1.Easy
What is vernix caseosa?
- ASmall white spots on the nose
- BBluish patches over the lower back
- CFine, soft hair on the shoulders and back
- DA white, cheesy coating on the skin
2.Easy
What is placenta accreta?
- AA placenta that separates from the wall before birth
- BA placenta that implants over the cervix
- CA placenta with an extra small lobe
- DA placenta attached too deeply into the wall
3.Easy
A newborn has bluish hands and feet a few hours after birth but pink lips and trunk. What is this called?
- AAcrocyanosis, a common normal finding
- BCentral cyanosis, an emergency
- CMottling of the skin caused by early sepsis
- DJaundice
4.Medium
A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?
- AThe baby feeds for exactly 5 minutes each side
- BThe baby sleeps for 8 hours without feeding
- CHer breasts never feel full
- DAt least 6 wet nappies a day and yellow stools
5.Medium
Which substance in amniotic fluid is used to judge fetal lung maturity?
- AAlpha-fetoprotein, assessed by its level
- BBilirubin, assessed by its colour
- CGlucose, assessed by its concentration
- DSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
6.Medium
A woman with hypothyroidism becomes pregnant. What usually happens to her levothyroxine needs?
- AShe switches to iodine tablets instead
- BThey stay the same, so no monitoring is needed
- CThey usually rise, so levels are checked early
- DThey decrease to zero, so she stops the drug
7.Hard
A woman at 9 weeks has hCG levels that are much higher than expected, a uterus large for dates, severe vomiting and dark brown spotting. Which condition should be suspected?
- AAn ectopic pregnancy
- BA missed miscarriage
- CA hydatidiform (molar) pregnancy
- DA threatened miscarriage
8.Hard
After a severe postpartum haemorrhage, a woman cannot breastfeed because her milk does not come in, and she feels very tired. Which condition should be suspected?
- APostpartum thyroiditis
- BBreast engorgement
- CMastitis
- DSheehan syndrome
Answer key
- 1. D · A white, cheesy coating on the skin
- 2. D · A placenta attached too deeply into the wall
- 3. A · Acrocyanosis, a common normal finding
- 4. D · At least 6 wet nappies a day and yellow stools
- 5. D · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 6. C · They usually rise, so levels are checked early
- 7. C · A hydatidiform (molar) pregnancy
- 8. D · Sheehan syndrome
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