1.Easy
Variable decelerations are most often caused by:
- AUteroplacental insufficiency
- BCompression of the umbilical cord
- CCompression of the fetal head
- DNormal fetal sleep cycles
2.Easy
A fetal heart rate baseline above 160 bpm for 10 minutes or more is called:
- AA prolonged acceleration
- BFetal tachycardia
- CMinimal variability
- DFetal bradycardia
3.Easy
What are pelvic floor (Kegel) exercises meant to do?
- AStrengthen the pelvic floor muscles and help prevent urinary incontinence
- BLower blood pressure
- CTurn a breech baby into a head-down position in the last weeks of pregnancy
- DIncrease milk supply
4.Medium
On day 1 after birth, a woman's white cell count is mildly raised and she has no symptoms. How should this be interpreted?
- AIt means she has leukaemia
- BIt shows she is dehydrated
- CIt proves she has an infection
- DIt can be normal soon after birth
5.Medium
Which position of the fetal head presents the smallest diameter to the pelvis?
- AFull flexion, with the chin on the chest
- BPartial extension, with the brow presenting
- CA neutral position with no flexion
- DFull extension, with the face presenting
6.Medium
After a circumcision, which finding should be reported?
- AActive bleeding that soaks a nappy
- BMild swelling of the glans
- CFussiness at the first nappy change
- DA yellowish film over the glans on day 2
7.Hard
At 4 hours, a newborn's temperature is 37.9 °C (100.2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?
- APlace him in a cold bath
- BGive an antipyretic medicine immediately
- CRemove extra layers and recheck
- DStart antibiotics without further assessment
8.Hard
A pregnant woman tests positive for hepatitis B surface antigen. What should the nurse expect for the newborn?
- ANo treatment until the baby is 6 months old
- BFormula feeding only, because breastfeeding is contraindicated
- CA caesarean birth to prevent all transmission
- DHepatitis B vaccine within hours of birth, often with immunoglobulin
Answer key
- 1. B · Compression of the umbilical cord
- 2. B · Fetal tachycardia
- 3. A · Strengthen the pelvic floor muscles and help prevent urinary incontinence
- 4. D · It can be normal soon after birth
- 5. A · Full flexion, with the chin on the chest
- 6. A · Active bleeding that soaks a nappy
- 7. C · Remove extra layers and recheck
- 8. D · Hepatitis B vaccine within hours of birth, often with immunoglobulin
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