Maternity & obstetric nursing worksheet with answers

A newborn has bluish hands and feet a few hours after birth but pink lips and trunk. What is this called?

1. AJaundice
2. BCentral cyanosis, an emergency
3. CAcrocyanosis, a common normal finding
4. DMottling of the skin caused by early sepsis

An ultrasound report says "oligohydramnios". What does this mean?

1. ABlood in the amniotic fluid
2. BToo little amniotic fluid
3. CToo much amniotic fluid
4. DInfection of the amniotic fluid

Which fetal structure carries oxygen-rich blood from the placenta to the fetus?

1. AThe umbilical vein
2. BThe pulmonary artery
3. CThe umbilical arteries
4. DThe ductus arteriosus

During newborn resuscitation, what is the ratio of chest compressions to breaths?

1. A30 compressions to 2 breaths
2. B3 compressions to 1 breath
3. C5 compressions to 1 breath
4. D15 compressions to 2 breaths

What do accelerations of the fetal heart rate usually indicate?

1. APlacental insufficiency
2. BCompression of the umbilical cord
3. CFetal sleep
4. DThe fetus is well oxygenated

Why is it important to do newborn bloodspot screening at the recommended time rather than in the first hours?

1. AEarlier testing always gives false negatives for all conditions
2. BSome results, such as PKU, need milk feeds first
3. CThe heel cannot be pricked until the cord falls off
4. DThe baby's blood cannot be sampled before day 3

A fetus has severe oligohydramnios from the second trimester. Which complication is a major concern for the newborn?

1. ANeonatal hypoglycaemia
2. BMacrosomia
3. CNeural tube defect
4. DPulmonary hypoplasia

A newborn male has a urethral opening on the underside of the penis. What should the nurse tell the parents?

1. AIt is a normal variation that needs no follow-up
2. BCircumcision should be done straight away
3. CIt will correct itself by school age
4. DCircumcision should wait for specialist review