Maternity & obstetric nursing worksheet with answers

In a frank breech presentation, what is the position of the fetal legs?

1. AHips flexed, knees extended, feet near the head
2. BHips and knees both flexed, feet beside the buttocks
3. COne or both feet presenting below the buttocks
4. DLegs crossed under the fetal chin

In a healthy term newborn, when does physiological jaundice usually reach its peak?

1. AAt about 6 to 8 weeks
2. BAround days 3 to 5
3. CWithin the first 12 hours
4. DAt about 3 weeks

Shortly after birth the fundus feels soft and boggy. What is the first nursing action?

1. ARecord the finding and reassess the fundus again in 4 hours
2. BMassage the fundus while supporting the lower uterus
3. CApply an ice pack to the perineum
4. DGive the woman a large glass of water

Which measure helps prevent venous thromboembolism after a caesarean?

1. ABed rest for several days
2. BKeeping the knees bent on pillows
3. CRestricting fluids
4. DEarly mobilisation

A woman at 37 weeks is GBS-positive. When should she receive antibiotics?

1. AOrally at 37 weeks only
2. BOnly to the baby after birth
3. CIntravenously during labour
4. DNot at all, because GBS is normal flora

Where universal screening for group B streptococcus is used, when is the vaginal–rectal swab usually taken?

1. AAfter the membranes rupture in labour
2. BAt about 36 to 37 weeks
3. CAt the first antenatal visit
4. DAt about 20 weeks

A woman has been breastfeeding for 3 weeks. Her baby has gained little weight, feeds briefly and falls asleep at the breast. What is the most appropriate first action?

1. AReassure her that slow weight gain is normal
2. BTell her to feed only every 6 hours to build hunger
3. CAdvise her to stop breastfeeding and use formula only
4. DObserve a full feed to assess latch and milk transfer

A woman with an epidural in labour now has a temperature of 38.0 °C (100.4 °F). Which statement is most accurate?

1. AThe epidural may cause it, but infection must be ruled out
2. BFever with an epidural is always caused by the epidural
3. CFever in labour can be ignored if the baby is moving
4. DFever with an epidural always means the catheter is infected