Maternity & obstetric nursing worksheet with answers

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

1. AHaemoglobin electrophoresis
2. BProthrombin time
3. CDirect Coombs test on the mother's red cells
4. DIndirect Coombs test (antibody screen)

How far does the fundus normally descend each day after birth?

1. AAbout 1 cm per day
2. BIt stays at the umbilicus for 2 weeks
3. CAbout 5 cm per day
4. DAbout 1 cm per week

A pregnancy that continues to 42 weeks or more is called:

1. AEarly term
2. BPost-term
3. CFull term
4. DLate preterm

Which newborn complication is particularly linked to a forceps birth?

1. ANeonatal jaundice from ABO incompatibility
2. BHip dysplasia
3. CUmbilical hernia
4. DFacial nerve palsy

During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?

1. ADevelopmental dysplasia of the hip
2. BClubfoot affecting the same side
3. CA fractured femur from the birth
4. DA normal finding in all newborns

Which pattern defines uterine tachysystole?

1. AContractions every 5 minutes in early labour, each lasting 60 seconds
2. BMore than 2 contractions in 10 minutes
3. CContractions lasting 60 seconds
4. DMore than 5 contractions in 10 minutes, averaged over 30 minutes

A small for gestational age baby is born at term. Which complications should the nurse anticipate?

1. AMacrosomia and shoulder dystocia
2. BHypoglycaemia, hypothermia and polycythaemia
3. CHyperglycaemia, fever and anaemia
4. DRespiratory distress from surfactant deficiency only

A breastfeeding mother has a hot, red, painful area on one breast and a fever. She asks whether she should stop feeding. What is the best advice?

1. AKeep breastfeeding often, including from the affected breast, and take treatment as prescribed
2. BStop breastfeeding completely, and express and discard the milk until the fever and redness have gone
3. CFeed only from the other breast for a week
4. DStop drinking fluids to reduce milk production