ورقة عمل تمريض الأمومة والتوليد مع الإجابات

Which phase of the first stage of labour is often marked by irritability, nausea, shaking and a feeling of losing control?

1. AEarly active phase
2. BLatent phase
3. CTransition
4. DThird stage

Why are preterm babies at risk of retinopathy of prematurity?

1. ATheir eyelids are fused at birth
2. BThey have too much vitamin K in their blood
3. CBright light in the nursery causes cataracts
4. DTheir immature retinal vessels can grow abnormally

When can most women safely resume sexual intercourse after a vaginal birth?

1. AImmediately on the day of birth
2. BOnly after exactly 6 months
3. COnly after she stops breastfeeding
4. DWhen bleeding has stopped and she feels ready

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

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

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. BRestrict all oral and IV fluids
3. CKeep her lying flat on her back
4. DCheck her blood pressure and bladder often

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

1. ALow urine output shows that the magnesium is working
2. BMagnesium causes a large diuresis that leads to dehydration
3. CUrine output tells the nurse exactly when to stop the infusion after the birth
4. DMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity

The triage nurse receives four phone calls from pregnant women. Who should be told to come in immediately?

1. AAt 12 weeks with mild nausea in the mornings
2. BAt 25 weeks with mild backache after standing
3. CAt 30 weeks with heartburn after large meals
4. DAt 36 weeks with constant pain and a hard uterus

A woman says she was told her non-invasive prenatal test (cell-free DNA) is "high chance" for trisomy 21. Which statement by the nurse is accurate?

1. AThe test analyses fetal cells from the amniotic fluid
2. BA high-chance result means the test should simply be repeated at birth
3. CIt is a screening test, so a diagnostic test is offered to confirm it
4. DThe result is diagnostic and the baby definitely has trisomy 21