1.Easy
In a healthy term newborn, when does physiological jaundice usually reach its peak?
- AWithin the first 12 hours
- BAround days 3 to 5
- CAt about 3 weeks
- DAt about 6 to 8 weeks
2.Easy
What is a uterine inversion?
- AThe uterus tilts backwards towards the spine
- BThe uterus turns inside out after birth
- CThe placenta implants low in the uterus
- DThe uterus tears along an old caesarean scar
3.Easy
An ultrasound report says "oligohydramnios". What does this mean?
- AToo much amniotic fluid
- BToo little amniotic fluid
- CInfection of the amniotic fluid
- DBlood in the amniotic fluid
4.Medium
Which position of the fetal head presents the smallest diameter to the pelvis?
- AFull extension, with the face presenting
- BA neutral position with no flexion
- CFull flexion, with the chin on the chest
- DPartial extension, with the brow presenting
5.Medium
Why is congenital hypothyroidism included in newborn screening?
- AEarly treatment prevents brain damage
- BIt can only be treated before birth
- CIt causes jaundice that cannot be treated
- DIt causes hip dysplasia
6.Medium
Progesterone relaxes smooth muscle in pregnancy. Which common complaint does this help explain?
- ANasal stuffiness
- BConstipation
- CGum bleeding
- DIncreased appetite
7.Hard
A baby was born through thick meconium-stained fluid. At birth the baby is crying, has good tone and a heart rate above 100/min. What is the appropriate care?
- ARoutine care with the mother, with observation
- BSeparation from the mother for 24 hours
- CDeep suctioning of the stomach before the first breath
- DImmediate tracheal intubation and suction
8.Hard
After the placenta is delivered, the nurse examines it. Why?
- ATo check that it is complete and nothing is retained
- BTo estimate the baby's gestational age from its weight
- CTo decide whether the baby needs vitamin K
- DTo check the mother's blood type and Rh factor
Answer key
- 1. B · Around days 3 to 5
- 2. B · The uterus turns inside out after birth
- 3. B · Too little amniotic fluid
- 4. C · Full flexion, with the chin on the chest
- 5. A · Early treatment prevents brain damage
- 6. B · Constipation
- 7. A · Routine care with the mother, with observation
- 8. A · To check that it is complete and nothing is retained
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