1.Easy
The Ballard (New Ballard) score is used to assess a newborn's:
- AGestational age
- BBlood glucose
- CHearing
- DBreathing effort at 1 minute
2.Easy
A newborn is placed on a cold scale without a cover. Which type of heat loss is this?
- AConvection
- BConduction
- CEvaporation
- DRadiation
3.Easy
Which contraceptive method is usually avoided in the first weeks after birth in a breastfeeding mother?
- ACondoms
- BA copper intrauterine device
- CProgestin-only pills
- DCombined oestrogen-progestin pills
4.Medium
In the leg check of BUBBLE-HE, how is a postpartum woman assessed for venous thromboembolism today?
- AForcefully bend the foot upward and rely on calf pain (Homans' sign)
- BCheck only the capillary refill of the toes
- CMassage the calf to feel for a clot
- DLook for one-sided swelling, warmth, redness and tenderness of the leg
5.Medium
Which finding on day 4 after a caesarean suggests a wound infection?
- AMild numbness of the skin near the scar
- BA closed incision with intact edges
- CRedness, warmth and discharge
- DMild tenderness without redness
6.Medium
A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?
- AInfantile pyloric stenosis
- BCow's milk protein allergy
- CNecrotising enterocolitis
- DHirschsprung disease
7.Hard
A pregnant woman with chronic hypertension takes lisinopril. Why should the nurse alert the prescriber?
- AACE inhibitors can harm fetal kidney development and are avoided in pregnancy
- BLisinopril is the first-choice antihypertensive in pregnancy
- CACE inhibitors cause neural tube defects only in the third trimester
- DLisinopril will cause her blood pressure to rise in pregnancy
8.Hard
A student nurse is caring for a newborn receiving phototherapy for jaundice. Which action requires correction?
- AChecking the baby's temperature and hydration regularly
- BRemoving the eye shields during feeds when the lights are off
- CApplying baby oil to the skin before the lights are switched on
- DCovering the baby's eyes with eye shields during phototherapy
Answer key
- 1. A · Gestational age
- 2. B · Conduction
- 3. D · Combined oestrogen-progestin pills
- 4. D · Look for one-sided swelling, warmth, redness and tenderness of the leg
- 5. C · Redness, warmth and discharge
- 6. C · Necrotising enterocolitis
- 7. A · ACE inhibitors can harm fetal kidney development and are avoided in pregnancy
- 8. C · Applying baby oil to the skin before the lights are switched on
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