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Name: ____________________ Date: ____________
1.Easy
In a healthy term newborn, when does physiological jaundice usually reach its peak?
AWithin the first 12 hours
BAt about 3 weeks
CAround days 3 to 5
DAt about 6 to 8 weeks
2.Easy
What is vasa praevia?
AThe cord prolapses in front of the head
BFetal vessels run across the membranes over the cervix
CThe placenta separates early from the wall
DThe placenta covers the cervix completely
3.Easy
What is the main role of a support person such as a doula in labour?
APerforming vaginal examinations
BContinuous emotional and physical support
CGiving pain medication
DInterpreting the fetal heart rate tracing
4.Medium
Why is the hearing of newborns screened before discharge or soon after birth?
AEarly support improves language development
BIt is required before vitamin K can be given
CHearing loss can be cured with a single injection
DIt detects congenital heart disease
5.Medium
How does a port-wine stain differ from a "stork bite" (salmon patch)?
AA port-wine stain always disappears within a year
BA port-wine stain does not fade with time
CA stork bite only occurs in preterm babies
DA stork bite is a raised tumour that grows quickly
6.Medium
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
AApply warm showers to the breasts several times a day
BExpress milk often to relieve fullness
CWear a supportive bra and use cold packs
DMassage the breasts to stimulate milk flow
7.Hard
A baby was born through thick meconium-stained fluid. At birth the baby is crying, has good tone and a heart rate above 100/min. What is the appropriate care?
ASeparation from the mother for 24 hours
BRoutine care with the mother, with observation
CImmediate tracheal intubation and suction
DDeep suctioning of the stomach before the first breath
8.Hard
A nurse is teaching a mother how to prevent shaken baby syndrome. Which statement shows a need for further teaching?
A"Crying often increases in the first weeks, and that can be normal."
B"I can call someone to help when I feel overwhelmed."
C"If I get too frustrated, I will put him in his cot and step away for a few minutes."
D"If I feel very angry, it is fine to shake him a little to stop the crying."
Answer key
1. C · Around days 3 to 5
2. B · Fetal vessels run across the membranes over the cervix
3. B · Continuous emotional and physical support
4. A · Early support improves language development
5. B · A port-wine stain does not fade with time
6. C · Wear a supportive bra and use cold packs
7. B · Routine care with the mother, with observation
8. D · "If I feel very angry, it is fine to shake him a little to stop the crying."
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