1.Easy
What is "moulding" of the fetal head?
- ABleeding under the outer layer of a skull bone
- BOverlapping of the skull bones in the birth canal
- CEarly closure of the fontanelles before birth
- DSwelling of the scalp from pressure on the cervix
2.Easy
Mastitis is most often caused by which organism?
- AEscherichia coli
- BStaphylococcus aureus
- CGroup B streptococcus
- DCandida albicans
3.Easy
What is the normal baseline fetal heart rate at term?
- A60 to 100 beats per minute
- B80 to 110 beats per minute
- C110 to 160 beats per minute
- D160 to 200 beats per minute
4.Medium
Which factor most increases a postnatal woman's risk of venous thromboembolism?
- ACaesarean birth
- BBreastfeeding
- CEarly walking after birth
- DNormal blood loss
5.Medium
Which statement describes the "4 Ts" causes of postpartum haemorrhage?
- ATemperature, tachycardia, tears and time
- BTone, tachycardia, transfusion and tissue
- CTone, trauma, tissue and thrombin
- DTrauma, tension, temperature and thrombosis
6.Medium
Parents ask why their baby is having a pulse oximetry check on the right hand and a foot. What is the reason?
- ATo screen for hearing loss
- BTo measure the baby's blood pressure
- CTo screen for critical congenital heart disease
- DTo check the baby's blood glucose
7.Hard
A woman at 34 weeks was in a car crash. She has abdominal pain, a rigid tender uterus and only slight vaginal bleeding. Late decelerations appear. Which statement is most accurate?
- AShe may have a concealed abruption with major blood loss despite little visible bleeding
- BThe findings are typical of normal labour
- CLittle visible bleeding means blood loss is minor
- DA rigid uterus after abdominal trauma is an expected finding and needs no further action
8.Hard
A pregnant woman tests positive for hepatitis B surface antigen. What should the nurse expect for the newborn?
- ANo treatment until the baby is 6 months old
- BA caesarean birth to prevent all transmission
- CFormula feeding only, because breastfeeding is contraindicated
- DHepatitis B vaccine within hours of birth, often with immunoglobulin
Answer key
- 1. B · Overlapping of the skull bones in the birth canal
- 2. B · Staphylococcus aureus
- 3. C · 110 to 160 beats per minute
- 4. A · Caesarean birth
- 5. C · Tone, trauma, tissue and thrombin
- 6. C · To screen for critical congenital heart disease
- 7. A · She may have a concealed abruption with major blood loss despite little visible bleeding
- 8. D · Hepatitis B vaccine within hours of birth, often with immunoglobulin
Full step-by-step solutions: practise this topic on examproblems.com.