Maternity & obstetric nursing worksheet with answers

What does the "T" in TORCH infections stand for?

1. ATetanus
2. BTuberculosis
3. CTrichomoniasis
4. DToxoplasmosis

Which sign is often the earliest sign of sepsis in a newborn?

1. AA high fever above 40 °C (104 °F) on the first day
2. BA bulging anterior fontanelle at birth
3. CUnstable temperature and poor feeding
4. DA loud, vigorous cry

Which pregnancy risk increases with maternal age over 35?

1. APhysiological anaemia
2. BRh isoimmunisation
3. CNeural tube defects caused only by age
4. DTrisomies such as trisomy 21

Which baby is at greatest risk of early-onset group B streptococcal infection?

1. AA baby whose mother was GBS-negative at 36 weeks
2. BA baby born at 40 weeks to a mother with no risk factors
3. CA baby of a GBS-positive mother with no antibiotics
4. DA baby born by planned caesarean with intact membranes

Which woman on the antenatal unit should the nurse see first?

1. AAt 34 weeks: severe headache, BP 164/110 mmHg
2. BAt 30 weeks: mild ankle swelling in the evening
3. CAt 38 weeks: irregular Braxton Hicks contractions
4. DAt 28 weeks: due for routine anti-D

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. BA fractured femur from the birth
3. CA normal finding in all newborns
4. DClubfoot affecting the same side

A pregnant woman tests positive for hepatitis B surface antigen. What should the nurse expect for the newborn?

1. AFormula feeding only, because breastfeeding is contraindicated
2. BNo treatment until the baby is 6 months old
3. CA caesarean birth to prevent all transmission
4. DHepatitis B vaccine within hours of birth, often with immunoglobulin

A newborn born after a shoulder dystocia holds one arm limp at the side, internally rotated, with the wrist flexed. What is most likely?

1. AErb's palsy
2. BFacial nerve palsy
3. CDevelopmental hip dysplasia
4. DClubfoot