Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email or call +27 76 657 0353.

Visit for information.

Test 15: Communication

  1. Communication with parents can be improved by:
    • Giving them complicated explanations
    • Speaking to them separately
    • Telling them not to worry
    • Allowing them to ask questions
  2. When an infant is sick it is best:
    • To tell the parents the truth
    • Not to give the parents all the information so that they do not worry
    • To only tell the father that the infant is sick
    • To avoid the parents and thereby give the infant time to recover before the parents realise that the infant was sick
  3. What is bonding?
    • It is the emotional relationship between a husband and wife.
    • It is the love that a mother develops for her infant only after the infant is born.
    • It is the memory that parents have after their infant has died.
    • It is the emotional relationship that parents develop with their infant during pregnancy and the first weeks of life.
  4. How can bonding be encouraged?
    • Allow the mother to have a good sleep before letting her put her infant to the breast for the first time.
    • Allow the mother to room-in with her infant.
    • Do not allow the other children to visit the mother and infant in hospital.
    • Allow the father to see his infant through the nursery window.
  5. The following should be able to visit a preterm infant that has to stay in the nursery for many weeks:
    • Only the mother
    • Only the mother and the father
    • Only the parents and the grandparents
    • The parents, their other children, and the grandparents
  6. Bad news should be given to parents:
    • Only when the mother has fully recovered from her delivery
    • Only by a doctor
    • As soon as possible
    • Only after they have been given a sedative
  7. Parents who visit a sick infant in the nursery should:
    • Wash their hands before touching the infant.
    • Not touch the infant to prevent the spread of infection.
    • Always wear masks.
    • Put on a sterile gown.
  8. The bereavement process:
    • Is normal.
    • Is only seen in very emotional people.
    • Is not experienced by well-educated people.
    • Should be prevented if possible to help the parents get over the death of their infant.
  9. What is usually the first stage in the bereavement process?
    • Anger
    • Denial
    • Depression
    • Bargaining
  10. A common sign of depression after an infant dies is:
    • Wanting to talk about the infant all the time
    • Being unable to sleep
    • An increased appetite
    • Headaches
  11. After an infant has died the nursing staff should:
    • Always put the mother in a single room.
    • Avoid speaking to the mother about the dead infant.
    • Force the parents to see the infant’s body.
    • Allow the parents to keep a memento, such as the name band, for the mother.
  12. What should you say to a mother who has had a stillbirth?
    • You are sorry that the infant died.
    • She should fall pregnant again as soon as possible.
    • She should try and forget about the infant.
    • She is lucky that the infant did not die after suffering for a few weeks in the nursery.
  13. How can communication between a clinic and the referral hospital be improved?
    • Only doctors should discuss transfers.
    • Do not ask for advice after hours.
    • Ask the ambulance service to decide when infants need to be transported.
    • Write good notes when infants are transferred.
  14. Which infants should be transferred to hospital?
    • All low birth weight infants
    • Preterm infants, especially infants below 36 weeks
    • All twins
    • All jaundiced infants
  15. What is the best method of keeping an infant warm during transfer?
    • Allow the nurse to hold the infant in her arms.
    • Put the infant into a box with hot water bottles.
    • Wrap the infant in plastic sheeting.
    • Allow parents to provide kangaroo mother care.
  16. What is one of the greatest dangers during transfer?
    • Vomiting
    • Hypoglycaemia
    • Hyperthermia (getting too hot)
    • Cot death
  17. What is the expected low birth weight rate in a developing country?
    • Less than 5%
    • Less than 10%
    • More than 10%
    • More than 50%
  18. What is the early neonatal mortality rate in most developing countries?
    • About 1/1000
    • About 5/1000
    • More than 10/1000
    • At least 50/1000
  19. Why is it important to know the low birth weight rate and mortality rates in the area where you work?
    • Many low birth weight infants indicates that the antenatal care is poor.
    • Few low birth weight infants suggests that health services are adequate.
    • A similar number of stillbirths and early neonatal deaths suggests that the community is poor and undeveloped.
    • Few low birth weight infants but a high early neonatal mortality rate suggests that the perinatal health services are inadequate.
  20. What is a common cause of early neonatal death in a developing country?
    • Intrapartum hypoxia
    • Acquired immunodeficiency syndrome (AIDS)
    • Postterm pregnancy
    • Cot death