Maternity & obstetric nursing worksheet with answers

The Ballard (New Ballard) score is used to assess a newborn's:

1. AHearing
2. BBlood glucose
3. CBreathing effort at 1 minute
4. DGestational age

Which blood test on the mother detects antibodies against Rh-positive red cells?

1. AProthrombin time
2. BDirect Coombs test on the mother's red cells
3. CHaemoglobin electrophoresis
4. DIndirect Coombs test (antibody screen)

Early decelerations of the fetal heart rate are caused by:

1. ACompression of the fetal head
2. BUteroplacental insufficiency
3. CMaternal fever
4. DCompression of the umbilical cord

Which finding is expected in a healthy breastfed newborn on day 3?

1. AA weight gain of 300 g since birth
2. BA weight loss of about 6% of birth weight
3. CNo wet nappies in the last 24 hours
4. DA weight loss of about 15% of birth weight

Which lochia finding is expected on day 6 after birth?

1. ABright red discharge with large clots
2. BNo discharge at all
3. CGreen, foul-smelling discharge
4. DPink to brownish discharge (lochia serosa)

A woman in late pregnancy has numbness and tingling in her thumb and first fingers, worse at night. What is the most likely cause?

1. AA stroke caused by pre-eclampsia
2. BLow blood calcium
3. CCarpal tunnel syndrome
4. DVitamin K deficiency

An Rh-negative mother's baby is found to be Rh-negative. What is the correct action regarding postnatal anti-D?

1. AGive a double dose of anti-D
2. BPostnatal anti-D is not needed
3. CGive anti-D only if the mother had a miscarriage before
4. DGive anti-D to the baby instead

A woman with known mitral stenosis is pregnant. When is she at greatest risk of heart failure?

1. AWhen blood volume peaks in late pregnancy and in the hours after birth
2. BRisk is the same at every point in pregnancy
3. COnly in the first trimester, when nausea is worst
4. DOnly during the first stage of labour