Lembar kerja Keperawatan maternitas & obstetri dengan jawaban

Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?

1. AProtein
2. BLow specific gravity
3. CNormal colour
4. DTrace leucocytes only

How should the umbilical cord stump be cared for at home?

1. APull it off once it starts to dry
2. BCover it tightly with a plaster
3. CKeep it clean, dry and outside the nappy
4. DApply baby oil to soften it

Which drug class is used to ripen an unfavourable cervix before induction?

1. ACorticosteroids
2. BProstaglandins
3. CBeta blockers
4. DTocolytics

Why is indomethacin generally not used as a tocolytic after about 32 weeks?

1. AIt can close the fetal ductus arteriosus too early
2. BIt stimulates stronger contractions late in pregnancy
3. CIt causes severe maternal hypertension
4. DIt triggers maternal hypoglycaemia

Which factors help start the newborn's first breath?

1. AChemical, thermal, mechanical and sensory cues
2. BOnly the baby's first cry from hunger
3. COnly the cutting of the umbilical cord
4. DOnly the pressure from the obstetrician's hand

A pregnant woman takes an iron supplement. Which instruction improves its absorption?

1. ATake it with an antacid to protect the stomach
2. BTake it with orange juice rather than with tea
3. CTake it with coffee to reduce nausea
4. DTake it together with milk or a calcium tablet

A woman with gestational diabetes asks if she will have diabetes after the baby is born. Which reply is accurate?

1. AIt never returns, so no further glucose testing is needed after birth
2. BIt usually resolves, but her risk of type 2 diabetes stays higher
3. CIt will continue unless she stops breastfeeding
4. DIt always becomes type 1 diabetes after birth

A woman with a history of postnatal depression is pregnant again. What is the most appropriate plan?

1. APlan early support and monitoring before and after birth
2. BTell her that breastfeeding will prevent it
3. CAdvise her that it will not happen again
4. DWait to see whether depression returns after birth