1.Easy
Which is a non-drug method of labour pain relief?
- AEpidural analgesia
- BInhaled nitrous oxide
- CPethidine (meperidine) injection
- DWarm water immersion
2.Easy
From which week is a pregnancy considered "term"?
- A40 weeks
- B36 weeks
- C37 weeks
- D34 weeks
3.Easy
What is the main benefit of delaying cord clamping in a healthy term baby?
- AFaster delivery of the placenta
- BLower risk of jaundice in all babies
- CReduced maternal blood loss
- DBetter iron stores in the baby
4.Medium
Which pattern defines uterine tachysystole?
- AContractions lasting 60 seconds
- BMore than 2 contractions in 10 minutes
- CMore than 5 contractions in 10 minutes, averaged over 30 minutes
- DContractions every 5 minutes in early labour, each lasting 60 seconds
5.Medium
At 1 minute, a newborn's heart rate is 90/min. How many points does the heart rate receive in the APGAR score?
- A3
- B2
- C1
- D0
6.Medium
Which newborn finding is commonly associated with Down syndrome?
- AA single palmar crease and low tone
- BLong nails and peeling skin
- CA high-pitched cry and tremors
- DAbundant vernix and lanugo
7.Hard
A newborn's cord stump has redness spreading onto the abdominal skin and a foul discharge. What is the priority?
- ACover the cord with a tight dressing
- BApply talc and recheck in a week
- CReport it as possible omphalitis
- DTeach the parents to pull the stump off
8.Hard
A woman says she was told her non-invasive prenatal test (cell-free DNA) is "high chance" for trisomy 21. Which statement by the nurse is accurate?
- AIt is a screening test, so a diagnostic test is offered to confirm it
- BThe test analyses fetal cells from the amniotic fluid
- CThe result is diagnostic and the baby definitely has trisomy 21
- DA high-chance result means the test should simply be repeated at birth
Answer key
- 1. D · Warm water immersion
- 2. C · 37 weeks
- 3. D · Better iron stores in the baby
- 4. C · More than 5 contractions in 10 minutes, averaged over 30 minutes
- 5. C · 1
- 6. A · A single palmar crease and low tone
- 7. C · Report it as possible omphalitis
- 8. A · It is a screening test, so a diagnostic test is offered to confirm it
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