1.Easy
A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?
- ALie flat on her back and raise both legs
- BStraighten the leg and pull the foot upwards
- CPoint the toes downwards as far as possible
- DMassage the calf firmly with the knee bent
2.Easy
What is the typical respiratory rate of a healthy newborn at rest?
- A12 to 20 breaths per minute
- B60 to 90 breaths per minute
- C30 to 60 breaths per minute
- D20 to 30 breaths per minute
3.Easy
A woman at 34 weeks feels dizzy and faint while lying flat on her back. Which position helps most?
- ALying on her side, preferably the left
- BLying flat with a pillow under her head
- CLying flat with her legs raised
- DSitting with her head between her knees
4.Medium
After an amniotomy, why is the time of rupture of the membranes recorded?
- AIt is used to work out the baby's gestational age
- BIt predicts exactly when the placenta will deliver
- CIt is needed to calculate the woman's Bishop score
- DInfection risk rises the longer the membranes are ruptured
5.Medium
Which placental hormone causes insulin resistance in the second half of pregnancy?
- AHuman placental lactogen (hPL)
- BRelaxin
- COxytocin
- DHuman chorionic gonadotrophin (hCG)
6.Medium
A newborn appears jaundiced at 18 hours of age. What does this suggest?
- ANormal physiological jaundice that needs no further action
- BPathological jaundice that needs prompt assessment
- CBreast milk jaundice
- DA normal effect of vitamin K
7.Hard
A newborn is jaundiced at 12 hours of age. The mother is blood group O, Rh-positive and the baby is group A, Rh-positive with a positive direct Coombs test. What is the most likely cause?
- ABreast milk jaundice
- BABO incompatibility
- CPhysiological jaundice
- DRh isoimmunisation
8.Hard
One hour after a vaginal birth, the fundus is firm at the umbilicus, but there is a steady trickle of bright red blood. What is the most likely cause?
- AA full bladder
- BA tear of the cervix, vagina or perineum
- CUterine atony with blood pooling in the uterus
- DNormal lochia rubra
Answer key
- 1. B · Straighten the leg and pull the foot upwards
- 2. C · 30 to 60 breaths per minute
- 3. A · Lying on her side, preferably the left
- 4. D · Infection risk rises the longer the membranes are ruptured
- 5. A · Human placental lactogen (hPL)
- 6. B · Pathological jaundice that needs prompt assessment
- 7. B · ABO incompatibility
- 8. B · A tear of the cervix, vagina or perineum
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