Maternity & obstetric nursing worksheet with answers

Which sign is typical of placenta praevia?

1. AHigh fever with foul-smelling discharge
2. BSevere abdominal pain with a hard uterus
3. CPainless, bright red vaginal bleeding
4. DBleeding that is always dark and clotted

Smoking in pregnancy is most strongly linked with which outcome?

1. AMacrosomia
2. BLow birth weight
3. CPost-term pregnancy
4. DPolyhydramnios

What does the "T" in TORCH infections stand for?

1. ATuberculosis
2. BTrichomoniasis
3. CTetanus
4. DToxoplasmosis

When should an Rh-negative woman with no anti-D antibodies routinely receive antenatal anti-D immunoglobulin?

1. AAfter she has formed anti-D antibodies
2. BOnly at the first antenatal visit
3. CAt about 28 weeks of pregnancy
4. DOnly if the baby is known to be Rh-negative

A newborn baby girl has a small amount of blood-tinged vaginal discharge on day 3. What should the nurse tell the parents?

1. AIt is caused by maternal hormones
2. BIt is a sign of sexual abuse
3. CIt shows a urinary tract infection
4. DIt means the baby has a bleeding disorder

When performing the first Leopold manoeuvre, what is the nurse trying to identify?

1. AThe amount of amniotic fluid
2. BWhich side the fetal back lies on
3. CWhich fetal part lies in the fundus
4. DWhether the head has entered the pelvis

A woman in active labour has been at 6 cm for 4 hours despite regular contractions. Which factor among the "5 Ps" should the nurse consider first?

1. AThe pulse rate during contractions
2. BThe past history of her mother's labour
3. CThe passenger: fetal size, position or presentation
4. DThe placenta: whether it is anterior or posterior

A woman on a magnesium sulfate infusion has a respiratory rate of 10/min and absent patellar reflexes. What should the nurse do first?

1. AStop the infusion and call the provider urgently, with calcium gluconate ready
2. BGive a dose of naloxone
3. CIncrease the infusion rate, because these signs show her pre-eclampsia is worsening
4. DRecheck the reflexes in 2 hours