1.Easy
What is placenta accreta?
- AA placenta that implants over the cervix
- BA placenta that separates from the wall before birth
- CA placenta with an extra small lobe
- DA placenta attached too deeply into the wall
2.Easy
Which fish should pregnant women avoid because of its high mercury content?
- ASardines
- BSalmon
- CCod
- DSwordfish
3.Easy
Which is a non-drug method of labour pain relief?
- AWarm water immersion
- BEpidural analgesia
- CPethidine (meperidine) injection
- DInhaled nitrous oxide
4.Medium
Which event in an Rh-negative, non-sensitised woman requires an extra dose of anti-D immunoglobulin?
- AA routine urine test
- BA blood pressure check
- CA glucose tolerance test
- DAmniocentesis
5.Medium
A woman's epidural has just been inserted. Which nursing action is a priority in the next hours?
- AEncourage her to walk around the room on her own
- BRestrict all oral and IV fluids
- CCheck her blood pressure and bladder often
- DKeep her lying flat on her back
6.Medium
A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?
- AAdvise her to switch to tobacco instead
- BTell her that cannabis is a natural remedy and safe in pregnancy
- CRefuse to continue her care until she stops
- DExplain the risks without judgement and offer safer treatments
7.Hard
Which statement by a woman with postnatal depression shows that the nurse's teaching has been effective?
- A"I should keep my feelings to myself so I don't worry my family."
- B"Depression after birth means I am a bad mother."
- C"I will tell my midwife or doctor if I have thoughts of harming myself."
- D"If I take medicine I can never breastfeed again."
8.Hard
A woman with gestational diabetes was on insulin during pregnancy. What change in her insulin needs is expected right after birth?
- AThey stay the same for 6 weeks
- BThey double because of the stress of birth, so the insulin dose is increased
- CThey fall quickly, so glucose is monitored and insulin is often stopped
- DShe will need lifelong insulin
Answer key
- 1. D · A placenta attached too deeply into the wall
- 2. D · Swordfish
- 3. A · Warm water immersion
- 4. D · Amniocentesis
- 5. C · Check her blood pressure and bladder often
- 6. D · Explain the risks without judgement and offer safer treatments
- 7. C · "I will tell my midwife or doctor if I have thoughts of harming myself."
- 8. C · They fall quickly, so glucose is monitored and insulin is often stopped
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