1.Easy
What is the normal axillary temperature range for a newborn?
- A34.5 to 35.5 °C (94.1 to 95.9 °F)
- B35.0 to 36.0 °C (95.0 to 96.8 °F)
- C36.5 to 37.5 °C (97.7 to 99.5 °F)
- D37.8 to 38.5 °C (100.0 to 101.3 °F)
2.Easy
Which feature is typical of Braxton Hicks contractions?
- AThey are irregular and do not change the cervix
- BThey become steadily stronger and closer together
- CThey cause the cervix to dilate
- DThey start only after the membranes rupture
3.Easy
Hyperemesis gravidarum is:
- ASevere, persistent vomiting in pregnancy causing dehydration or weight loss
- BHeartburn in late pregnancy
- CVomiting during labour
- DMild nausea and occasional vomiting in the first trimester that settles by itself
4.Medium
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt is a tablet taken with meals
- BIt is given into the muscle of the thigh
- CIt is injected under the skin; report unusual bleeding
- DIt must be stopped if she chooses to breastfeed her baby
5.Medium
A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?
- AMagnesium toxicity
- BSpinal headache
- CWater intoxication
- DHypoglycaemia
6.Medium
A woman with pre-eclampsia reports a severe headache and seeing flashing lights. What does this suggest?
- ALow blood glucose
- BA tension headache, which is common and harmless in late pregnancy
- CNormal effects of magnesium sulfate
- DPre-eclampsia with severe features, with a risk of eclampsia
7.Hard
A woman with pre-eclampsia has repeated blood pressures of 168/112 mmHg 15 minutes apart. What is the appropriate action?
- ANotify the provider promptly so antihypertensive treatment can be started without delay
- BEncourage her to lie flat and rest
- CGive a large drink of water
- DLet her rest quietly on her left side and recheck the blood pressure in 4 hours before reporting
8.Hard
A woman at 9 weeks has hCG levels that are much higher than expected, a uterus large for dates, severe vomiting and dark brown spotting. Which condition should be suspected?
- AA threatened miscarriage
- BA missed miscarriage
- CAn ectopic pregnancy
- DA hydatidiform (molar) pregnancy
Answer key
- 1. C · 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 2. A · They are irregular and do not change the cervix
- 3. A · Severe, persistent vomiting in pregnancy causing dehydration or weight loss
- 4. C · It is injected under the skin; report unusual bleeding
- 5. C · Water intoxication
- 6. D · Pre-eclampsia with severe features, with a risk of eclampsia
- 7. A · Notify the provider promptly so antihypertensive treatment can be started without delay
- 8. D · A hydatidiform (molar) pregnancy
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