ورقة عمل تمريض الأمومة والتوليد مع الإجابات

تنتهي المرحلة الأولى من المخاض عندما:

1. Aيولد الطفل
2. Bتُطرح المشيمة
3. Cتصبح الانقباضات منتظمة
4. Dيتوسع عنق الرحم كليًا (10 cm)

علامة هيغار (Hegar's sign)، وهي لين القطعة السفلية للرحم يجدها الفاحص، تُصنَّف على أنها:

1. Aعلامة محتملة للحمل
2. Bعلامة خطر في الحمل
3. Cعلامة إيجابية للحمل
4. Dعلامة ظنّية للحمل

Which anaesthesia is usually used for a planned caesarean birth?

1. ALocal infiltration of the perineum
2. BInhaled nitrous oxide only
3. CPudendal nerve block
4. DSpinal anaesthesia

A woman at 26 weeks asks which symptom she should report straight away. Which one is a danger sign?

1. AMild swelling of the ankles at the end of the day
2. BIncreased vaginal discharge that is white and odourless
3. CSudden swelling of the face and hands with a headache
4. DOccasional heartburn after large meals

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

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

Routine screening at the booking visit shows asymptomatic bacteriuria. Why is treatment important even though the woman has no symptoms?

1. ATreatment is not needed because it will settle after birth
2. BIt is treated only to prevent bladder stones
3. CIt will cause gestational diabetes later in the pregnancy if left untreated
4. DIt can progress to pyelonephritis and trigger preterm labour

A woman at 12 weeks has light bleeding and mild cramping. The cervix is closed and fetal heart activity is seen on ultrasound. How is this classified?

1. AIncomplete miscarriage
2. BMissed miscarriage
3. CThreatened miscarriage
4. DInevitable miscarriage