ورقة عمل تمريض الأمومة والتوليد مع الإجابات

When should a healthy newborn normally pass urine for the first time?

1. AWithin the first 24 hours
2. BWithin the first hour only
3. CWithin the first 72 hours
4. DAfter the first week

Which teratogenic effect is linked with maternal rubella infection in early pregnancy?

1. ALimb reduction defects and missing fingers
2. BNeural tube defects
3. CCleft lip, cleft palate and club foot
4. DDeafness, cataracts and heart defects

During a vaginal examination in labour, the examiner feels the small triangular fontanelle at the front of the pelvis. What does this suggest?

1. AA face presentation
2. BAn occiput anterior position
3. CAn occiput posterior position
4. DA breech presentation

Why do newborns become cold so easily?

1. AThey cannot produce heat at all
2. BThey have a large surface area and little fat
3. CTheir blood is thicker than adult blood
4. DThey sweat more than adults

A woman with a normal pre-pregnancy BMI asks how much weight she should gain. Which range do the widely used US Institute of Medicine guidelines recommend?

1. AAbout 11,5 to 16 kg
2. BAbout 18 to 23 kg
3. CAbout 2 to 4 kg
4. DAbout 5 to 9 kg

On abdominal palpation at 39 weeks, only 2/5 of the fetal head can be felt above the pelvic brim. How is this interpreted?

1. AThe head is free above the pelvic brim
2. BThe head is engaged in the pelvis
3. CThe head is crowning at the vulva
4. DThe fetus is in a breech presentation

A woman at 26 weeks has a haemoglobin of 95 g/L (9,5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?

1. AIntravenous iron
2. BStopping iron and waiting until after birth
3. CDoubling her caffeine intake
4. DA routine blood transfusion

At 4 hours, a newborn's temperature is 37,9 °C (100,2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?

1. ARemove extra layers and recheck
2. BPlace him in a cold bath
3. CStart antibiotics without further assessment
4. DGive an antipyretic medicine immediately