1.Easy
Which stool pattern is typical of a breastfed baby after the first week?
- AHard, pale and formed stools
- BYellow, soft and seedy stools
- CBlack, tarry and sticky stools
- DGreen, watery stools with mucus
2.Easy
What is the normal axillary temperature range for a newborn?
- A36.5 to 37.5 °C (97.7 to 99.5 °F)
- B35.0 to 36.0 °C (95.0 to 96.8 °F)
- C34.5 to 35.5 °C (94.1 to 95.9 °F)
- D37.8 to 38.5 °C (100.0 to 101.3 °F)
3.Easy
In which position should a healthy newborn be placed to sleep?
- AOn the side, supported with pillows
- BOn the stomach
- COn the back
- DPropped up in a car seat
4.Medium
Which position of the fetal head presents the smallest diameter to the pelvis?
- AFull extension, with the face presenting
- BFull flexion, with the chin on the chest
- CA neutral position with no flexion
- DPartial extension, with the brow presenting
5.Medium
Which antihypertensive is commonly used in pregnancy but should be avoided in a woman with asthma?
- ALabetalol
- BNifedipine
- CHydralazine
- DMethyldopa
6.Medium
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AHer antibodies cross the placenta and protect the newborn
- BIt is a live vaccine that gives the baby lifelong immunity to whooping cough
- CIt protects her from pre-eclampsia
- DIt prevents the baby from developing rubella
7.Hard
A nurse is teaching a mother how to prevent shaken baby syndrome. Which statement shows a need for further teaching?
- A"If I get too frustrated, I will put him in his cot and step away for a few minutes."
- B"Crying often increases in the first weeks, and that can be normal."
- C"I can call someone to help when I feel overwhelmed."
- D"If I feel very angry, it is fine to shake him a little to stop the crying."
8.Hard
Which finding in a woman 2 hours after birth requires the most urgent follow-up?
- AHeart rate 124/min with cool, clammy skin
- BTemperature 37.6 °C and shivering
- CModerate lochia rubra with a few small clots
- DFundus firm and 1 cm below the umbilicus
Answer key
- 1. B · Yellow, soft and seedy stools
- 2. A · 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 3. C · On the back
- 4. B · Full flexion, with the chin on the chest
- 5. A · Labetalol
- 6. A · Her antibodies cross the placenta and protect the newborn
- 7. D · "If I feel very angry, it is fine to shake him a little to stop the crying."
- 8. A · Heart rate 124/min with cool, clammy skin
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