Maternity & obstetric nursing worksheet with answers

What does "effacement" of the cervix mean?

1. ADescent of the presenting part into the pelvis
2. BOpening of the external cervical os
3. CThinning and shortening of the cervix
4. DSoftening of the cervix in early pregnancy

Which lochia is expected during the first 3 to 4 days after birth?

1. ALochia alba: white or yellowish discharge
2. BLochia rubra: red discharge with possible small clots
3. CLochia serosa: pink to brownish discharge
4. DNo discharge until the end of the first week

Which drug should be available as the antidote for magnesium sulfate toxicity?

1. ACalcium gluconate
2. BVitamin K
3. CPotassium chloride
4. DNaloxone

A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?

1. AA raised haemoglobin level
2. BA low white cell count only
3. CA low fibrinogen level and low platelets
4. DA high fibrinogen level and high platelets

At 30 weeks, which fundal height is consistent with expected growth?

1. A22 cm
2. B18 cm
3. C29 cm
4. D36 cm

Which feature suggests a newborn is preterm rather than term?

1. ALabia majora covering the labia minora
2. BCreases covering the whole sole
3. CFirm ear cartilage that springs back
4. DPlantar creases only on the front of the sole

A woman who had a placenta praevia and two previous caesareans is scheduled for a caesarean. The team plans for possible hysterectomy and blood products. Why?

1. AShe is at high risk of placenta accreta spectrum
2. BShe is at high risk of gestational diabetes
3. CShe is at high risk of pre-eclampsia only
4. DShe is at high risk of a post-term birth

A woman needs an emergency caesarean under general anaesthesia. Why is she given an antacid such as sodium citrate before induction?

1. ATo lower her blood pressure before surgery
2. BTo prevent nausea after the operation
3. CTo speed up gastric emptying for surgery
4. DTo make aspirated stomach contents less acidic