1.Easy
Which is a function of amniotic fluid?
- ASupplying oxygen to the fetus
- BCushioning the fetus against injury
- CRemoving carbon dioxide from the fetus
- DProducing fetal red blood cells
2.Easy
Which description fits the "baby blues" after birth?
- AThoughts of harming the baby that persist for months
- BTearfulness and mood swings that start within a few days and settle within about 2 weeks
- CHallucinations and confusion that begin suddenly in the first weeks after birth
- DLow mood, loss of interest and poor sleep that last more than 2 weeks and affect daily life
3.Easy
What happens in the third stage of labour?
- AThe mother recovers during the first 2 hours after birth
- BThe cervix dilates from 4 to 10 cm
- CThe baby is born
- DThe placenta and membranes are delivered
4.Medium
Why is a copper intrauterine device a good contraceptive option for many breastfeeding mothers?
- AIt protects against sexually transmitted infections
- BIt must be replaced every month
- CIt increases milk production
- DIt is hormone-free and very effective
5.Medium
Which position of the fetal head presents the smallest diameter to the pelvis?
- AFull extension, with the face presenting
- BPartial extension, with the brow presenting
- CA neutral position with no flexion
- DFull flexion, with the chin on the chest
6.Medium
Where universal screening for group B streptococcus is used, when is the vaginal–rectal swab usually taken?
- AAt about 20 weeks
- BAt about 36 to 37 weeks
- CAt the first antenatal visit
- DAfter the membranes rupture in labour
7.Hard
A woman attempting a vaginal birth after a previous caesarean suddenly has severe abdominal pain, the fetal heart rate drops sharply and the presenting part can no longer be felt. What is most likely?
- APlacenta praevia
- BNormal progress into the second stage
- CEarly decelerations from head compression
- DUterine rupture
8.Hard
A woman has cytomegalovirus (CMV) infection in pregnancy. Which outcome in the baby is a major concern?
- APhenylketonuria
- BOpen neural tube defects such as spina bifida
- CHearing loss and developmental delay
- DClubfoot only
Answer key
- 1. B · Cushioning the fetus against injury
- 2. B · Tearfulness and mood swings that start within a few days and settle within about 2 weeks
- 3. D · The placenta and membranes are delivered
- 4. D · It is hormone-free and very effective
- 5. D · Full flexion, with the chin on the chest
- 6. B · At about 36 to 37 weeks
- 7. D · Uterine rupture
- 8. C · Hearing loss and developmental delay
Full step-by-step solutions: practise this topic on examproblems.com.