1.Easy
Which component is part of the APGAR score?
- ABirth weight
- BMuscle tone
- CBody temperature
- DBlood glucose
2.Easy
What is placenta accreta?
- AA placenta that separates from the wall before birth
- BA placenta that implants over the cervix
- CA placenta attached too deeply into the wall
- DA placenta with an extra small lobe
3.Easy
Which sign is typical of placenta praevia?
- ABleeding that is always dark and clotted
- BSevere abdominal pain with a hard uterus
- CPainless, bright red vaginal bleeding
- DHigh fever with foul-smelling discharge
4.Medium
At station +2, where is the presenting part?
- A2 cm above the ischial spines
- B2 cm below the ischial spines
- CFloating above the pelvic inlet
- DAt the level of the ischial spines
5.Medium
Why is an indwelling catheter placed before a caesarean birth?
- ATo keep the bladder empty during surgery
- BTo measure the baby's fluid balance
- CTo prevent postpartum haemorrhage
- DTo collect a urine sample for culture
6.Medium
A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?
- AIncrease the oxytocin infusion
- BPlace her flat on her back
- CStart pushing efforts straight away
- DChange the woman's position
7.Hard
A woman needs an emergency caesarean under general anaesthesia. Why is she given an antacid such as sodium citrate before induction?
- ATo make aspirated stomach contents less acidic
- BTo speed up gastric emptying for surgery
- CTo prevent nausea after the operation
- DTo lower her blood pressure before surgery
8.Hard
A labouring woman feels intense rectal pressure and says "the baby is coming". She was 7 cm 20 minutes ago. What should the nurse do first?
- ATell her it is too early and to stop pushing
- BGive her an opioid for the pain
- CLeave her to get the birth equipment from the store
- DCheck whether the head is visible and stay with her
Answer key
- 1. B · Muscle tone
- 2. C · A placenta attached too deeply into the wall
- 3. C · Painless, bright red vaginal bleeding
- 4. B · 2 cm below the ischial spines
- 5. A · To keep the bladder empty during surgery
- 6. D · Change the woman's position
- 7. A · To make aspirated stomach contents less acidic
- 8. D · Check whether the head is visible and stay with her
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