Lembar kerja Keperawatan maternitas & obstetri dengan jawaban

Which sign is often the earliest sign of sepsis in a newborn?

1. AA loud, vigorous cry
2. BA high fever above 40 °C (104 °F) on the first day
3. CA bulging anterior fontanelle at birth
4. DUnstable temperature and poor feeding

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 posterior position
3. CA breech presentation
4. DAn occiput anterior position

Smoking in pregnancy is most strongly linked with which outcome?

1. ALow birth weight
2. BMacrosomia
3. CPost-term pregnancy
4. DPolyhydramnios

A woman with pre-eclampsia is on magnesium sulfate. Which task can be delegated to a healthcare assistant (unlicensed assistive personnel)?

1. AMeasuring and recording urine output
2. BAssessing her deep tendon reflexes
3. CEvaluating her for signs of toxicity
4. DAdjusting the magnesium infusion rate

Why are afterpains often stronger in multiparous women?

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

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

Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?

1. AAmniotic fluid embolism
2. BUterine inversion
3. CCervical laceration
4. DUterine atony

A woman with known mitral stenosis is pregnant. When is she at greatest risk of heart failure?

1. AOnly during the first stage of labour
2. BRisk is the same at every point in pregnancy
3. CWhen blood volume peaks in late pregnancy and in the hours after birth
4. DOnly in the first trimester, when nausea is worst