1.Easy
Which blood test on the mother detects antibodies against Rh-positive red cells?
- AIndirect Coombs test (antibody screen)
- BProthrombin time
- CDirect Coombs test on the mother's red cells
- DHaemoglobin electrophoresis
2.Easy
When can most women safely resume sexual intercourse after a vaginal birth?
- AWhen bleeding has stopped and she feels ready
- BImmediately on the day of birth
- COnly after exactly 6 months
- DOnly after she stops breastfeeding
3.Easy
Both parents carry one gene for an autosomal recessive condition such as cystic fibrosis. What is the chance that each child is affected?
- A25%
- B100%
- C50%
- D75%
4.Medium
A woman in late pregnancy has numbness and tingling in her thumb and first fingers, worse at night. What is the most likely cause?
- ALow blood calcium
- BA stroke caused by pre-eclampsia
- CCarpal tunnel syndrome
- DVitamin K deficiency
5.Medium
Which statement about the lactational amenorrhoea method (LAM) is correct?
- AIt needs full breastfeeding, no periods and a baby under 6 months
- BIt works for as long as the mother breastfeeds at all
- CIt is reliable even when the baby is formula-fed at night
- DIt becomes more reliable after the periods return
6.Medium
A woman is pregnant. She previously had twins at 35 weeks (both alive) and a miscarriage at 10 weeks. What is her GTPAL?
- AG3 T1 P0 A1 L2
- BG2 T0 P1 A1 L2
- CG3 T0 P1 A1 L2
- DG4 T0 P2 A1 L2
7.Hard
A woman in labour is receiving oxytocin. The tracing now shows recurrent late decelerations. Which action should the nurse take first?
- AStop the oxytocin infusion
- BHelp her lie flat on her back
- CIncrease the oxytocin rate to speed up the birth
- DDocument the pattern and reassess in 30 minutes
8.Hard
A woman has a postpartum haemorrhage. Which nursing action should be done first while help is coming?
- AWeigh the used pads and record the total
- BDocument the estimated blood loss in the notes
- CGive the baby a bath to free the mother's time
- DMassage the fundus and look for the source
Answer key
- 1. A · Indirect Coombs test (antibody screen)
- 2. A · When bleeding has stopped and she feels ready
- 3. A · 25%
- 4. C · Carpal tunnel syndrome
- 5. A · It needs full breastfeeding, no periods and a baby under 6 months
- 6. C · G3 T0 P1 A1 L2
- 7. A · Stop the oxytocin infusion
- 8. D · Massage the fundus and look for the source
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