1.Easy
Variable decelerations are most often caused by:
- ACompression of the umbilical cord
- BUteroplacental insufficiency
- CNormal fetal sleep cycles
- DCompression of the fetal head
2.Easy
What does meconium look like?
- ADark green to black and sticky
- BPale grey and watery
- CYellow, seedy and loose
- DBright red and liquid
3.Easy
Which is a non-drug method of labour pain relief?
- AInhaled nitrous oxide
- BEpidural analgesia
- CPethidine (meperidine) injection
- DWarm water immersion
4.Medium
A woman is about to get out of bed for the first time after birth. What should the nurse do?
- ALet her walk alone so she feels independent
- BHelp her sit, then stand slowly with support
- CWait until day 3 before letting her stand
- DAsk her to stand quickly to reduce dizziness
5.Medium
A pregnant woman takes an iron supplement. Which instruction improves its absorption?
- ATake it with an antacid to protect the stomach
- BTake it with orange juice rather than with tea
- CTake it with coffee to reduce nausea
- DTake it together with milk or a calcium tablet
6.Medium
Which statement describes the "4 Ts" causes of postpartum haemorrhage?
- ATone, tachycardia, transfusion and tissue
- BTone, trauma, tissue and thrombin
- CTrauma, tension, temperature and thrombosis
- DTemperature, tachycardia, tears and time
7.Hard
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AIntravenous iron
- BStopping iron and waiting until after birth
- CDoubling her caffeine intake
- DA routine blood transfusion
8.Hard
A woman in labour has a breech presentation and her membranes rupture. What should the nurse check first?
- AThe colour of her urine
- BThe fetal heart rate and for cord prolapse
- CThe baby's sex on ultrasound
- DHer blood glucose level
Answer key
- 1. A · Compression of the umbilical cord
- 2. A · Dark green to black and sticky
- 3. D · Warm water immersion
- 4. B · Help her sit, then stand slowly with support
- 5. B · Take it with orange juice rather than with tea
- 6. B · Tone, trauma, tissue and thrombin
- 7. A · Intravenous iron
- 8. B · The fetal heart rate and for cord prolapse
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