Maternity & obstetric nursing worksheet with answers

In the BUBBLE-HE postpartum assessment, what does the first "B" stand for?

1. ABreasts
2. BBlood pressure
3. CBonding
4. DBowel sounds

Which blood test on the mother detects antibodies against Rh-positive red cells?

1. AHaemoglobin electrophoresis
2. BIndirect Coombs test (antibody screen)
3. CDirect Coombs test on the mother's red cells
4. DProthrombin time

Why is vitamin K given to newborns shortly after birth?

1. ATo raise the blood glucose
2. BTo prevent vitamin K deficiency bleeding
3. CTo prevent neonatal jaundice
4. DTo prevent eye infections

Why is it important that the uterus relaxes fully between contractions?

1. AIt allows the cervix to close again between contractions
2. BBlood flow to the placenta is restored between contractions
3. CIt prevents the membranes from rupturing
4. DIt reduces the mother's need for fluids

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

1. AMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
2. BUrine output tells the nurse exactly when to stop the infusion after the birth
3. CMagnesium causes a large diuresis that leads to dehydration
4. DLow urine output shows that the magnesium is working

A woman at 24 weeks says she craves eating ice and clay. What should the nurse assess for?

1. AIron deficiency anaemia
2. BGestational diabetes
3. CThyroid overactivity
4. DPre-eclampsia with severe features

Ten days after birth, a woman phones to say her bleeding has suddenly become heavy and bright red with clots, with lower abdominal pain and a temperature of 38.2 °C (100.8 °F). Which response is most appropriate?

1. AAsk her to come in now; retained tissue or infection is possible
2. BAdvise her to use tampons so the blood loss is easier to measure
3. CTell her it is probably her first period and needs no action
4. DReassure her that lochia rubra often returns and review at 6 weeks

A woman is treated with methotrexate for an unruptured ectopic pregnancy. Which statement shows a need for further teaching?

1. A"I will come back for blood tests until my hCG level is back to zero."
2. B"I will take a folic acid supplement to stay healthy while on this drug."
3. C"I will go to the emergency department if I get sudden severe abdominal pain."
4. D"I will avoid alcohol while I am being treated."