1.Easy
A woman at 34 weeks feels dizzy and faint while lying flat on her back. Which position helps most?
- ALying flat with a pillow under her head
- BSitting with her head between her knees
- CLying flat with her legs raised
- DLying on her side, preferably the left
2.Easy
Both parents carry one gene for an autosomal recessive condition such as cystic fibrosis. What is the chance that each child is affected?
- A75%
- B25%
- C100%
- D50%
3.Easy
Which drug is given routinely in active management of the third stage of labour?
- ATerbutaline
- BNifedipine
- COxytocin
- DMagnesium sulfate
4.Medium
Two days after a caesarean, a woman feels bloated with gas pains. Which advice is most helpful?
- AWalk around regularly
- BUse straws to drink fluids
- CStay in bed until the pain stops
- DDrink fizzy drinks to bring up the gas
5.Medium
Carboprost, a prostaglandin used for postpartum haemorrhage, should be avoided in women with:
- AHypertension
- BA previous caesarean birth
- CEpilepsy
- DAsthma
6.Medium
Why are corticosteroids such as betamethasone given to a woman in preterm labour?
- ATo stop the contractions
- BTo prevent infection of the membranes
- CTo speed up fetal lung maturity
- DTo lower the mother's blood pressure
7.Hard
After the placenta is delivered, the nurse examines it. Why?
- ATo decide whether the baby needs vitamin K
- BTo check that it is complete and nothing is retained
- CTo check the mother's blood type and Rh factor
- DTo estimate the baby's gestational age from its weight
8.Hard
A newborn is jaundiced at 12 hours of age. The mother is blood group O, Rh-positive and the baby is group A, Rh-positive with a positive direct Coombs test. What is the most likely cause?
- ARh isoimmunisation
- BPhysiological jaundice
- CBreast milk jaundice
- DABO incompatibility
Answer key
- 1. D · Lying on her side, preferably the left
- 2. B · 25%
- 3. C · Oxytocin
- 4. A · Walk around regularly
- 5. D · Asthma
- 6. C · To speed up fetal lung maturity
- 7. B · To check that it is complete and nothing is retained
- 8. D · ABO incompatibility
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