1.Easy
What is the "bloody show"?
- ADark red bleeding with constant abdominal pain
- BGreen fluid leaking from the vagina
- CHeavy bright red bleeding before labour
- DBlood-tinged mucus as the cervix starts to change
2.Easy
During newborn resuscitation, where is the pulse oximeter probe placed?
- AOn the forehead
- BOn the left ear
- COn the right hand
- DOn the left foot
3.Easy
Which condition is included in routine newborn bloodspot screening?
- AType 2 diabetes
- BAsthma
- CPhenylketonuria
- DCoeliac disease
4.Medium
Which baby is at greatest risk of early-onset group B streptococcal infection?
- AA baby born by planned caesarean with intact membranes
- BA baby of a GBS-positive mother with no antibiotics
- CA baby whose mother was GBS-negative at 36 weeks
- DA baby born at 40 weeks to a mother with no risk factors
5.Medium
Which findings are typical of placental abruption?
- ALeaking clear fluid without contractions
- BPainless bright red bleeding with a soft, relaxed, non-tender uterus
- CAbdominal pain, a firm or rigid uterus and dark red bleeding
- DItching of the palms and soles
6.Medium
In fetal circulation, what is the function of the foramen ovale?
- AIt lets blood from the umbilical vein bypass the liver
- BIt carries blood from the pulmonary artery to the aorta
- CIt shunts blood from the right atrium to the left atrium
- DIt carries blood from the aorta back to the placenta
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?
- AABO incompatibility
- BPhysiological jaundice
- CBreast milk jaundice
- DRh isoimmunisation
8.Hard
When are chest compressions indicated during newborn resuscitation?
- AWhen the heart rate is below 120/min at 1 minute of age, even before any ventilation has been given
- BAs soon as the baby does not cry at birth
- CWhenever the APGAR score is below 7
- DWhen the heart rate stays below 60/min despite at least 30 seconds of effective ventilation
Answer key
- 1. D · Blood-tinged mucus as the cervix starts to change
- 2. C · On the right hand
- 3. C · Phenylketonuria
- 4. B · A baby of a GBS-positive mother with no antibiotics
- 5. C · Abdominal pain, a firm or rigid uterus and dark red bleeding
- 6. C · It shunts blood from the right atrium to the left atrium
- 7. A · ABO incompatibility
- 8. D · When the heart rate stays below 60/min despite at least 30 seconds of effective ventilation
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