Maternity & obstetric nursing worksheet with answers

What happens in the third stage of labour?

1. AThe placenta and membranes are delivered
2. BThe cervix dilates from 4 to 10 cm
3. CThe baby is born
4. DThe mother recovers during the first 2 hours after birth

What is Chadwick's sign?

1. ASoftening of the tip of the cervix
2. BA bluish-purple colour of the cervix, vagina and vulva
3. CDarkening of a line from the umbilicus to the pubis
4. DSoftening of the lower uterine segment

Kernicterus is caused by deposits of which substance in the brain?

1. AUnconjugated bilirubin
2. BExcess glucose from feeds
3. CConjugated bilirubin
4. DCalcium from the mother

A woman is about to get out of bed for the first time after birth. What should the nurse do?

1. AAsk her to stand quickly to reduce dizziness
2. BWait until day 3 before letting her stand
3. CLet her walk alone so she feels independent
4. DHelp her sit, then stand slowly with support

Which finding suggests magnesium sulfate toxicity?

1. AAbsent deep tendon reflexes
2. BUrine output of 60 mL/h
3. CBrisk reflexes with clonus
4. DA respiratory rate of 18/min

Which woman on the antenatal unit should the nurse see first?

1. AAt 30 weeks: mild ankle swelling in the evening
2. BAt 38 weeks: irregular Braxton Hicks contractions
3. CAt 34 weeks: severe headache, BP 164/110 mmHg
4. DAt 28 weeks: due for routine anti-D

Which postpartum task can be delegated to an assistive staff member (healthcare assistant)?

1. AEvaluating a woman for signs of postpartum depression
2. BTeaching a first-time mother about breastfeeding
3. CAssessing the fundus of a woman with heavy bleeding
4. DTaking vital signs of a stable woman

A newborn male has a urethral opening on the underside of the penis. What should the nurse tell the parents?

1. AIt is a normal variation that needs no follow-up
2. BIt will correct itself by school age
3. CCircumcision should wait for specialist review
4. DCircumcision should be done straight away