chooses to breastfeed her baby
6.Medium
A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?
- AEffective ventilation comes first; naloxone is not routine
- BFlumazenil is given to reverse the opioid
- CNo support is needed because the effect lasts only seconds
- DNaloxone is given before any ventilation is started
7.Hard
On a postnatal ward, which finding should be reported immediately?
- ALochia rubra on day 2
- BThe woman is soaking a large pad within 15 minutes
- CMild perineal swelling on day 1
- DA fundus 2 cm below the umbilicus on day 2
8.Hard
One hour after birth, the large baby of a mother with diabetes is jittery and feeding poorly. What should the nurse do first?
- ACheck the baby's blood glucose
- BReassure the parents that jitteriness is normal
- CGive a bath to wake the baby up
- DWrap the baby tightly and recheck in 4 hours
Answer key
- 1. B · Cushioning the fetus against injury
- 2. B · About weeks 3 to 8 after conception
- 3. B · The descent of the fetus into the pelvis
- 4. C · When she can brake hard without pain
- 5. A · It is injected under the skin; report unusual bleeding
- 6. A · Effective ventilation comes first; naloxone is not routine
- 7. B · The woman is soaking a large pad within 15 minutes
- 8. A · Check the baby's blood glucose
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