1.Easy
A newborn is wet with amniotic fluid. Which action prevents the greatest heat loss right after birth?
- AGive the first bath straight away
- BWeigh the baby on a cold scale
- CDry the baby straight away and remove the wet towel
- DLeave the baby uncovered under room air for assessment
2.Easy
Taking folic acid before conception and in early pregnancy mainly reduces the risk of:
- AGestational diabetes
- BPostpartum haemorrhage
- CNeural tube defects
- DPre-eclampsia
3.Easy
What is the "bloody show"?
- ADark red bleeding with constant abdominal pain
- BGreen fluid leaking from the vagina
- CBlood-tinged mucus as the cervix starts to change
- DHeavy bright red bleeding before labour
4.Medium
A pregnant woman taking iron says her stools have turned black. What is the best response?
- AAdvise her to go to the emergency department now
- BTell her to double the dose of the tablets
- CTell her to stop the iron immediately
- DExplain that this is an expected effect of iron
5.Medium
A newborn appears jaundiced at 18 hours of age. What does this suggest?
- ABreast milk jaundice
- BPathological jaundice that needs prompt assessment
- CA normal effect of vitamin K
- DNormal physiological jaundice that needs no further action
6.Medium
Which findings are typical of placental abruption?
- AAbdominal pain, a firm or rigid uterus and dark red bleeding
- BLeaking clear fluid without contractions
- CPainless bright red bleeding with a soft, relaxed, non-tender uterus
- DItching of the palms and soles
7.Hard
A woman with gestational diabetes on insulin asks about her baby after birth. Which statement by the nurse is accurate?
- AThe baby must not be breastfed in the first week
- BThe baby will need insulin for the first days
- CThe baby's glucose will be checked for hypoglycaemia
- DThe baby will be born with diabetes
8.Hard
After the placenta is delivered, the nurse examines it. Why?
- ATo check the mother's blood type and Rh factor
- BTo decide whether the baby needs vitamin K
- CTo check that it is complete and nothing is retained
- DTo estimate the baby's gestational age from its weight
Answer key
- 1. C · Dry the baby straight away and remove the wet towel
- 2. C · Neural tube defects
- 3. C · Blood-tinged mucus as the cervix starts to change
- 4. D · Explain that this is an expected effect of iron
- 5. B · Pathological jaundice that needs prompt assessment
- 6. A · Abdominal pain, a firm or rigid uterus and dark red bleeding
- 7. C · The baby's glucose will be checked for hypoglycaemia
- 8. C · To check that it is complete and nothing is retained
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