1.Easy
The first stage of labour ends when:
- AThe baby is born
- BThe cervix is fully dilated (10 cm)
- CThe placenta is delivered
- DContractions become regular
2.Easy
What is ballottement in pregnancy?
- ABluish colour of the cervix
- BThe fetus rebounds when pushed by the examiner
- CThe first fetal movements felt by the mother
- DContractions that do not dilate the cervix
3.Easy
A pregnant teenager is at increased risk of which complication?
- AMacrosomia and shoulder dystocia
- BPost-term pregnancy beyond 42 weeks
- CPreterm birth and low birth weight
- DMultiple pregnancy
4.Medium
After an amniotomy, why is the time of rupture of the membranes recorded?
- AInfection risk rises the longer the membranes are ruptured
- BIt is used to work out the baby's gestational age
- CIt predicts exactly when the placenta will deliver
- DIt is needed to calculate the woman's Bishop score
5.Medium
On day 2, a newborn has red blotches with small yellow-white centres on the trunk. The baby is well. What is most likely?
- AHerpes simplex infection
- BErythema toxicum
- CNeonatal sepsis
- DPort-wine stain
6.Medium
Why is a copper intrauterine device a good contraceptive option for many breastfeeding mothers?
- AIt increases milk production
- BIt protects against sexually transmitted infections
- CIt must be replaced every month
- DIt is hormone-free and very effective
7.Hard
A baby was stillborn at 38 weeks. Which nursing action is most appropriate?
- ARemove the baby quickly so the parents are not upset
- BTell the parents they can try for another baby soon
- COffer the parents time to see and hold their baby
- DAvoid using the baby's name to prevent more grief
8.Hard
A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?
- AWithholding feeds until the symptoms settle
- BGiving naloxone to reverse the opioids
- CBright lights and frequent handling to keep the baby awake
- DA quiet, dim room, swaddling and small, frequent feeds
Answer key
- 1. B · The cervix is fully dilated (10 cm)
- 2. B · The fetus rebounds when pushed by the examiner
- 3. C · Preterm birth and low birth weight
- 4. A · Infection risk rises the longer the membranes are ruptured
- 5. B · Erythema toxicum
- 6. D · It is hormone-free and very effective
- 7. C · Offer the parents time to see and hold their baby
- 8. D · A quiet, dim room, swaddling and small, frequent feeds
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