Maternity & obstetric nursing worksheet with answers

"Fetal lie" describes:

1. AThe part of the fetus that enters the pelvis first
2. BThe relation of the fetal long axis to the mother's long axis
3. CThe level of the presenting part relative to the ischial spines
4. DHow much the fetal head is flexed on the chest

What causes the let-down (milk ejection) reflex?

1. AProlactin
2. BHuman placental lactogen
3. COxytocin
4. DInsulin

The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:

1. ASpider naevi
2. BStriae gravidarum
3. CLinea nigra
4. DChloasma

A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?

1. AGive IV insulin immediately
2. BGive the baby plain water by bottle
3. CWithhold feeds and observe for 6 hours
4. DFeed the baby and recheck the glucose

After a circumcision, which finding should be reported?

1. AA yellowish film over the glans on day 2
2. BMild swelling of the glans
3. CActive bleeding that soaks a nappy
4. DFussiness at the first nappy change

Where universal screening for group B streptococcus is used, when is the vaginal–rectal swab usually taken?

1. AAfter the membranes rupture in labour
2. BAt the first antenatal visit
3. CAt about 36 to 37 weeks
4. DAt about 20 weeks

A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?

1. ABright lights and frequent handling to keep the baby awake
2. BWithholding feeds until the symptoms settle
3. CGiving naloxone to reverse the opioids
4. DA quiet, dim room, swaddling and small, frequent feeds

Monochorionic twins at 22 weeks show one twin with polyhydramnios and a large bladder and the other with almost no fluid. What condition is suspected?

1. AGestational diabetes in one twin
2. BTwin-to-twin transfusion syndrome
3. CPlacenta praevia
4. DRh isoimmunisation