1.Easy
Which blood test on the mother detects antibodies against Rh-positive red cells?
- ADirect Coombs test on the mother's red cells
- BProthrombin time
- CIndirect Coombs test (antibody screen)
- DHaemoglobin electrophoresis
2.Easy
By what age have nearly all healthy term babies passed their first meconium?
- ABy 48 hours
- BOnly after the first formula feed
- CWithin 5 to 7 days
- DAfter the umbilical cord falls off
3.Easy
What is vernix caseosa?
- ASmall white spots on the nose
- BBluish patches over the lower back
- CA white, cheesy coating on the skin
- DFine, soft hair on the shoulders and back
4.Medium
A woman at 24 weeks reports burning on urination and urinary frequency. What is the priority action?
- AAdvise her to drink less to reduce frequency
- BAdvise cranberry juice and no further action
- CReassure her that urinary frequency is normal in pregnancy
- DCollect a urine sample for culture and inform the provider
5.Medium
Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?
- AIn the parents' bed, between the two adults
- BOn a sofa with a parent when the baby is unsettled
- CIn a separate cot or crib in the parents' room
- DIn a separate bedroom from the first night
6.Medium
Why is an indwelling catheter placed before a caesarean birth?
- ATo measure the baby's fluid balance
- BTo prevent postpartum haemorrhage
- CTo collect a urine sample for culture
- DTo keep the bladder empty during surgery
7.Hard
A newborn is apnoeic after being warmed, dried and stimulated. What is the next step?
- AHold the baby upside down and slap the back
- BStart chest compressions immediately
- CStart positive-pressure ventilation with a bag and mask
- DWait and assess the 5-minute APGAR score before doing anything
8.Hard
A woman at 30 weeks has regular painful contractions every 5 minutes with cervical change. Which treatment is expected to protect the baby's lungs if birth occurs?
- AMethylergonovine
- BAntenatal corticosteroids
- COxytocin
- DAnti-D immunoglobulin
Answer key
- 1. C · Indirect Coombs test (antibody screen)
- 2. A · By 48 hours
- 3. C · A white, cheesy coating on the skin
- 4. D · Collect a urine sample for culture and inform the provider
- 5. C · In a separate cot or crib in the parents' room
- 6. D · To keep the bladder empty during surgery
- 7. C · Start positive-pressure ventilation with a bag and mask
- 8. B · Antenatal corticosteroids
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