Maternity & obstetric nursing worksheet with answers

Kernicterus is caused by deposits of which substance in the brain?

1. AUnconjugated bilirubin
2. BConjugated bilirubin
3. CExcess glucose from feeds
4. DCalcium from the mother

During newborn resuscitation, where is the pulse oximeter probe placed?

1. AOn the right hand
2. BOn the left foot
3. COn the left ear
4. DOn the forehead

How should the nurse count a term newborn's heart rate at rest?

1. AFeel the radial pulse for 15 seconds and multiply by 4
2. BListen at the apex with a stethoscope for a full minute
3. CFeel the carotid pulse for 30 seconds and multiply by 2
4. DRead a finger pulse oximeter for 5 seconds

Which newborn complication is linked to poorly controlled gestational diabetes?

1. AA very small baby with growth restriction in most cases
2. BCongenital rubella
3. CRh disease of the newborn
4. DMacrosomia (a large baby) and birth injury

Methylergonovine (methylergometrine) for postpartum bleeding should not be given to a woman with:

1. AAnaemia
2. BType 1 diabetes
3. CAsthma
4. DHigh blood pressure

A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?

1. AThe baby sleeps for 8 hours without feeding
2. BThe baby feeds for exactly 5 minutes each side
3. CAt least 6 wet nappies a day and yellow stools
4. DHer breasts never feel full

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

1. AHirschsprung disease
2. BPhysiological jaundice
3. CDevelopmental hip dysplasia
4. DErythema toxicum

A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?

1. AArrange emergency surgery on the testis today
2. BTell the parents it will never descend
3. CMassage the groin daily to push it down
4. DRecord it and arrange follow-up; many descend later