1.Easy
What is the best way to relieve breast engorgement in a breastfeeding mother?
- AStop breastfeeding for 2 days to let the breasts rest
- BFeed only from one breast
- CDrink less fluid
- DBreastfeed often and empty the breasts well
2.Easy
A newborn's cot is placed next to a cold outside window. Which type of heat loss is most likely?
- AConduction
- BConvection
- CRadiation
- DEvaporation
3.Easy
Why is anti-D immunoglobulin given to an Rh-negative pregnant woman?
- ATo make the baby Rh-negative
- BTo protect the baby against infections such as rubella and group B streptococcus
- CTo treat anaemia in the mother
- DTo stop her immune system forming antibodies against Rh-positive fetal blood
4.Medium
A pregnant woman taking iron says her stools have turned black. What is the best response?
- AExplain that this is an expected effect of iron
- BAdvise her to go to the emergency department now
- CTell her to double the dose of the tablets
- DTell her to stop the iron immediately
5.Medium
Carboprost, a prostaglandin used for postpartum haemorrhage, should be avoided in women with:
- AAsthma
- BEpilepsy
- CHypertension
- DA previous caesarean birth
6.Medium
Which woman on the antenatal unit should the nurse see first?
- AAt 38 weeks: irregular Braxton Hicks contractions
- BAt 34 weeks: severe headache, BP 164/110 mmHg
- CAt 30 weeks: mild ankle swelling in the evening
- DAt 28 weeks: due for routine anti-D
7.Hard
Just after her membranes rupture in labour, a woman suddenly becomes very breathless, cyanosed and hypotensive. Which condition should be suspected?
- ASupine hypotension
- BAmniotic fluid embolism
- CNormal response to a strong contraction
- DA panic attack
8.Hard
A woman at 11 weeks has heavy bleeding, cramping and an open cervical os, and she has passed some tissue. Which type of miscarriage is this?
- AMissed miscarriage
- BThreatened miscarriage
- CComplete miscarriage
- DIncomplete miscarriage
Answer key
- 1. D · Breastfeed often and empty the breasts well
- 2. C · Radiation
- 3. D · To stop her immune system forming antibodies against Rh-positive fetal blood
- 4. A · Explain that this is an expected effect of iron
- 5. A · Asthma
- 6. B · At 34 weeks: severe headache, BP 164/110 mmHg
- 7. B · Amniotic fluid embolism
- 8. D · Incomplete miscarriage
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