Maternity & obstetric nursing worksheet with answers

Where is an intramuscular injection such as vitamin K given to a newborn?

1. AVentrogluteal muscle
2. BDeltoid muscle
3. CVastus lateralis
4. DDorsogluteal muscle

How far does the fundus normally descend each day after birth?

1. AAbout 5 cm per day
2. BAbout 1 cm per day
3. CAbout 1 cm per week
4. DIt stays at the umbilicus for 2 weeks

Which fetal position is the most common and favourable for a vaginal birth?

1. ARight mentum posterior (RMP)
2. BRight occiput posterior (ROP)
3. CLeft occiput anterior (LOA)
4. DLeft sacrum anterior (LSA)

Which newborn finding is linked to a vacuum-assisted birth?

1. ACleft lip and palate
2. BA harmless erythema toxicum rash
3. CClubfoot (talipes)
4. DA chignon or cephalhaematoma

A woman at 18 weeks asks about safe exercise. Which advice is correct?

1. AExercise lying flat on her back is best after 20 weeks
2. BContact sports and scuba diving are safe if she did them before
3. CModerate exercise like walking or swimming is encouraged
4. DExercise should be stopped completely during pregnancy

Which test estimates how much fetal blood has entered the mother's circulation, to guide the dose of anti-D?

1. AGlucose tolerance test
2. BNitrazine test
3. CDirect Coombs test on the baby
4. DKleihauer–Betke test

A newborn is cold-stressed. Which complications should the nurse anticipate?

1. AHyperglycaemia, polycythaemia and hypertension
2. BFever, diarrhoea and dehydration
3. CHypoglycaemia, hypoxia and metabolic acidosis
4. DHypercalcaemia and seizures only

A woman at 37 weeks has severe itching of the palms and soles, worse at night, without a rash. Which condition should be considered?

1. APre-eclampsia only
2. BAn allergy to washing detergents
3. CNormal stretching of the abdominal skin
4. DIntrahepatic cholestasis of pregnancy