1.Easy
When can most women safely resume sexual intercourse after a vaginal birth?
- AImmediately on the day of birth
- BOnly after exactly 6 months
- CWhen bleeding has stopped and she feels ready
- DOnly after she stops breastfeeding
2.Easy
Which feature is typical of Braxton Hicks contractions?
- AThey are irregular and do not change the cervix
- BThey cause the cervix to dilate
- CThey start only after the membranes rupture
- DThey become steadily stronger and closer together
3.Easy
What is lanugo?
- APeeling skin on the hands and feet
- BA white coating on the skin
- CA birthmark on the face
- DFine, downy hair on the body
4.Medium
A breastfeeding mother has afterpains (cramping) during feeds on day 2. What explains this?
- AHer milk supply is too low
- BOxytocin released during breastfeeding makes the uterus contract
- CShe has a urinary tract infection
- DThe placenta has not been fully delivered and is still being expelled
5.Medium
At station +2, where is the presenting part?
- AFloating above the pelvic inlet
- B2 cm below the ischial spines
- CAt the level of the ischial spines
- D2 cm above the ischial spines
6.Medium
Which is the correct order of the first cardinal movements of labour?
- AInternal rotation, engagement, descent, extension, flexion
- BFlexion, engagement, extension, descent, internal rotation
- CDescent, extension, engagement, flexion, internal rotation
- DEngagement, descent, flexion, internal rotation, extension
7.Hard
At 4 hours, a newborn's temperature is 37.9 °C (100.2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?
- APlace him in a cold bath
- BStart antibiotics without further assessment
- CRemove extra layers and recheck
- DGive an antipyretic medicine immediately
8.Hard
Why does the foramen ovale close soon after birth?
- AThe umbilical vein carries more blood to the heart
- BLeft atrial pressure rises above right atrial pressure
- CProstaglandin levels rise in the newborn's blood
- DBlood flow to the lungs decreases after birth
Answer key
- 1. C · When bleeding has stopped and she feels ready
- 2. A · They are irregular and do not change the cervix
- 3. D · Fine, downy hair on the body
- 4. B · Oxytocin released during breastfeeding makes the uterus contract
- 5. B · 2 cm below the ischial spines
- 6. D · Engagement, descent, flexion, internal rotation, extension
- 7. C · Remove extra layers and recheck
- 8. B · Left atrial pressure rises above right atrial pressure
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