ورقة عمل تمريض الأمومة والتوليد مع الإجابات

How should a postnatal woman clean her perineum after using the toilet?

1. AUse a scented douche each time she voids
2. BAvoid washing the area for a week
3. CWipe from back to front with dry paper
4. DRinse with water and wipe front to back

What is a uterine inversion?

1. AThe uterus tilts backwards towards the spine
2. BThe uterus tears along an old caesarean scar
3. CThe uterus turns inside out after birth
4. DThe placenta implants low in the uterus

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

1. AHaemoglobin electrophoresis
2. BIndirect Coombs test (antibody screen)
3. CDirect Coombs test on the mother's red cells
4. DProthrombin time

A woman at 28 weeks asks why her heart rate is higher than before pregnancy. Which response is accurate?

1. AA rise of about 10 to 15 beats per minute is normal in pregnancy
2. BThe heart rate rises because blood pressure is much higher in pregnancy
3. CHeart rate normally falls in pregnancy, so this needs urgent review
4. DA higher heart rate in pregnancy always points to heart disease

Why is indomethacin generally not used as a tocolytic after about 32 weeks?

1. AIt causes severe maternal hypertension
2. BIt triggers maternal hypoglycaemia
3. CIt stimulates stronger contractions late in pregnancy
4. DIt can close the fetal ductus arteriosus too early

Why is the hearing of newborns screened before discharge or soon after birth?

1. AIt detects congenital heart disease
2. BEarly support improves language development
3. CIt is required before vitamin K can be given
4. DHearing loss can be cured with a single injection

بعد ساعة من الولادة المهبلية، قاع الرحم متماسك عند السرة، لكن هناك سيلان مستمر من دم أحمر فاتح. ما السبب الأرجح؟

1. Aارتخاء الرحم مع تجمع الدم فيه
2. Bمثانة ممتلئة
3. Cهَلَبة حمراء طبيعية
4. Dتمزق في عنق الرحم أو المهبل أو العجان

Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?

1. AAmniotic fluid embolism
2. BCervical laceration
3. CUterine inversion
4. DUterine atony