Maternity & obstetric nursing worksheet with answers

What is ballottement in pregnancy?

1. ABluish colour of the cervix
2. BThe fetus rebounds when pushed by the examiner
3. CThe first fetal movements felt by the mother
4. DContractions that do not dilate the cervix

Which hormone is mainly responsible for milk production?

1. AProgesterone
2. BProlactin
3. COxytocin
4. DOestrogen

Infertility is usually defined as no pregnancy after regular unprotected intercourse for:

1. A12 months
2. B3 months
3. C6 weeks
4. D36 months

Carboprost, a prostaglandin used for postpartum haemorrhage, should be avoided in women with:

1. AA previous caesarean birth
2. BHypertension
3. CAsthma
4. DEpilepsy

Why are afterpains often stronger in multiparous women?

1. AThey produce no oxytocin after birth
2. BTheir uterus contracts and relaxes more irregularly
3. CTheir uterus is always infected
4. DThey have a smaller uterus than first-time mothers

Which findings are typical of placental abruption?

1. AItching of the palms and soles
2. BAbdominal pain, a firm or rigid uterus and dark red bleeding
3. CPainless bright red bleeding with a soft, relaxed, non-tender uterus
4. DLeaking clear fluid without contractions

A woman with an epidural in labour now has a temperature of 38.0 °C (100.4 °F). Which statement is most accurate?

1. AFever with an epidural always means the catheter is infected
2. BFever in labour can be ignored if the baby is moving
3. CThe epidural may cause it, but infection must be ruled out
4. DFever with an epidural is always caused by the epidural

A pregnant woman with chronic hypertension takes lisinopril. Why should the nurse alert the prescriber?

1. AACE inhibitors cause neural tube defects only in the third trimester
2. BLisinopril is the first-choice antihypertensive in pregnancy
3. CACE inhibitors can harm fetal kidney development and are avoided in pregnancy
4. DLisinopril will cause her blood pressure to rise in pregnancy