1.Easy
What is lanugo?
- AA birthmark on the face
- BFine, downy hair on the body
- CA white coating on the skin
- DPeeling skin on the hands and feet
2.Easy
What is "moulding" of the fetal head?
- ABleeding under the outer layer of a skull bone
- BSwelling of the scalp from pressure on the cervix
- COverlapping of the skull bones in the birth canal
- DEarly closure of the fontanelles before birth
3.Easy
When is screening for gestational diabetes usually done in women without early risk factors?
- AOnly after the birth
- BAt 8 to 10 weeks
- CAt 24 to 28 weeks
- DAt 36 to 38 weeks
4.Medium
The fundus is boggy, above the umbilicus and displaced to the right. What is the most likely cause?
- AA normal finding on day 1
- BA tear in the perineum
- CRetained placental tissue on the left
- DA full bladder
5.Medium
An Rh-negative woman has just given birth to an Rh-positive baby. When should anti-D immunoglobulin be given?
- AOnly if the baby develops jaundice
- BWithin 72 hours of birth
- CWithin 2 weeks of birth
- DBefore the next pregnancy only
6.Medium
A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?
- AAvoid all dental visits until after the baby is born
- BStop brushing until the bleeding has settled after birth
- CUse a soft brush and keep up routine dental care
- DReport it at once because it is a sign of a clotting disorder
7.Hard
A nurse teaches a first-time mother about exclusive breastfeeding. Which statement shows a need for further teaching?
- A"Wet nappies help me check that she is getting enough."
- B"I should feed my baby whenever she shows hunger cues."
- C"On hot days I should give my baby extra water between feeds."
- D"My milk supply increases the more often she feeds."
8.Hard
Which statement by a pregnant woman with gestational diabetes shows she understands her care?
- A"I will check my glucose as shown and record it."
- B"My baby's growth will not need monitoring."
- C"I can skip meals if my glucose is high in the morning."
- D"Insulin will harm my baby, so I will refuse it."
Answer key
- 1. B · Fine, downy hair on the body
- 2. C · Overlapping of the skull bones in the birth canal
- 3. C · At 24 to 28 weeks
- 4. D · A full bladder
- 5. B · Within 72 hours of birth
- 6. C · Use a soft brush and keep up routine dental care
- 7. C · "On hot days I should give my baby extra water between feeds."
- 8. A · "I will check my glucose as shown and record it."
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