ورقة عمل تمريض الأمومة والتوليد مع الإجابات

Which blood test on the mother detects antibodies against Rh-positive red cells?

1. AProthrombin time
2. BDirect Coombs test on the mother's red cells
3. CHaemoglobin electrophoresis
4. DIndirect Coombs test (antibody screen)

What is ballottement in pregnancy?

1. AContractions that do not dilate the cervix
2. BBluish colour of the cervix
3. CThe first fetal movements felt by the mother
4. DThe fetus rebounds when pushed by the examiner

What is the purpose of an episiotomy?

1. ATo prevent all perineal pain after birth
2. BTo widen the vaginal outlet with a cut
3. CTo speed up cervical dilation
4. DTo remove the placenta

A woman's epidural has just been inserted. Which nursing action is a priority in the next hours?

1. AEncourage her to walk around the room on her own
2. BCheck her blood pressure and bladder often
3. CRestrict all oral and IV fluids
4. DKeep her lying flat on her back

A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?

1. AIt must be stopped if she chooses to breastfeed her baby
2. BIt is injected under the skin; report unusual bleeding
3. CIt is given into the muscle of the thigh
4. DIt is a tablet taken with meals

Which position of the fetal head presents the smallest diameter to the pelvis?

1. AFull flexion, with the chin on the chest
2. BA neutral position with no flexion
3. CPartial extension, with the brow presenting
4. DFull extension, with the face presenting

A woman who had a stillbirth asks the nurse why it happened. What is the most appropriate response?

1. ATell her it was probably something she ate
2. BChange the subject to avoid upsetting her
3. CAcknowledge her grief; tests may find a cause
4. DTell her she should not have exercised

A woman at 8 weeks takes valproate for epilepsy. She asks whether she should stop it. Which response is best?

1. AContinue as usual because epilepsy drugs are all safe in pregnancy
2. BHalve the dose herself to reduce the risk to the baby
3. CStop the drug today because it causes birth defects
4. DDo not stop it suddenly; arrange urgent specialist review