Fundamentals of Antenatal & Postnatal Care Exam Qs

Question 1

True or False?
Minimising unnecessary technological interventions and identifying and referring women who require obstetric or other specialist attention are key features of midwife-led care

Answer 1

True

Question 2

Which hormone is involved in increased heat generation in pregnancy?

Answer 2

Progesterone

Question 3

True or False?

HCG is produced by the anterior pituitary gland

Answer 3

False - It is produced by the placenta

Question 4

Which hormone is responsible for the reflex which makes breastmilk flow to the lactiferous ducts?

Answer 4

Oxytocin

Question 5

Which of the following is not a source of dietary protein?

Lentils
Chicken
Bread
Beans

Answer 5

Bread

Question 6

Which of the following are reasons why women are more at risk of infection in pregnancy?

Exposure to increased health professionals
Increased body temperature
Increased secretions
Contamination from hospitals

Answer 6

Increased body temperature - bacteria like heat

Question 7

How should the respiratory rate be counted?

Answer 7

Over a minute, without telling the woman so she does not become conscious of her breathing and change it

Question 8

True or False?

The booking visit is where the woman visits her GP and a detailed history is taken

Answer 8

False

Question 9

Which of the following would be reasons for maternal temperature rise during labour?

Epidural analgesia
Dehydration
Increased muscular activity
Infection

Answer 9

All of them

Question 10

What does BFI stand for and how many steps are there in the initiative launched in 1994 in the UK?

Answer 10

Baby Friendly Initiative - 10 steps

Question 11

True or False?

Visual inspection and visual palpation are two stages involved in choosing a vein

Answer 11

True

Question 12

True or False?
Pregnancy associated plasma protein, produced by the placenta, is lower in pregnancies where the fetus has Trisomy 21 (Downs syndrome), and is part of the combined screening test offered in the first trimester

Answer 12

True

Question 13

True or False?
Women should be bathed as quickly as possible after birth, regardless of the method of birth, in order to prevent infection

Answer 13

False - Women need individualised care and an assessment should be made as to whether it is appropriate or not

Question 14

What does SBAR stand for?

Answer 14

Situation Background Assessment Recommendation

Question 15

How is blood pressure defined?

Answer 15

Blood Pressure = cardiac output x systemic vascular resistance

Question 16

What is a normal respiratory rate?

Answer 16

12-20 breaths per minute

Question 17

True or False?

Pregnant women with diabetes have a higher risk of caesarean section

Answer 17

True

Question 18

Which of the following give guidance regarding record keeping for midwives.

The Midwives Chronicle
The Midwives Legislation
The Midwives Rules
The Midwives Standards

Answer 18

Midwives Rules - rule 6 to be precise

Question 19

What is an acceptable oral temperature range?

Answer 19

36 - 37.3 degrees celcius

Question 20

Which ONE of the following blood tests would not routinely be taken at ‘booking’?

Haemoglobin
Toxoplasmosis
Syphillis
Blood group and rhesus status

Answer 20

Toxoplasmosis

Question 21

True or False?

The femoral pulse is the most convenient and frequently used pulse point in midwifery care

Answer 21

False - The radial (wrist) is the best one

Question 22

Which THREE of the following is it essential to record on the laboratory form to ensure as much accuracy as possible in relation to Down’s syndrome screening?

Smoking status at booking
Ethnic origin of woman
Units of alcohol consumed per week
Weight of woman at screening

Answer 22

Smoking status at booking
Ethnic origin of woman
Weight of woman at screening

Question 23

What is the innermost layer of the vein called?

Answer 23

Tunica Intima

Question 24

In adult basic life support what is the ideal rate of chest compressions?

Answer 24

100-120 per minute

Question 25

True or False? | During the active feeding phase of breastfeeding, the baby should give short rapid sucks

Answer 25

False - This is at the beginning of a feed, it should be long, slow and rhythmic in the active or middle phase of a feed

Question 26

Which vitamin is recommended to be taken by women in pregnancy as a supplement to their normal dietary intake, particularly because Scotland is so dark and wet and cold

Answer 26

Vitamin D

Question 27

Which TWO of the following are recorded as part of the abdominal palpation? Presentation Denominator Numerator Lattitude

Answer 27

Presentation | Denominator

Question 28

All records relating to the care of the woman or baby must be kept securely for how many years?

Answer 28

25 years

Question 29

Which of the following are possible complications of venepuncture? ``` Nerve injury Fainting Haematoma Infection Arterial puncture ```

Answer 29

All of them

Question 30

List FIVE extrinsic factors that might contribute to pressure ulcers

Answer 30

``` Continuous force Shearing Direct pressure Friction Local ischaemia ```

Question 31

If someone is choking, how many back blows would you give them after you had encouraged them to cough?

Answer 31

Five

Question 32

What is the outer layer of the vein known as?

Answer 32

Tunica Adventitia

Question 33

Which of the following is not a type of presentation in relation to abdominal palpation? Shoulder Brow Flexed Breech

Answer 33

Flexed

Question 34

True or False? | Alpha feto protein levels would be reduced in a result where neural tube defects were present in the fetus

Answer 34

False

Question 35

How many chest compressions should you give if the victim is not breathing (or you are unsure)?

Answer 35

30

Question 36

Which hormone stimulates the formation of new blood vessels and increases blood flow to tissues?

Answer 36

Oestrogen

Question 37

Which of the following are likely to contribute to the development of pressure ulcers? ``` Dehydration Immobility Malnutrition Infection Age ```

Answer 37

All of them

Question 38

List SIX sources of vitamin D

Answer 38

``` Sunlight Oily fish Eggs Margarine Fortified cereals Supplement 10mcg daily ```

Question 39

True or False? | The veins commonly used for venepuncture are found in the popliteal fossa

Answer 39

False - Antecubital fossa

Question 40

True or False? | In abdominal palpation, the lie is the long axis of the fetus to the long axis of the uterus

Answer 40

True

Question 41

Give FIVE sources of dietary iron

Answer 41

``` Meat Eggs Pulses Wholegrain bread Dark green vegetables ```

Question 42

What are the THREE aspects of abdominal palpation?

Answer 42

Fundal Lateral Pelvic

Question 43

Which hormone relaxes smooth muscle and causes decreased peripheral resistance?

Answer 43

Progesterone

Question 44

Put the following in the order that you would undertake these procedures during abdominal examination: 1. Auscultation 2. Inspection / observation 3. Palpation / measurement

Answer 44

2 3 1

Question 45

Describe the colour and composition of the following types of lochia: Serosa Alba Rubra

Answer 45

Serosa - brown/pink altered blood and serum containing leukocytes Alba - yellowish/white consisting of cervical mucus and leukocytes Rubra - red blood from placental site

Question 46

List ELEVEN fundamental parts of the postnatal check

Answer 46

``` Pain Breast Care Involution of uterus Lochia Perineal care Wound care Elimination Feeding Vital signs Haemaglobin Emotional well being ```

Question 47

When is involution of the uterus normally completed by?

Answer 47

6-8 weeks

Question 48

The process involving the gradual reduction of the size of the uterus as it reenters the pelvis is known as what?

Answer 48

Involution

Question 49

True or False? Oxytocin is produced in the posterior pituitary and is involved in uterine contractility and 'the let down' reflex in breastfeeding

Answer 49

True

Question 50

Following birth, which occurs first, ovulation or menstruation?

Answer 50

Ovulation

Question 51

How soon following birth should women have passed urine?

Answer 51

It should be within 6 hours

Question 52

What does the mnemonic DrsABC stand for?

Answer 52

``` Danger Response Shake and shout Airways Breathing Circulation ```