Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

The "fourth stage" of labour refers to:

  1. AThe first 6 weeks after birth
  2. BThe time from the start of regular contractions to full dilation
  3. CThe first 1 to 2 hours after the placenta is delivered
  4. DThe period of pushing
2.Easy

What is the main benefit of delaying cord clamping in a healthy term baby?

  1. AFaster delivery of the placenta
  2. BBetter iron stores in the baby
  3. CLower risk of jaundice in all babies
  4. DReduced maternal blood loss
3.Easy

Using US (ACOG) definitions, preterm labour is labour that begins:

  1. ABetween 20 and 37 weeks
  2. BAt any time before the due date at 40 weeks
  3. CAfter 42 weeks of pregnancy
  4. DBefore 20 weeks of pregnancy
4.Medium

Which antihypertensive is commonly used in pregnancy but should be avoided in a woman with asthma?

  1. AMethyldopa
  2. BLabetalol
  3. CHydralazine
  4. DNifedipine
5.Medium

A woman in labour has severe back pain with each contraction. The fetus is in an occiput posterior position. Which measure is most likely to help?

  1. AAvoiding movement until full dilation
  2. BHolding her breath and pushing with each contraction
  3. CLying flat on her back with her legs raised
  4. DSacral counterpressure and a hands-and-knees position
6.Medium

Which set of findings is consistent with hypovolaemia after a postpartum haemorrhage?

  1. ASlow breathing and a rising blood pressure
  2. BIncreased urine output and flushed skin
  3. CRising pulse, falling blood pressure, low urine output
  4. DSlow heart rate, high blood pressure and warm, dry skin
7.Hard

A woman in active labour has been at 6 cm for 4 hours despite regular contractions. Which factor among the "5 Ps" should the nurse consider first?

  1. AThe past history of her mother's labour
  2. BThe pulse rate during contractions
  3. CThe placenta: whether it is anterior or posterior
  4. DThe passenger: fetal size, position or presentation
8.Hard

Why does the ductus arteriosus normally close after birth?

  1. AThe cord is cut, which closes it directly
  2. BPressure in the pulmonary artery rises
  3. CRising prostaglandins and falling oxygen levels
  4. DRising oxygen levels and falling prostaglandins

Answer key

  1. 1. C · The first 1 to 2 hours after the placenta is delivered
  2. 2. B · Better iron stores in the baby
  3. 3. A · Between 20 and 37 weeks
  4. 4. B · Labetalol
  5. 5. D · Sacral counterpressure and a hands-and-knees position
  6. 6. C · Rising pulse, falling blood pressure, low urine output
  7. 7. D · The passenger: fetal size, position or presentation
  8. 8. D · Rising oxygen levels and falling prostaglandins

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