1.Easy
A newborn is placed on a cold scale without a cover. Which type of heat loss is this?
- AEvaporation
- BRadiation
- CConduction
- DConvection
2.Easy
The first stage of labour ends when:
- AThe baby is born
- BThe cervix is fully dilated (10 cm)
- CContractions become regular
- DThe placenta is delivered
3.Easy
A pregnant teenager is at increased risk of which complication?
- AMultiple pregnancy
- BPreterm birth and low birth weight
- CPost-term pregnancy beyond 42 weeks
- DMacrosomia and shoulder dystocia
4.Medium
During birth the baby's head is delivered but the shoulders are stuck. Which first manoeuvre is standard?
- AFirm pressure on the fundus
- BPushing the head back into the vagina as a first step
- CPulling hard on the baby's head
- DMcRoberts manoeuvre with suprapubic pressure
5.Medium
Which factors help start the newborn's first breath?
- AOnly the cutting of the umbilical cord
- BChemical, thermal, mechanical and sensory cues
- COnly the pressure from the obstetrician's hand
- DOnly the baby's first cry from hunger
6.Medium
Which finding suggests magnesium sulfate toxicity?
- AUrine output of 60 mL/h
- BA respiratory rate of 18/min
- CBrisk reflexes with clonus
- DAbsent deep tendon reflexes
7.Hard
A mother on day 1 is quiet, lets the nurse change the baby and talks repeatedly about the birth. How should the nurse interpret this?
- ANormal taking-in behaviour
- BSigns of postpartum psychosis
- CNormal letting-go behaviour
- DRejection of the baby
8.Hard
Which newborn finding requires immediate follow-up?
- AMoulding of the head shape after a vaginal birth at term
- BSmall white spots (milia) on the nose
- CAcrocyanosis at 2 hours
- DGrunting, nasal flaring and chest retractions at 1 hour
Answer key
- 1. C · Conduction
- 2. B · The cervix is fully dilated (10 cm)
- 3. B · Preterm birth and low birth weight
- 4. D · McRoberts manoeuvre with suprapubic pressure
- 5. B · Chemical, thermal, mechanical and sensory cues
- 6. D · Absent deep tendon reflexes
- 7. A · Normal taking-in behaviour
- 8. D · Grunting, nasal flaring and chest retractions at 1 hour
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