Maternity & obstetric nursing worksheet with answers

Twins that develop from one fertilised ovum that splits are called:

1. ADizygotic twins
2. BFraternal twins
3. CMonozygotic twins
4. DConjoined twins only

What is Chadwick's sign?

1. AA bluish-purple colour of the cervix, vagina and vulva
2. BSoftening of the lower uterine segment
3. CDarkening of a line from the umbilicus to the pubis
4. DSoftening of the tip of the cervix

Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?

1. AProtein
2. BLow specific gravity
3. CNormal colour
4. DTrace leucocytes only

A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?

1. AAvoiding all fluids to prevent loose stools
2. BSitting on a hard surface for long periods
3. CSitz baths, cold pads and stool softeners
4. DStraining hard to open the bowels

Which antihypertensive is commonly used in pregnancy but should be avoided in a woman with asthma?

1. ANifedipine
2. BHydralazine
3. CMethyldopa
4. DLabetalol

A woman's cultural practice involves eating only warm foods after birth. How should the nurse respond?

1. ARespect it and offer suitable warm foods
2. BIgnore her requests to save time
3. CTell her the practice is harmful and must stop
4. DInsist that she eat the standard hospital diet

A woman at 16 weeks says she drinks four cups of strong coffee a day. Which response is most appropriate?

1. AAdvise limiting caffeine to about 200 mg a day, roughly two cups of coffee
2. BTell her coffee has no effect on pregnancy and she can continue
3. CTell her to switch to strong tea, which has no caffeine
4. DAdvise switching to energy drinks, which contain less caffeine

A deceleration lasts 3 minutes before the baseline recovers. How is this classified?

1. AA variable acceleration
2. BA change of baseline
3. CA prolonged deceleration
4. DAn early deceleration