Maternity & obstetric nursing worksheet with answers

What is the most common cause of sore, cracked nipples in the first days of breastfeeding?

1. AFeeding too often
2. BA poor latch
3. CUsing both breasts
4. DToo much milk

What does "effacement" of the cervix mean?

1. AThinning and shortening of the cervix
2. BOpening of the external cervical os
3. CSoftening of the cervix in early pregnancy
4. DDescent of the presenting part into the pelvis

What is an amniotomy?

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

Why are afterpains often stronger in multiparous women?

1. ATheir uterus is always infected
2. BThey produce no oxytocin after birth
3. CTheir uterus contracts and relaxes more irregularly
4. DThey have a smaller uterus than first-time mothers

A baby has prolonged jaundice at 3 weeks with pale, chalky stools and dark urine. What should the nurse suspect?

1. AErythema toxicum
2. BPhysiological jaundice
3. CBreast milk jaundice
4. DBiliary atresia

Why is congenital hypothyroidism included in newborn screening?

1. AIt causes hip dysplasia
2. BIt causes jaundice that cannot be treated
3. CEarly treatment prevents brain damage
4. DIt can only be treated before birth

A small for gestational age baby is born at term. Which complications should the nurse anticipate?

1. AHypoglycaemia, hypothermia and polycythaemia
2. BHyperglycaemia, fever and anaemia
3. CRespiratory distress from surfactant deficiency only
4. DMacrosomia and shoulder dystocia

Which statement by a woman being discharged after birth shows a need for further teaching?

1. A"I should change my pads regularly and wash my hands."
2. B"I should report a painful, swollen calf straight away."
3. C"I can use tampons for the bleeding as soon as I get home."
4. D"I should call if my bleeding gets heavier or smells bad."