1.Easy
What does "gravida" mean in an obstetric history?
- AThe number of births after 20 weeks
- BThe number of children now living
- CThe number of babies born at term
- DThe total number of pregnancies, including the current one
2.Easy
What does meconium look like?
- AYellow, seedy and loose
- BPale grey and watery
- CBright red and liquid
- DDark green to black and sticky
3.Easy
From which week is a pregnancy considered "term"?
- A36 weeks
- B40 weeks
- C34 weeks
- D37 weeks
4.Medium
The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?
- ABelow the umbilicus on the mother's left side
- BAbove the umbilicus on the mother's left side
- CDirectly over the fundus
- DAbove the umbilicus on the mother's right side
5.Medium
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AIt prevents the baby from developing rubella
- BHer antibodies cross the placenta and protect the newborn
- CIt protects her from pre-eclampsia
- DIt is a live vaccine that gives the baby lifelong immunity to whooping cough
6.Medium
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?
- APulmonary embolism
- BDehydration after labour
- CMastitis
- DEndometritis
7.Hard
One hour after birth, the large baby of a mother with diabetes is jittery and feeding poorly. What should the nurse do first?
- AGive a bath to wake the baby up
- BCheck the baby's blood glucose
- CWrap the baby tightly and recheck in 4 hours
- DReassure the parents that jitteriness is normal
8.Hard
A woman at 31 weeks with contractions has a negative fetal fibronectin test. What does this result mean?
- AThe fetus has an infection
- BBirth within the next 1 to 2 weeks is unlikely
- CThe membranes have ruptured
- DBirth will certainly occur within 48 hours
Answer key
- 1. D · The total number of pregnancies, including the current one
- 2. D · Dark green to black and sticky
- 3. D · 37 weeks
- 4. A · Below the umbilicus on the mother's left side
- 5. B · Her antibodies cross the placenta and protect the newborn
- 6. B · Dehydration after labour
- 7. B · Check the baby's blood glucose
- 8. B · Birth within the next 1 to 2 weeks is unlikely
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