1.Easy
How many vessels does a normal umbilical cord contain?
- ATwo arteries and two veins
- BOne artery and two veins
- CTwo arteries and one vein
- DOne artery and one vein
2.Easy
Which teratogenic effect is linked with maternal rubella infection in early pregnancy?
- ACleft lip, cleft palate and club foot
- BNeural tube defects
- CDeafness, cataracts and heart defects
- DLimb reduction defects and missing fingers
3.Easy
By what age have nearly all healthy term babies passed their first meconium?
- ABy 48 hours
- BOnly after the first formula feed
- CAfter the umbilical cord falls off
- DWithin 5 to 7 days
4.Medium
A woman's cultural practice involves eating only warm foods after birth. How should the nurse respond?
- AIgnore her requests to save time
- BRespect it and offer suitable warm foods
- CTell her the practice is harmful and must stop
- DInsist that she eat the standard hospital diet
5.Medium
What should parents be taught about the water for a newborn's bath?
- AAdd adult bubble bath to soften the baby's skin
- BCheck that it is warm, not hot, before the baby goes in
- CUse very hot water so that germs on the skin are killed
- DLeave the baby briefly if the water is only shallow
6.Medium
On abdominal palpation at 39 weeks, only 2/5 of the fetal head can be felt above the pelvic brim. How is this interpreted?
- AThe head is crowning at the vulva
- BThe head is engaged in the pelvis
- CThe fetus is in a breech presentation
- DThe head is free above the pelvic brim
7.Hard
A labouring woman feels intense rectal pressure and says "the baby is coming". She was 7 cm 20 minutes ago. What should the nurse do first?
- ATell her it is too early and to stop pushing
- BGive her an opioid for the pain
- CLeave her to get the birth equipment from the store
- DCheck whether the head is visible and stay with her
8.Hard
A newborn has excessive frothy saliva and chokes and turns blue with the first feed. What is the priority?
- AContinue feeding more slowly
- BStop feeding and report it urgently
- CPlace the baby on its back to sleep
- DGive the baby water instead of milk
Answer key
- 1. C · Two arteries and one vein
- 2. C · Deafness, cataracts and heart defects
- 3. A · By 48 hours
- 4. B · Respect it and offer suitable warm foods
- 5. B · Check that it is warm, not hot, before the baby goes in
- 6. B · The head is engaged in the pelvis
- 7. D · Check whether the head is visible and stay with her
- 8. B · Stop feeding and report it urgently
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