Lembar kerja Keperawatan maternitas & obstetri dengan jawaban

What is polyhydramnios?

1. AAn excess of amniotic fluid
2. BToo little amniotic fluid
3. CGreen-stained amniotic fluid
4. DLeakage of amniotic fluid

Using US (ACOG) definitions, preterm labour is labour that begins:

1. ABetween 20 and 37 weeks
2. BBefore 20 weeks of pregnancy
3. CAt any time before the due date at 40 weeks
4. DAfter 42 weeks of pregnancy

What is the main role of a support person such as a doula in labour?

1. AContinuous emotional and physical support
2. BPerforming vaginal examinations
3. CInterpreting the fetal heart rate tracing
4. DGiving pain medication

Why must the fetal heart rate be monitored before and after external cephalic version?

1. AIt is used to diagnose gestational diabetes
2. BIt confirms the baby's sex
3. CThe procedure can cause cord compression or abruption
4. DIt is needed only to record the baby's position for billing

A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?

1. AHeparin can be taken as a tablet once a day
2. BHeparin crosses the placenta better and also protects the fetus
3. CWarfarin crosses the placenta and can harm the fetus
4. DWarfarin is ineffective in pregnancy

The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?

1. ABelow the umbilicus on the mother's left side
2. BAbove the umbilicus on the mother's left side
3. CAbove the umbilicus on the mother's right side
4. DDirectly over the fundus

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

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

A woman at 30 weeks reports a sudden gush of clear fluid from the vagina without contractions. What is the priority nursing action?

1. AAssess the fetal heart rate and check the fluid, and avoid a digital examination
2. BAdvise a warm bath to see whether the leaking stops
3. CPerform a digital vaginal examination to check dilation
4. DReassure her that it is urine and send her home