Maternity & obstetric nursing worksheet with answers

What is the main aim of tocolytic drugs such as nifedipine in preterm labour?

1. ARipening the cervix
2. BMaturing the fetal lungs
3. CPreventing maternal seizures
4. DSuppressing uterine contractions

Gestational hypertension is defined as new hypertension after 20 weeks:

1. AThat occurs only during labour
2. BThat was already present before pregnancy
3. CWith proteinuria and a seizure
4. DWithout proteinuria or organ damage

What are pelvic floor (Kegel) exercises meant to do?

1. AIncrease milk supply
2. BTurn a breech baby into a head-down position in the last weeks of pregnancy
3. CLower blood pressure
4. DStrengthen the pelvic floor muscles and help prevent urinary incontinence

Which feature best distinguishes true labour from false labour?

1. ADiscomfort that eases with a warm bath and rest
2. BContractions that stop when the woman walks around
3. CProgressive dilation and effacement of the cervix
4. DContractions that are felt only in the lower abdomen

A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?

1. AHypoglycaemia
2. BWater intoxication
3. CSpinal headache
4. DMagnesium toxicity

A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?

1. AIncrease the oxytocin infusion
2. BChange the woman's position
3. CStart pushing efforts straight away
4. DPlace her flat on her back

Just after her membranes rupture in labour, a woman suddenly becomes very breathless, cyanosed and hypotensive. Which condition should be suspected?

1. ANormal response to a strong contraction
2. BSupine hypotension
3. CAmniotic fluid embolism
4. DA panic attack

A woman who had a stillbirth asks the nurse why it happened. What is the most appropriate response?

1. AAcknowledge her grief; tests may find a cause
2. BTell her it was probably something she ate
3. CChange the subject to avoid upsetting her
4. DTell her she should not have exercised