1.Easy
How should a newborn be placed in the car?
- ALying in a carrycot on the back seat without straps
- BOn a parent's lap in the front seat
- CIn a rear-facing car seat in the back seat
- DIn a forward-facing seat in the front
2.Easy
What is the "bloody show"?
- ABlood-tinged mucus as the cervix starts to change
- BDark red bleeding with constant abdominal pain
- CHeavy bright red bleeding before labour
- DGreen fluid leaking from the vagina
3.Easy
What does the "T" in TORCH infections stand for?
- ATuberculosis
- BTrichomoniasis
- CToxoplasmosis
- DTetanus
4.Medium
Which set of findings is consistent with hypovolaemia after a postpartum haemorrhage?
- ARising pulse, falling blood pressure, low urine output
- BSlow heart rate, high blood pressure and warm, dry skin
- CSlow breathing and a rising blood pressure
- DIncreased urine output and flushed skin
5.Medium
Why are corticosteroids such as betamethasone given to a woman in preterm labour?
- ATo speed up fetal lung maturity
- BTo lower the mother's blood pressure
- CTo stop the contractions
- DTo prevent infection of the membranes
6.Medium
A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?
- AChange the woman's position
- BPlace her flat on her back
- CStart pushing efforts straight away
- DIncrease the oxytocin infusion
7.Hard
A woman at 28 weeks has itching, and her liver tests and bile acids are raised. Which advice is most important?
- AItching proves the baby is healthy
- BReport reduced fetal movements straight away
- CStop attending antenatal visits once itching settles
- DTake a hot bath to relieve the itching
8.Hard
Which newborn finding should prompt checks for kidney and other anomalies?
- AA single umbilical artery
- BAcrocyanosis in the first hours
- CMild moulding of the head
- DMilia on the nose
Answer key
- 1. C · In a rear-facing car seat in the back seat
- 2. A · Blood-tinged mucus as the cervix starts to change
- 3. C · Toxoplasmosis
- 4. A · Rising pulse, falling blood pressure, low urine output
- 5. A · To speed up fetal lung maturity
- 6. A · Change the woman's position
- 7. B · Report reduced fetal movements straight away
- 8. A · A single umbilical artery
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