1.Easy
When is the best time to teach a new mother about baby care, according to Rubin's phases?
- AIn the first hour after birth
- BIn the letting-go phase
- CIn the taking-in phase
- DIn the taking-hold phase
2.Easy
What is Goodell's sign?
- AA bluish colour of the cervix
- BFetal movements felt by the examiner
- CSoftening of the lower uterine segment
- DSoftening of the cervix
3.Easy
A pregnant teenager is at increased risk of which complication?
- AMultiple pregnancy
- BPost-term pregnancy beyond 42 weeks
- CMacrosomia and shoulder dystocia
- DPreterm birth and low birth weight
4.Medium
In early pregnancy, how does the serum hCG level normally change?
- AIt falls steadily from the day of implantation
- BIt stays at the same level throughout the first trimester
- CIt rises slowly until it peaks just before birth
- DIt roughly doubles every 2 to 3 days in the first weeks
5.Medium
After birth of the baby, the placenta has not been delivered after a long time despite active management. What is this called?
- APlacenta praevia
- BPlacental abruption
- CUterine inversion
- DRetained placenta
6.Medium
Which newborn complication is linked to poorly controlled gestational diabetes?
- AA very small baby with growth restriction in most cases
- BCongenital rubella
- CRh disease of the newborn
- DMacrosomia (a large baby) and birth injury
7.Hard
A woman at 30 weeks has regular painful contractions every 5 minutes with cervical change. Which treatment is expected to protect the baby's lungs if birth occurs?
- AMethylergonovine
- BAntenatal corticosteroids
- COxytocin
- DAnti-D immunoglobulin
8.Hard
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AIntravenous iron
- BDoubling her caffeine intake
- CA routine blood transfusion
- DStopping iron and waiting until after birth
Answer key
- 1. D · In the taking-hold phase
- 2. D · Softening of the cervix
- 3. D · Preterm birth and low birth weight
- 4. D · It roughly doubles every 2 to 3 days in the first weeks
- 5. D · Retained placenta
- 6. D · Macrosomia (a large baby) and birth injury
- 7. B · Antenatal corticosteroids
- 8. A · Intravenous iron
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