1.Easy
In a healthy term newborn, when does physiological jaundice usually reach its peak?
- AWithin the first 12 hours
- BAt about 6 to 8 weeks
- CAt about 3 weeks
- DAround days 3 to 5
2.Easy
Between about 20 and 36 weeks, how does fundal height in centimetres relate to gestational age?
- AIt roughly equals the number of weeks of gestation, give or take about 2 cm
- BIt is about half the number of weeks of gestation
- CIt is about twice the number of weeks of gestation, give or take about 2 cm
- DIt stays constant once the fundus reaches the umbilicus
3.Easy
Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?
- ANormal colour
- BLow specific gravity
- CProtein
- DTrace leucocytes only
4.Medium
Which measure helps prevent venous thromboembolism after a caesarean?
- AEarly mobilisation
- BKeeping the knees bent on pillows
- CRestricting fluids
- DBed rest for several days
5.Medium
In fetal circulation, what is the function of the foramen ovale?
- AIt carries blood from the aorta back to the placenta
- BIt lets blood from the umbilical vein bypass the liver
- CIt shunts blood from the right atrium to the left atrium
- DIt carries blood from the pulmonary artery to the aorta
6.Medium
A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?
- AGive the baby plain water by bottle
- BGive IV insulin immediately
- CFeed the baby and recheck the glucose
- DWithhold feeds and observe for 6 hours
7.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?
- ADoubling her caffeine intake
- BA routine blood transfusion
- CStopping iron and waiting until after birth
- DIntravenous iron
8.Hard
A woman at 11 weeks has heavy bleeding, cramping and an open cervical os, and she has passed some tissue. Which type of miscarriage is this?
- AIncomplete miscarriage
- BComplete miscarriage
- CThreatened miscarriage
- DMissed miscarriage
Answer key
- 1. D · Around days 3 to 5
- 2. A · It roughly equals the number of weeks of gestation, give or take about 2 cm
- 3. C · Protein
- 4. A · Early mobilisation
- 5. C · It shunts blood from the right atrium to the left atrium
- 6. C · Feed the baby and recheck the glucose
- 7. D · Intravenous iron
- 8. A · Incomplete miscarriage
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