1.Easy
What is the main benefit of delaying cord clamping in a healthy term baby?
- ALower risk of jaundice in all babies
- BBetter iron stores in the baby
- CReduced maternal blood loss
- DFaster delivery of the placenta
2.Easy
Hegar's sign, a softening of the lower uterine segment found by the examiner, is classified as:
- AA probable sign of pregnancy
- BA positive sign of pregnancy
- CA danger sign in pregnancy
- DA presumptive sign of pregnancy
3.Easy
At about which week of pregnancy does the uterine fundus usually reach the level of the umbilicus?
- A20 weeks
- B12 weeks
- C28 weeks
- D36 weeks
4.Medium
A woman 1 day after birth has a blood pressure of 150/96 mmHg and a headache. She had normal blood pressures in pregnancy. What should the nurse do?
- AReassure her that this is normal after birth
- BEncourage her to walk to lower her blood pressure
- CGive paracetamol (acetaminophen) and ignore the blood pressure
- DReport it and assess for postpartum pre-eclampsia
5.Medium
Lochia with a foul odour on day 3 after birth most likely indicates:
- ADehydration
- BA uterine infection (endometritis)
- CA full bladder pressing on the uterus
- DNormal lochia
6.Medium
A newborn appears jaundiced at 18 hours of age. What does this suggest?
- ANormal physiological jaundice that needs no further action
- BBreast milk jaundice
- CPathological jaundice that needs prompt assessment
- DA normal effect of vitamin K
7.Hard
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
- ATo prevent eclamptic seizures
- BTo treat a urinary tract infection
- CTo speed up fetal lung maturation
- DTo reduce the baby's risk of cerebral palsy
8.Hard
A labouring woman has frequent contractions on oxytocin: 6 in 10 minutes over the last half hour. The fetal heart rate tracing is normal. What is the most appropriate action?
- ANo action is needed because the fetal heart rate is normal
- BIncrease the oxytocin to complete labour faster
- CReduce or stop the oxytocin per protocol and inform the provider
- DAsk her to push to shorten labour
Answer key
- 1. B · Better iron stores in the baby
- 2. A · A probable sign of pregnancy
- 3. A · 20 weeks
- 4. D · Report it and assess for postpartum pre-eclampsia
- 5. B · A uterine infection (endometritis)
- 6. C · Pathological jaundice that needs prompt assessment
- 7. D · To reduce the baby's risk of cerebral palsy
- 8. C · Reduce or stop the oxytocin per protocol and inform the provider
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