ورقة عمل تمريض الأمومة والتوليد مع الإجابات

Which type of vaccine is generally avoided during pregnancy?

1. ATetanus toxoid vaccines
2. BInactivated influenza vaccines
3. CLive attenuated vaccines, such as MMR
4. DVaccines against whooping cough

What is the "bloody show"?

1. AGreen fluid leaking from the vagina
2. BBlood-tinged mucus as the cervix starts to change
3. CDark red bleeding with constant abdominal pain
4. DHeavy bright red bleeding before labour

Which sign is often the earliest sign of sepsis in a newborn?

1. AA bulging anterior fontanelle at birth
2. BA high fever above 40 °C (104 °F) on the first day
3. CUnstable temperature and poor feeding
4. DA loud, vigorous cry

On day 1 after birth, a woman's white cell count is mildly raised and she has no symptoms. How should this be interpreted?

1. AIt proves she has an infection
2. BIt shows she is dehydrated
3. CIt means she has leukaemia
4. DIt can be normal soon after birth

Which finding in a term newborn's first hours is normal?

1. ACentral cyanosis of the lips and tongue
2. BShort breathing pauses with no colour change
3. CPauses in breathing of 30 seconds with bradycardia
4. DA respiratory rate of 80 at rest with retractions

A woman at 39 weeks with a healthy pregnancy asks about walking in early labour. What is the best advice?

1. AUpright positions always make labour slower
2. BWalking will cause the cord to prolapse
3. CShe must stay in bed on her back for the whole labour
4. DWalking and upright positions can help progress

Which finding is a sign that the placenta is separating in the third stage of labour?

1. ASudden severe abdominal pain
2. BA gush of blood and lengthening of the cord
3. CImmediate fall in maternal blood pressure
4. DThe uterus becomes soft and wide

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. BDo not stop it suddenly; arrange urgent specialist review
3. CStop the drug today because it causes birth defects
4. DHalve the dose herself to reduce the risk to the baby