Maternity & obstetric nursing worksheet with answers

What is an amniotomy?

1. AManual removal of the placenta
2. BA cut in the perineum to enlarge the outlet
3. CArtificial rupture of the membranes
4. DRemoval of amniotic fluid with a needle for testing

Gestational hypertension is defined as new hypertension after 20 weeks:

1. AThat occurs only during labour
2. BThat was already present before pregnancy
3. CWith proteinuria and a seizure
4. DWithout proteinuria or organ damage

What is the best way to relieve breast engorgement in a breastfeeding mother?

1. ABreastfeed often and empty the breasts well
2. BDrink less fluid
3. CFeed only from one breast
4. DStop breastfeeding for 2 days to let the breasts rest

Why is indomethacin generally not used as a tocolytic after about 32 weeks?

1. AIt triggers maternal hypoglycaemia
2. BIt stimulates stronger contractions late in pregnancy
3. CIt can close the fetal ductus arteriosus too early
4. DIt causes severe maternal hypertension

A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?

1. ATell her that cannabis is a natural remedy and safe in pregnancy
2. BRefuse to continue her care until she stops
3. CExplain the risks without judgement and offer safer treatments
4. DAdvise her to switch to tobacco instead

A woman at 37 weeks is GBS-positive. When should she receive antibiotics?

1. AIntravenously during labour
2. BOrally at 37 weeks only
3. COnly to the baby after birth
4. DNot at all, because GBS is normal flora

When are chest compressions indicated during newborn resuscitation?

1. AWhenever the APGAR score is below 7
2. BAs soon as the baby does not cry at birth
3. CWhen the heart rate stays below 60/min despite at least 30 seconds of effective ventilation
4. DWhen the heart rate is below 120/min at 1 minute of age, even before any ventilation has been given

Routine screening at the booking visit shows asymptomatic bacteriuria. Why is treatment important even though the woman has no symptoms?

1. AIt can progress to pyelonephritis and trigger preterm labour
2. BIt will cause gestational diabetes later in the pregnancy if left untreated
3. CTreatment is not needed because it will settle after birth
4. DIt is treated only to prevent bladder stones