1.Easy
During a vaginal examination in labour, the examiner feels the small triangular fontanelle at the front of the pelvis. What does this suggest?
- AA breech presentation
- BAn occiput posterior position
- CAn occiput anterior position
- DA face presentation
2.Easy
Which hormone is detected by a standard pregnancy test?
- AFollicle-stimulating hormone (FSH)
- BHuman placental lactogen (hPL)
- CLuteinising hormone (LH)
- DHuman chorionic gonadotrophin (hCG)
3.Easy
Which postnatal warning sign should a woman report straight away after discharge?
- AMild afterpains during feeds
- BBleeding that soaks a pad in an hour
- CTiredness in the first week
- DLochia that slowly changes colour
4.Medium
Lochia with a foul odour on day 3 after birth most likely indicates:
- AA uterine infection (endometritis)
- BA full bladder pressing on the uterus
- CNormal lochia
- DDehydration
5.Medium
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AUse gestures and simple English only
- BAsk her 10-year-old child to interpret
- CAsk her partner to sign for her
- DUse a professional interpreter
6.Medium
At station +2, where is the presenting part?
- AFloating above the pelvic inlet
- B2 cm below the ischial spines
- CAt the level of the ischial spines
- D2 cm above the ischial spines
7.Hard
A baby was stillborn at 38 weeks. Which nursing action is most appropriate?
- AOffer the parents time to see and hold their baby
- BAvoid using the baby's name to prevent more grief
- CRemove the baby quickly so the parents are not upset
- DTell the parents they can try for another baby soon
8.Hard
A preterm baby born at 28 weeks is at risk of intraventricular haemorrhage. Which nursing measure reduces this risk?
- ARapid fluid boluses to support blood pressure
- BMinimal handling with the head in midline
- CFrequent handling and stimulation to keep the baby alert
- DKeeping the head of the cot lower than the feet
Answer key
- 1. C · An occiput anterior position
- 2. D · Human chorionic gonadotrophin (hCG)
- 3. B · Bleeding that soaks a pad in an hour
- 4. A · A uterine infection (endometritis)
- 5. D · Use a professional interpreter
- 6. B · 2 cm below the ischial spines
- 7. A · Offer the parents time to see and hold their baby
- 8. B · Minimal handling with the head in midline
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