1.Easy
What is lanugo?
- APeeling skin on the hands and feet
- BFine, downy hair on the body
- CA birthmark on the face
- DA white coating on the skin
2.Easy
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AAbout weeks 20 to 28 after conception
- BAbout weeks 3 to 8 after conception
- CThe first 3 days after conception
- DThe last month of pregnancy
3.Easy
When is the APGAR score routinely assessed?
- AOnly at 10 minutes after birth
- BAt 30 minutes and at 24 hours
- CBefore the cord is cut and at 1 hour
- DAt 1 and 5 minutes after birth
4.Medium
Which complication should the nurse monitor for after an epidural is started in labour?
- AMaternal hypotension
- BIncreased bladder sensation
- CMaternal hyperglycaemia
- DMaternal hypertension
5.Medium
Which finding suggests magnesium sulfate toxicity?
- AAbsent deep tendon reflexes
- BA respiratory rate of 18/min
- CBrisk reflexes with clonus
- DUrine output of 60 mL/h
6.Medium
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AHer antibodies cross the placenta and protect the newborn
- BIt protects her from pre-eclampsia
- CIt is a live vaccine that gives the baby lifelong immunity to whooping cough
- DIt prevents the baby from developing rubella
7.Hard
A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?
- AThe mother's ability to walk alone
- BOnly the mother's temperature
- CUterine tone, bleeding and newborn injury
- DOnly the newborn's blood glucose
8.Hard
A mother on day 1 is quiet, lets the nurse change the baby and talks repeatedly about the birth. How should the nurse interpret this?
- ANormal letting-go behaviour
- BNormal taking-in behaviour
- CSigns of postpartum psychosis
- DRejection of the baby
Answer key
- 1. B · Fine, downy hair on the body
- 2. B · About weeks 3 to 8 after conception
- 3. D · At 1 and 5 minutes after birth
- 4. A · Maternal hypotension
- 5. A · Absent deep tendon reflexes
- 6. A · Her antibodies cross the placenta and protect the newborn
- 7. C · Uterine tone, bleeding and newborn injury
- 8. B · Normal taking-in behaviour
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