1.Easy
The anterior fontanelle of a newborn is:
- ARound, at the base of the skull
- BClosed at birth in a term baby
- CDiamond-shaped, where the frontal and parietal bones meet
- DTriangular, where the parietal and occipital bones meet
2.Easy
What is the typical head circumference of a term newborn?
- AAbout 40 to 43 cm
- BAbout 25 to 28 cm
- CAbout 33 to 35 cm
- DAbout 20 to 23 cm
3.Easy
The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:
- AChloasma
- BLinea nigra
- CStriae gravidarum
- DSpider naevi
4.Medium
Contractions start at 10:00, 10:04 and 10:08, and each lasts 60 seconds. How should the nurse describe them?
- AEvery 4 minutes, lasting 60 seconds
- BEvery 3 minutes, lasting 60 seconds
- CEvery 5 minutes, lasting 60 seconds
- DEvery 4 minutes, lasting 240 seconds
5.Medium
A woman at 37 weeks is GBS-positive. When should she receive antibiotics?
- AIntravenously during labour
- BOrally at 37 weeks only
- COnly to the baby after birth
- DNot at all, because GBS is normal flora
6.Medium
Why is it important to do newborn bloodspot screening at the recommended time rather than in the first hours?
- AEarlier testing always gives false negatives for all conditions
- BThe baby's blood cannot be sampled before day 3
- CThe heel cannot be pricked until the cord falls off
- DSome results, such as PKU, need milk feeds first
7.Hard
Why does the ductus arteriosus normally close after birth?
- AThe cord is cut, which closes it directly
- BRising prostaglandins and falling oxygen levels
- CPressure in the pulmonary artery rises
- DRising oxygen levels and falling prostaglandins
8.Hard
A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?
- ABright lights and frequent handling to keep the baby awake
- BGiving naloxone to reverse the opioids
- CWithholding feeds until the symptoms settle
- DA quiet, dim room, swaddling and small, frequent feeds
Answer key
- 1. C · Diamond-shaped, where the frontal and parietal bones meet
- 2. C · About 33 to 35 cm
- 3. B · Linea nigra
- 4. A · Every 4 minutes, lasting 60 seconds
- 5. A · Intravenously during labour
- 6. D · Some results, such as PKU, need milk feeds first
- 7. D · Rising oxygen levels and falling prostaglandins
- 8. D · A quiet, dim room, swaddling and small, frequent feeds
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