1.Easy
Mastitis is most often caused by which organism?
- ACandida albicans
- BStaphylococcus aureus
- CGroup B streptococcus
- DEscherichia coli
2.Easy
Which sign shows a good breastfeeding latch?
- AThe baby's cheeks are sucked in with each suck
- BThe lips are flanged outwards over the areola
- CClicking sounds are heard while feeding
- DOnly the nipple is in the baby's mouth
3.Easy
Transient tachypnoea of the newborn is caused by:
- ABlockage of the nasal passages
- BBacterial infection of the lungs
- CLack of surfactant in preterm babies
- DSlow clearance of fetal lung fluid
4.Medium
During birth the baby's head is delivered but the shoulders are stuck. Which first manoeuvre is standard?
- AMcRoberts manoeuvre with suprapubic pressure
- BPushing the head back into the vagina as a first step
- CPulling hard on the baby's head
- DFirm pressure on the fundus
5.Medium
After rupture of the membranes, the amniotic fluid is green. What does this suggest?
- AThe fetus has passed meconium
- BThere is bleeding from the placenta
- CThe mother has an infection with group B streptococcus
- DThe fluid is normal at term
6.Medium
Which nursing measure is used during phototherapy?
- ALimit feeds to reduce stooling
- BRemove the eye shields while the lights are on
- CKeep the baby fully clothed under the lights
- DTurn the baby often and monitor hydration
7.Hard
A woman has a painful, red breast with a fluctuant swelling that has not improved after antibiotics. What should be suspected?
- AA breast abscess needing drainage
- BAn allergic reaction to the antibiotic
- CNormal engorgement
- DA blocked duct needing only massage
8.Hard
A small for gestational age baby is born at term. Which complications should the nurse anticipate?
- AMacrosomia and shoulder dystocia
- BRespiratory distress from surfactant deficiency only
- CHyperglycaemia, fever and anaemia
- DHypoglycaemia, hypothermia and polycythaemia
Answer key
- 1. B · Staphylococcus aureus
- 2. B · The lips are flanged outwards over the areola
- 3. D · Slow clearance of fetal lung fluid
- 4. A · McRoberts manoeuvre with suprapubic pressure
- 5. A · The fetus has passed meconium
- 6. D · Turn the baby often and monitor hydration
- 7. A · A breast abscess needing drainage
- 8. D · Hypoglycaemia, hypothermia and polycythaemia
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