Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

By what age have nearly all healthy term babies passed their first meconium?

  1. AAfter the umbilical cord falls off
  2. BBy 48 hours
  3. COnly after the first formula feed
  4. DWithin 5 to 7 days
2.Easy

What is colostrum?

  1. AFormula given to newborns in the first days after birth
  2. BA sign of breast infection
  3. CThe thick, yellowish first milk, rich in antibodies
  4. DThe milk produced after weaning
3.Easy

How should a postnatal woman clean her perineum after using the toilet?

  1. AUse a scented douche each time she voids
  2. BRinse with water and wipe front to back
  3. CWipe from back to front with dry paper
  4. DAvoid washing the area for a week
4.Medium

A woman 4 hours after birth has severe perineal pain and pressure. Her fundus is firm, lochia is normal, and her heart rate is rising. What should the nurse suspect?

  1. ANormal afterpains
  2. BA vulvar or vaginal haematoma
  3. CA urinary tract infection
  4. DUterine atony
5.Medium

The fundus is boggy, above the umbilicus and displaced to the right. What is the most likely cause?

  1. AA normal finding on day 1
  2. BA tear in the perineum
  3. CRetained placental tissue on the left
  4. DA full bladder
6.Medium

Carboprost, a prostaglandin used for postpartum haemorrhage, should be avoided in women with:

  1. AA previous caesarean birth
  2. BAsthma
  3. CEpilepsy
  4. DHypertension
7.Hard

A newborn's heart rate is 80/min after 30 seconds of positive-pressure ventilation and the chest is not moving. What should the nurse do next?

  1. AStart chest compressions immediately at a 3:1 ratio
  2. BCorrect the ventilation, starting with mask and airway
  3. CGive IV adrenaline straight away
  4. DStop ventilation and give oxygen by mask only
8.Hard

A woman at 8 weeks takes valproate for epilepsy. She asks whether she should stop it. Which response is best?

  1. AStop the drug today because it causes birth defects
  2. BContinue as usual because epilepsy drugs are all safe in pregnancy
  3. CDo not stop it suddenly; arrange urgent specialist review
  4. DHalve the dose herself to reduce the risk to the baby

Answer key

  1. 1. B · By 48 hours
  2. 2. C · The thick, yellowish first milk, rich in antibodies
  3. 3. B · Rinse with water and wipe front to back
  4. 4. B · A vulvar or vaginal haematoma
  5. 5. D · A full bladder
  6. 6. B · Asthma
  7. 7. B · Correct the ventilation, starting with mask and airway
  8. 8. C · Do not stop it suddenly; arrange urgent specialist review

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