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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1.Easy

What is the best way to relieve breast engorgement in a breastfeeding mother?

  1. AFeed only from one breast
  2. BStop breastfeeding for 2 days to let the breasts rest
  3. CDrink less fluid
  4. DBreastfeed often and empty the breasts well
2.Easy

The first stage of labour ends when:

  1. AThe cervix is fully dilated (10 cm)
  2. BThe placenta is delivered
  3. CThe baby is born
  4. DContractions become regular
3.Easy

Which factors make up the Bishop score?

  1. AFetal heart rate baseline, variability, accelerations and decelerations
  2. BMaternal pulse, blood pressure, temperature and breathing
  3. CFetal tone, movement, breathing and amniotic fluid
  4. DDilation, effacement, consistency, cervical position and station
4.Medium

A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?

  1. AA low white cell count only
  2. BA low fibrinogen level and low platelets
  3. CA raised haemoglobin level
  4. DA high fibrinogen level and high platelets
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. AHolding her breath and pushing with each contraction
  2. BAvoiding movement until full dilation
  3. CSacral counterpressure and a hands-and-knees position
  4. DLying flat on her back with her legs raised
6.Medium

How does a port-wine stain differ from a "stork bite" (salmon patch)?

  1. AA port-wine stain always disappears within a year
  2. BA stork bite only occurs in preterm babies
  3. CA port-wine stain does not fade with time
  4. DA stork bite is a raised tumour that grows quickly
7.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?

  1. ALeave her to get the birth equipment from the store
  2. BGive her an opioid for the pain
  3. CTell her it is too early and to stop pushing
  4. DCheck whether the head is visible and stay with her
8.Hard

A newborn passed no meconium by 48 hours and has a swollen abdomen and green vomiting. Which condition should be suspected?

  1. ADevelopmental hip dysplasia
  2. BHirschsprung disease
  3. CPhysiological jaundice
  4. DErythema toxicum

Answer key

  1. 1. D · Breastfeed often and empty the breasts well
  2. 2. A · The cervix is fully dilated (10 cm)
  3. 3. D · Dilation, effacement, consistency, cervical position and station
  4. 4. B · A low fibrinogen level and low platelets
  5. 5. C · Sacral counterpressure and a hands-and-knees position
  6. 6. C · A port-wine stain does not fade with time
  7. 7. D · Check whether the head is visible and stay with her
  8. 8. B · Hirschsprung disease

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