1.Easy
Which is a function of amniotic fluid?
- ARemoving carbon dioxide from the fetus
- BSupplying oxygen to the fetus
- CProducing fetal red blood cells
- DCushioning the fetus against injury
2.Easy
An intrauterine pressure catheter (IUPC) measures:
- AThe fetal heart rate from the scalp
- BThe strength of uterine contractions
- CMaternal blood pressure
- DThe volume of amniotic fluid
3.Easy
What advice helps reduce heartburn in pregnancy?
- ADrink a large glass of milk just before going to bed
- BEat large meals and lie down afterwards
- CEat the main meal just before sleeping
- DEat small meals and stay upright after eating
4.Medium
A woman with hypothyroidism becomes pregnant. What usually happens to her levothyroxine needs?
- AThey usually rise, so levels are checked early
- BShe switches to iodine tablets instead
- CThey decrease to zero, so she stops the drug
- DThey stay the same, so no monitoring is needed
5.Medium
What is a "reactive" non-stress test?
- ANo accelerations of the fetal heart rate within 40 minutes
- BA baseline heart rate above 160 bpm
- CLate decelerations with every contraction
- DAt least 2 fetal heart rate accelerations within 20 minutes
6.Medium
Which substance in amniotic fluid is used to judge fetal lung maturity?
- ABilirubin, assessed by its colour
- BSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- CGlucose, assessed by its concentration
- DAlpha-fetoprotein, assessed by its level
7.Hard
A fetal heart rate tracing shows absent baseline variability with recurrent late decelerations. How is this classified and what does it require?
- AA normal pattern during fetal sleep
- BCategory III: an abnormal tracing that needs prompt intervention and preparation for expedited birth
- CCategory I: normal, routine care
- DCategory II: an indeterminate tracing that only needs continued routine observation and documentation
8.Hard
A woman with a previous caesarean is having a trial of labour. Which induction agent should the nurse question?
- AA balloon catheter
- BMisoprostol
- CAmniotomy
- DOxytocin used per protocol
Answer key
- 1. D · Cushioning the fetus against injury
- 2. B · The strength of uterine contractions
- 3. D · Eat small meals and stay upright after eating
- 4. A · They usually rise, so levels are checked early
- 5. D · At least 2 fetal heart rate accelerations within 20 minutes
- 6. B · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 7. B · Category III: an abnormal tracing that needs prompt intervention and preparation for expedited birth
- 8. B · Misoprostol
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