1.Easy
Which drug should be available as the antidote for magnesium sulfate toxicity?
- APotassium chloride
- BVitamin K
- CCalcium gluconate
- DNaloxone
2.Easy
What does "effacement" of the cervix mean?
- AThinning and shortening of the cervix
- BOpening of the external cervical os
- CDescent of the presenting part into the pelvis
- DSoftening of the cervix in early pregnancy
3.Easy
What is the main purpose of an ultrasound scan in the first trimester?
- ATo date the pregnancy and count fetuses
- BTo measure fetal lung maturity
- CTo find out the baby's blood group
- DTo diagnose gestational diabetes
4.Medium
Why are afterpains often stronger in multiparous women?
- ATheir uterus is always infected
- BThey produce no oxytocin after birth
- CThey have a smaller uterus than first-time mothers
- DTheir uterus contracts and relaxes more irregularly
5.Medium
Which reflex causes the newborn's toes to fan out when the sole is stroked from heel to toe?
- APlantar grasp reflex
- BMoro reflex
- CStepping reflex
- DBabinski reflex
6.Medium
A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?
- ARefuse to continue her care until she stops
- BExplain the risks without judgement and offer safer treatments
- CAdvise her to switch to tobacco instead
- DTell her that cannabis is a natural remedy and safe in pregnancy
7.Hard
A woman 1 day after a caesarean asks how to hold her baby for breastfeeding without pressure on her wound. Which position is best?
- AThe cradle hold with the baby across the incision
- BLying flat on her back with the baby on her abdomen
- CThe football (rugby) hold or side-lying
- DStanding up while breastfeeding
8.Hard
An ultrasound at 30 weeks shows polyhydramnios and no visible fetal stomach bubble. Which fetal condition should be considered?
- AOesophageal atresia
- BFetal growth from maternal diabetes only
- CPost-term pregnancy
- DRenal agenesis
Answer key
- 1. C · Calcium gluconate
- 2. A · Thinning and shortening of the cervix
- 3. A · To date the pregnancy and count fetuses
- 4. D · Their uterus contracts and relaxes more irregularly
- 5. D · Babinski reflex
- 6. B · Explain the risks without judgement and offer safer treatments
- 7. C · The football (rugby) hold or side-lying
- 8. A · Oesophageal atresia
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