Maternity & obstetric nursing worksheet with answers

Which drug should be available as the antidote for magnesium sulfate toxicity?

1. ACalcium gluconate
2. BVitamin K
3. CNaloxone
4. DPotassium chloride

Which definition of a fetal heart rate acceleration applies from 32 weeks?

1. AA rise of at least 15 bpm lasting at least 15 seconds
2. BA fall of 15 bpm lasting at least 15 seconds
3. CA rise of 30 bpm lasting 2 minutes
4. DA rise of 5 bpm lasting 5 seconds

Which is a non-drug method of labour pain relief?

1. AEpidural analgesia
2. BPethidine (meperidine) injection
3. CWarm water immersion
4. DInhaled nitrous oxide

Which behaviour shows positive early bonding between mother and newborn?

1. AFace-to-face eye contact and talking to the baby
2. BCalling the baby "it" and not looking at it
3. CAvoiding holding the baby during the first day
4. DAsking staff to keep the baby in the nursery at all times

In early pregnancy, how does the serum hCG level normally change?

1. AIt roughly doubles every 2 to 3 days in the first weeks
2. BIt falls steadily from the day of implantation
3. CIt stays at the same level throughout the first trimester
4. DIt rises slowly until it peaks just before birth

A woman at 28 weeks asks why her heart rate is higher than before pregnancy. Which response is accurate?

1. AA rise of about 10 to 15 beats per minute is normal in pregnancy
2. BThe heart rate rises because blood pressure is much higher in pregnancy
3. CHeart rate normally falls in pregnancy, so this needs urgent review
4. DA higher heart rate in pregnancy always points to heart disease

The triage nurse receives four phone calls from pregnant women. Who should be told to come in immediately?

1. AAt 12 weeks with mild nausea in the mornings
2. BAt 36 weeks with constant pain and a hard uterus
3. CAt 25 weeks with mild backache after standing
4. DAt 30 weeks with heartburn after large meals

A woman with gestational diabetes on insulin asks about her baby after birth. Which statement by the nurse is accurate?

1. AThe baby will be born with diabetes
2. BThe baby will need insulin for the first days
3. CThe baby's glucose will be checked for hypoglycaemia
4. DThe baby must not be breastfed in the first week