ورقة عمل تمريض الأمومة والتوليد مع الإجابات

What causes the let-down (milk ejection) reflex?

1. AHuman placental lactogen
2. BProlactin
3. CInsulin
4. DOxytocin

Which fetal structure carries oxygen-rich blood from the placenta to the fetus?

1. AThe umbilical arteries
2. BThe pulmonary artery
3. CThe umbilical vein
4. DThe ductus arteriosus

What is lochia alba?

1. APink to brown discharge from about day 4 to day 10
2. BWhite-yellow discharge in the later weeks
3. CGreen, foul-smelling discharge
4. DBright red discharge in the first days

A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?

1. AAvoiding all fluids to prevent loose stools
2. BSitz baths, cold pads and stool softeners
3. CSitting on a hard surface for long periods
4. DStraining hard to open the bowels

Why are afterpains often stronger in multiparous women?

1. ATheir uterus contracts and relaxes more irregularly
2. BThey produce no oxytocin after birth
3. CTheir uterus is always infected
4. DThey have a smaller uterus than first-time mothers

Which nursing measure is used during phototherapy?

1. ARemove the eye shields while the lights are on
2. BTurn the baby often and monitor hydration
3. CKeep the baby fully clothed under the lights
4. DLimit feeds to reduce stooling

Women with pre-eclampsia can develop complications after birth. Which statement in discharge teaching is correct?

1. AAll risk ends once the placenta has been delivered
2. BSeizures cannot happen after the baby and placenta are born
3. CBlood pressure always returns to normal within 1 hour of birth
4. DIt can still develop after birth, so report headache or visual changes

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