Maternity & obstetric nursing worksheet with answers

What is the most common cause of postpartum haemorrhage?

1. AUterine atony (a uterus that does not contract well)
2. BA clotting disorder
3. CRetained fragments of placenta or membranes in the uterus
4. DA tear of the cervix

Which drug is given routinely in active management of the third stage of labour?

1. AOxytocin
2. BNifedipine
3. CTerbutaline
4. DMagnesium sulfate

The first stage of labour ends when:

1. AThe placenta is delivered
2. BThe cervix is fully dilated (10 cm)
3. CContractions become regular
4. DThe baby is born

Where is the fundus normally found about 12 hours after a vaginal birth?

1. AFirm, in the midline, at about the level of the umbilicus
2. BBelow the symphysis pubis and not palpable
3. CFirm and displaced to the far left side
4. DSoft and two finger-widths above the xiphoid process

A woman 2 hours after birth has a temperature of 37.8 °C (100.0 °F), a firm fundus and normal lochia. What is the most likely cause?

1. AMastitis
2. BPulmonary embolism
3. CEndometritis
4. DDehydration after labour

A woman 4 hours after birth has severe perineal pain and pressure. Her fundus is firm, lochia is normal, and her heart rate is rising. What should the nurse suspect?

1. AA vulvar or vaginal haematoma
2. BNormal afterpains
3. CUterine atony
4. DA urinary tract infection

The nurse must deliver a baby before the provider arrives. As the head crowns, what should the nurse do?

1. APush the head back to delay the birth
2. BPull firmly on the head to speed the birth
3. CApply gentle pressure to the head to slow the birth
4. DAsk the woman to cross her legs tightly until help comes

A woman 1 day after a caesarean asks how to hold her baby for breastfeeding without pressure on her wound. Which position is best?

1. ALying flat on her back with the baby on her abdomen
2. BThe cradle hold with the baby across the incision
3. CStanding up while breastfeeding
4. DThe football (rugby) hold or side-lying