1.Easy
Which teratogenic effect is linked with maternal rubella infection in early pregnancy?
- ALimb reduction defects and missing fingers
- BCleft lip, cleft palate and club foot
- CDeafness, cataracts and heart defects
- DNeural tube defects
2.Easy
What is placenta accreta?
- AA placenta that implants over the cervix
- BA placenta that separates from the wall before birth
- CA placenta with an extra small lobe
- DA placenta attached too deeply into the wall
3.Easy
What does "effacement" of the cervix mean?
- AOpening of the external cervical os
- BThinning and shortening of the cervix
- CSoftening of the cervix in early pregnancy
- DDescent of the presenting part into the pelvis
4.Medium
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- AStraining hard to open the bowels
- BSitz baths, cold pads and stool softeners
- CAvoiding all fluids to prevent loose stools
- DSitting on a hard surface for long periods
5.Medium
Which is a common sign of iron deficiency anaemia in pregnancy?
- AIncreased appetite and frequent urination
- BWeight gain and ankle swelling
- CHigh blood pressure and headache
- DTiredness, pallor and breathlessness
6.Medium
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AIt is a live vaccine that gives the baby lifelong immunity to whooping cough
- BHer antibodies cross the placenta and protect the newborn
- CIt protects her from pre-eclampsia
- DIt prevents the baby from developing rubella
7.Hard
A small for gestational age baby is born at term. Which complications should the nurse anticipate?
- AHyperglycaemia, fever and anaemia
- BMacrosomia and shoulder dystocia
- CRespiratory distress from surfactant deficiency only
- DHypoglycaemia, hypothermia and polycythaemia
8.Hard
A newborn's heart rate is 80/min after 30 seconds of positive-pressure ventilation and the chest is not moving. What should the nurse do next?
- ACorrect the ventilation, starting with mask and airway
- BStart chest compressions immediately at a 3:1 ratio
- CStop ventilation and give oxygen by mask only
- DGive IV adrenaline straight away
Answer key
- 1. C · Deafness, cataracts and heart defects
- 2. D · A placenta attached too deeply into the wall
- 3. B · Thinning and shortening of the cervix
- 4. B · Sitz baths, cold pads and stool softeners
- 5. D · Tiredness, pallor and breathlessness
- 6. B · Her antibodies cross the placenta and protect the newborn
- 7. D · Hypoglycaemia, hypothermia and polycythaemia
- 8. A · Correct the ventilation, starting with mask and airway
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