1.Easy
Which stool pattern is typical of a breastfed baby after the first week?
- AYellow, soft and seedy stools
- BBlack, tarry and sticky stools
- CHard, pale and formed stools
- DGreen, watery stools with mucus
2.Easy
Smoking in pregnancy is most strongly linked with which outcome?
- ALow birth weight
- BPost-term pregnancy
- CMacrosomia
- DPolyhydramnios
3.Easy
Which condition is a clear indication for a caesarean birth?
- AA placenta praevia covering the internal cervical os
- BA fetus in the left occiput anterior position
- CMild ankle swelling at the end of the day at term
- DA previous labour that was fast and uncomplicated
4.Medium
Why is a baby of a mother with poorly controlled diabetes often large?
- AThe mother's insulin crosses the placenta
- BDiabetes always prolongs the pregnancy
- CThe baby inherits a gene for large size
- DFetal hyperinsulinaemia acts as a growth hormone
5.Medium
Which lochia finding is expected on day 6 after birth?
- ABright red discharge with large clots
- BGreen, foul-smelling discharge
- CPink to brownish discharge (lochia serosa)
- DNo discharge at all
6.Medium
Why is an indwelling catheter placed before a caesarean birth?
- ATo prevent postpartum haemorrhage
- BTo measure the baby's fluid balance
- CTo collect a urine sample for culture
- DTo keep the bladder empty during surgery
7.Hard
A woman at 31 weeks with contractions has a negative fetal fibronectin test. What does this result mean?
- AThe membranes have ruptured
- BBirth will certainly occur within 48 hours
- CBirth within the next 1 to 2 weeks is unlikely
- DThe fetus has an infection
8.Hard
A deceleration lasts 3 minutes before the baseline recovers. How is this classified?
- AA prolonged deceleration
- BA change of baseline
- CAn early deceleration
- DA variable acceleration
Answer key
- 1. A · Yellow, soft and seedy stools
- 2. A · Low birth weight
- 3. A · A placenta praevia covering the internal cervical os
- 4. D · Fetal hyperinsulinaemia acts as a growth hormone
- 5. C · Pink to brownish discharge (lochia serosa)
- 6. D · To keep the bladder empty during surgery
- 7. C · Birth within the next 1 to 2 weeks is unlikely
- 8. A · A prolonged deceleration
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