Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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1.Easy

What is the main role of a support person such as a doula in labour?

  1. AGiving pain medication
  2. BPerforming vaginal examinations
  3. CContinuous emotional and physical support
  4. DInterpreting the fetal heart rate tracing
2.Easy

A second-degree perineal tear involves:

  1. AOnly the perineal skin and vaginal mucosa
  2. BThe skin, vaginal mucosa and perineal muscles
  3. CThe rectal mucosa and anal sphincter
  4. DThe anal sphincter muscle complex
3.Easy

Which hormone is detected by a standard pregnancy test?

  1. AHuman placental lactogen (hPL)
  2. BHuman chorionic gonadotrophin (hCG)
  3. CFollicle-stimulating hormone (FSH)
  4. DLuteinising hormone (LH)
4.Medium

When the newborn's head is turned to one side, the arm on that side extends and the other arm flexes. Which reflex is this?

  1. APalmar grasp reflex
  2. BMoro reflex
  3. CTonic neck reflex
  4. DRooting reflex
5.Medium

A woman in preterm labour receives nifedipine. Which side effect should the nurse watch for?

  1. ABradycardia and bronchospasm
  2. BHigh blood glucose and tremor
  3. CRespiratory depression and absent reflexes
  4. DLow blood pressure and headache
6.Medium

Which substance in amniotic fluid is used to judge fetal lung maturity?

  1. AAlpha-fetoprotein, assessed by its level
  2. BGlucose, assessed by its concentration
  3. CBilirubin, assessed by its colour
  4. DSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
7.Hard

A woman has had a large postpartum haemorrhage and is receiving several units of blood. Which other complication should the nurse watch for?

  1. APostpartum depression within the hour
  2. BHypertension caused by the volume of blood lost
  3. CCoagulopathy from loss of clotting factors
  4. DHypoglycaemia from the transfused blood
8.Hard

A woman with pre-eclampsia has repeated blood pressures of 168/112 mmHg 15 minutes apart. What is the appropriate action?

  1. AEncourage her to lie flat and rest
  2. BNotify the provider promptly so antihypertensive treatment can be started without delay
  3. CGive a large drink of water
  4. DLet her rest quietly on her left side and recheck the blood pressure in 4 hours before reporting

Answer key

  1. 1. C · Continuous emotional and physical support
  2. 2. B · The skin, vaginal mucosa and perineal muscles
  3. 3. B · Human chorionic gonadotrophin (hCG)
  4. 4. C · Tonic neck reflex
  5. 5. D · Low blood pressure and headache
  6. 6. D · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
  7. 7. C · Coagulopathy from loss of clotting factors
  8. 8. B · Notify the provider promptly so antihypertensive treatment can be started without delay

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