Maternity & obstetric nursing worksheet with answers

On which part of the foot is a newborn heel-prick blood sample taken?

1. AThe outer or inner side of the heel
2. BThe ball of the foot
3. CThe tip of the big toe
4. DThe centre of the back of the heel

In which position should a healthy newborn be placed to sleep?

1. AOn the back
2. BOn the side, supported with pillows
3. COn the stomach
4. DPropped up in a car seat

Which teratogenic effect is linked with maternal rubella infection in early pregnancy?

1. ANeural tube defects
2. BCleft lip, cleft palate and club foot
3. CLimb reduction defects and missing fingers
4. DDeafness, cataracts and heart defects

Why is mild anaemia common in the second trimester even in healthy women?

1. AThe bone marrow stops producing red cells during pregnancy
2. BPlasma volume rises more than red cell mass
3. CThe fetus breaks down maternal red blood cells
4. DIron is lost in the urine because kidney filtration rises

A woman in preterm labour receives nifedipine. Which side effect should the nurse watch for?

1. ABradycardia and bronchospasm
2. BHigh blood glucose and tremor
3. CLow blood pressure and headache
4. DRespiratory depression and absent reflexes

A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?

1. AFlumazenil is given to reverse the opioid
2. BEffective ventilation comes first; naloxone is not routine
3. CNo support is needed because the effect lasts only seconds
4. DNaloxone is given before any ventilation is started

Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?

1. AAmniotic fluid embolism
2. BCervical laceration
3. CUterine atony
4. DUterine inversion

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. BIncrease the infusion rate, because these signs show her pre-eclampsia is worsening
3. CGive a dose of naloxone
4. DRecheck the reflexes in 2 hours