Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which fetal position is the most common and favourable for a vaginal birth?

  1. ARight occiput posterior (ROP)
  2. BLeft sacrum anterior (LSA)
  3. CLeft occiput anterior (LOA)
  4. DRight mentum posterior (RMP)
2.Easy

Which phase of the first stage of labour is often marked by irritability, nausea, shaking and a feeling of losing control?

  1. ATransition
  2. BLatent phase
  3. CThird stage
  4. DEarly active phase
3.Easy

A "contraction stress test" assesses how the fetus responds to:

  1. ALoud sound applied to the abdomen
  2. BA change in maternal position only
  3. CMaternal exercise on a treadmill
  4. DReduced blood flow during contractions
4.Medium

The membranes have just ruptured. What should the nurse assess first?

  1. AThe degree of cervical effacement
  2. BThe woman's temperature
  3. CThe colour of the fluid only
  4. DThe fetal heart rate
5.Medium

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. BA urinary tract infection
  3. CNormal afterpains
  4. DUterine atony
6.Medium

Which finding points to postpartum depression rather than the baby blues?

  1. AFeeling emotional when visitors leave
  2. BFeeling tired after a night with a crying baby
  3. CLow mood and loss of interest lasting more than 2 weeks and affecting daily life
  4. DCrying spells and mood swings on day 3 that settle within a few days without treatment
7.Hard

After the membranes rupture, the nurse sees the umbilical cord protruding from the vagina. What is the first action?

  1. ACover the cord with a dry towel, keep her lying flat and wait for the doctor
  2. BGently push the cord back into the vagina
  3. CAsk the woman to push with the next contraction
  4. DCall for help and lift the presenting part off the cord with a gloved hand
8.Hard

Which statement by a woman being discharged after birth shows a need for further teaching?

  1. A"I can use tampons for the bleeding as soon as I get home."
  2. B"I should change my pads regularly and wash my hands."
  3. C"I should report a painful, swollen calf straight away."
  4. D"I should call if my bleeding gets heavier or smells bad."

Answer key

  1. 1. C · Left occiput anterior (LOA)
  2. 2. A · Transition
  3. 3. D · Reduced blood flow during contractions
  4. 4. D · The fetal heart rate
  5. 5. A · A vulvar or vaginal haematoma
  6. 6. C · Low mood and loss of interest lasting more than 2 weeks and affecting daily life
  7. 7. D · Call for help and lift the presenting part off the cord with a gloved hand
  8. 8. A · "I can use tampons for the bleeding as soon as I get home."

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