Maternity & obstetric nursing worksheet with answers

What is lanugo?

1. AA birthmark on the face
2. BPeeling skin on the hands and feet
3. CA white coating on the skin
4. DFine, downy hair on the body

Kernicterus is caused by deposits of which substance in the brain?

1. AUnconjugated bilirubin
2. BConjugated bilirubin
3. CExcess glucose from feeds
4. DCalcium from the mother

Which blood test on the mother detects antibodies against Rh-positive red cells?

1. AProthrombin time
2. BHaemoglobin electrophoresis
3. CDirect Coombs test on the mother's red cells
4. DIndirect Coombs test (antibody screen)

A woman who has had a caesarean asks when she can drive again. Which answer is most accurate?

1. AThe same day she is discharged
2. BNever before 6 months
3. CWhen she can brake hard without pain
4. DOnly after her stitches are removed by a doctor

Why do newborns become cold so easily?

1. AThey sweat more than adults
2. BThey cannot produce heat at all
3. CThey have a large surface area and little fat
4. DTheir blood is thicker than adult blood

When the Moro reflex is tested, the baby moves only one arm. What could this suggest?

1. AA normal finding in all term babies
2. BA clavicle fracture or nerve injury
3. CHearing loss in the ear on that side
4. DLow blood glucose only

A fetal heart rate tracing shows absent baseline variability with recurrent late decelerations. How is this classified and what does it require?

1. ACategory I: normal, routine care
2. BA normal pattern during fetal sleep
3. CCategory II: an indeterminate tracing that only needs continued routine observation and documentation
4. DCategory III: an abnormal tracing that needs prompt intervention and preparation for expedited birth

An Rh-negative mother's baby is found to be Rh-negative. What is the correct action regarding postnatal anti-D?

1. AGive anti-D to the baby instead
2. BGive a double dose of anti-D
3. CGive anti-D only if the mother had a miscarriage before
4. DPostnatal anti-D is not needed