1.Easy
How far does the fundus normally descend each day after birth?
- AIt stays at the umbilicus for 2 weeks
- BAbout 5 cm per day
- CAbout 1 cm per day
- DAbout 1 cm per week
2.Easy
How is the frequency of uterine contractions measured?
- AFrom the beginning of one contraction to the beginning of the next
- BFrom the end of one contraction to the beginning of the next
- CFrom the beginning to the end of one contraction
- DFrom the peak of one contraction to the end of the next
3.Easy
Gestational hypertension is defined as new hypertension after 20 weeks:
- AWith proteinuria and a seizure
- BWithout proteinuria or organ damage
- CThat was already present before pregnancy
- DThat occurs only during labour
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
A woman at 24 weeks reports burning on urination and urinary frequency. What is the priority action?
- AAdvise cranberry juice and no further action
- BReassure her that urinary frequency is normal in pregnancy
- CAdvise her to drink less to reduce frequency
- DCollect a urine sample for culture and inform the provider
6.Medium
A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?
- AAvoid all dental visits until after the baby is born
- BReport it at once because it is a sign of a clotting disorder
- CStop brushing until the bleeding has settled after birth
- DUse a soft brush and keep up routine dental care
7.Hard
A newborn born after a shoulder dystocia holds one arm limp at the side, internally rotated, with the wrist flexed. What is most likely?
- AClubfoot
- BFacial nerve palsy
- CErb's palsy
- DDevelopmental hip dysplasia
8.Hard
An ultrasound at 30 weeks shows polyhydramnios and no visible fetal stomach bubble. Which fetal condition should be considered?
- AOesophageal atresia
- BPost-term pregnancy
- CRenal agenesis
- DFetal growth from maternal diabetes only
Answer key
- 1. C · About 1 cm per day
- 2. A · From the beginning of one contraction to the beginning of the next
- 3. B · Without proteinuria or organ damage
- 4. A · Explain that this is an expected effect of iron
- 5. D · Collect a urine sample for culture and inform the provider
- 6. D · Use a soft brush and keep up routine dental care
- 7. C · Erb's palsy
- 8. A · Oesophageal atresia
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