1.Easy
Which drug class is used to treat uterine atony?
- AUterotonics
- BAnticoagulants
- CAntihypertensives
- DTocolytics
2.Easy
Which fetal structure carries oxygen-rich blood from the placenta to the fetus?
- AThe umbilical vein
- BThe umbilical arteries
- CThe pulmonary artery
- DThe ductus arteriosus
3.Easy
Which food should a pregnant woman avoid because of the risk of listeriosis?
- AUnpasteurised soft cheese
- BPasteurised yoghurt
- CWell-cooked eggs
- DHard cheese such as cheddar
4.Medium
A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?
- AUrine output tells the nurse exactly when to stop the infusion after the birth
- BMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
- CMagnesium causes a large diuresis that leads to dehydration
- DLow urine output shows that the magnesium is working
5.Medium
The fundus is boggy, above the umbilicus and displaced to the right. What is the most likely cause?
- AA full bladder
- BA tear in the perineum
- CA normal finding on day 1
- DRetained placental tissue on the left
6.Medium
Which test estimates how much fetal blood has entered the mother's circulation, to guide the dose of anti-D?
- ADirect Coombs test on the baby
- BKleihauer–Betke test
- CGlucose tolerance test
- DNitrazine test
7.Hard
A woman with a fourth-degree tear is being discharged. Which instruction is appropriate?
- AUse stool softeners and avoid suppositories and enemas
- BUse rectal suppositories each day to prevent constipation
- CTake rectal temperatures twice daily
- DDo strong straining exercises to strengthen the muscles
8.Hard
A pregnant woman involved in a car crash asks how to wear a seat belt. Which instruction is correct?
- AWear only the shoulder part of the belt
- BDo not wear a seat belt in pregnancy
- CPut the lap belt across the top of the bump, above the uterus
- DLap belt under the bump, shoulder belt between the breasts
Answer key
- 1. A · Uterotonics
- 2. A · The umbilical vein
- 3. A · Unpasteurised soft cheese
- 4. B · Magnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
- 5. A · A full bladder
- 6. B · Kleihauer–Betke test
- 7. A · Use stool softeners and avoid suppositories and enemas
- 8. D · Lap belt under the bump, shoulder belt between the breasts
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