1.Easy
What is vasa praevia?
- AFetal vessels run across the membranes over the cervix
- BThe cord prolapses in front of the head
- CThe placenta covers the cervix completely
- DThe placenta separates early from the wall
2.Easy
The anterior fontanelle of a newborn is:
- AClosed at birth in a term baby
- BTriangular, where the parietal and occipital bones meet
- CDiamond-shaped, where the frontal and parietal bones meet
- DRound, at the base of the skull
3.Easy
Which drug should be available as the antidote for magnesium sulfate toxicity?
- ANaloxone
- BCalcium gluconate
- CVitamin K
- DPotassium chloride
4.Medium
The first day of a woman's last menstrual period was 10 March. Using Naegele's rule, what is her estimated date of birth?
- A17 June
- B3 December
- C17 December
- D10 January
5.Medium
Which newborn is at greatest risk of hypoglycaemia in the first hours after birth?
- AA large baby of a mother with diabetes
- BA term baby of average weight who is breastfeeding well
- CA baby with an APGAR of 9 at 5 minutes
- DA baby born by planned caesarean to a healthy mother
6.Medium
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt must be stopped if she chooses to breastfeed her baby
- BIt is given into the muscle of the thigh
- CIt is a tablet taken with meals
- DIt is injected under the skin; report unusual bleeding
7.Hard
A woman at 28 weeks has itching, and her liver tests and bile acids are raised. Which advice is most important?
- AStop attending antenatal visits once itching settles
- BReport reduced fetal movements straight away
- CTake a hot bath to relieve the itching
- DItching proves the baby is healthy
8.Hard
A preterm infant receiving oxygen has saturations that are consistently 100%. What should the nurse do?
- ALeave it unchanged because 100% is ideal
- BRemove the saturation probe to save the skin
- CWean the oxygen to the target saturation range
- DIncrease the oxygen to provide a safety margin
Answer key
- 1. A · Fetal vessels run across the membranes over the cervix
- 2. C · Diamond-shaped, where the frontal and parietal bones meet
- 3. B · Calcium gluconate
- 4. C · 17 December
- 5. A · A large baby of a mother with diabetes
- 6. D · It is injected under the skin; report unusual bleeding
- 7. B · Report reduced fetal movements straight away
- 8. C · Wean the oxygen to the target saturation range
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