1.Easy
Which of these is one of the "5 Ps" of labour?
- APlacenta praevia
- BPulse
- CPressure
- DPassageway
2.Easy
Which reflex is tested by stroking the newborn's cheek, causing the baby to turn towards the touch?
- ARooting reflex
- BTonic neck reflex
- CBabinski reflex
- DMoro reflex
3.Easy
Which sign is typical of placenta praevia?
- APainless, bright red vaginal bleeding
- BSevere abdominal pain with a hard uterus
- CHigh fever with foul-smelling discharge
- DBleeding that is always dark and clotted
4.Medium
A woman at 32 weeks has varicose veins in her legs. Which advice is most appropriate?
- ARaise the legs when resting and avoid long standing
- BWear tight elastic bands around the top of the thighs
- CAvoid walking until after the birth
- DSit with her legs crossed to support the veins
5.Medium
A woman in preterm labour receives nifedipine. Which side effect should the nurse watch for?
- ARespiratory depression and absent reflexes
- BHigh blood glucose and tremor
- CLow blood pressure and headache
- DBradycardia and bronchospasm
6.Medium
At 30 weeks, which fundal height is consistent with expected growth?
- A18 cm
- B29 cm
- C36 cm
- D22 cm
7.Hard
A fetal tracing shows a smooth, wave-like pattern with no variability, like a sine wave. What should the nurse suspect?
- ASevere fetal anaemia
- BA maternal urinary infection
- CA normal fetal sleep cycle
- DFetal head compression
8.Hard
A woman in labour is 8 cm dilated. The fetal heart rate shows decelerations that begin and end with each contraction and mirror its shape, with moderate variability. What is appropriate?
- ATurn off the monitor to reduce anxiety
- BPrepare for an emergency caesarean birth
- CStop all fluids
- DContinue to monitor; this pattern is benign
Answer key
- 1. D · Passageway
- 2. A · Rooting reflex
- 3. A · Painless, bright red vaginal bleeding
- 4. A · Raise the legs when resting and avoid long standing
- 5. C · Low blood pressure and headache
- 6. B · 29 cm
- 7. A · Severe fetal anaemia
- 8. D · Continue to monitor; this pattern is benign
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