1.Easy
A newborn is "small for gestational age" when its birth weight is:
- AAbove the 90th percentile for its gestational age
- BBelow the 50th percentile for its gestational age
- CBelow the 10th percentile for its gestational age
- DBelow 2500 g, whatever the gestational age
2.Easy
During newborn resuscitation, where is the pulse oximeter probe placed?
- AOn the right hand
- BOn the left foot
- COn the forehead
- DOn the left ear
3.Easy
Naegele's rule estimates the due date from the first day of the last menstrual period (LMP). Which calculation does it use?
- ASubtract 7 days, add 3 months and add 1 year
- BAdd 14 days and add 10 months
- CAdd 7 days, subtract 3 months and add 1 year
- DAdd 7 days and add 3 months
4.Medium
Why are pregnant women at increased risk of urinary tract infection and pyelonephritis?
- AThe bladder empties more completely in pregnancy
- BThe urine becomes more acidic in pregnancy
- CPregnancy greatly reduces the production of urine
- DProgesterone dilates the ureters and slows the flow of urine
5.Medium
Which reflex causes the newborn's toes to fan out when the sole is stroked from heel to toe?
- ABabinski reflex
- BStepping reflex
- CPlantar grasp reflex
- DMoro reflex
6.Medium
A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?
- APlace her flat on her back
- BIncrease the oxytocin infusion
- CStart pushing efforts straight away
- DChange the woman's position
7.Hard
A woman at 26 weeks receiving terbutaline for preterm contractions has a heart rate of 132/min and chest tightness. What should the nurse do?
- AIncrease her IV fluids rapidly to lower her heart rate
- BReassure her that this is expected and continue
- CWithhold the next dose and report the findings
- DGive the next dose early to stop contractions
8.Hard
A woman with postpartum psychosis is being admitted with her baby to a mother and baby unit. Which statement is accurate?
- AIt only occurs in women who were depressed in pregnancy
- BIt is the same as the baby blues and resolves without treatment
- CIt is an emergency that usually starts within two weeks
- DIt usually begins several months or years after the birth
Answer key
- 1. C · Below the 10th percentile for its gestational age
- 2. A · On the right hand
- 3. C · Add 7 days, subtract 3 months and add 1 year
- 4. D · Progesterone dilates the ureters and slows the flow of urine
- 5. A · Babinski reflex
- 6. D · Change the woman's position
- 7. C · Withhold the next dose and report the findings
- 8. C · It is an emergency that usually starts within two weeks
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