Scheda di esercizi di Infermieristica ostetrica con soluzioni

La preeclampsia è un'ipertensione di nuova insorgenza dopo 20 settimane di gravidanza associata a:

1. AProteinuria o segni di disfunzione d'organo
2. BSanguinamento vaginale indolore da placenta bassa
3. CBassa glicemia
4. DEmoglobina elevata

Che cosa sono i "primi movimenti fetali" (quickening)?

1. AI primi movimenti del feto percepiti dalla donna incinta
2. BL'inizio di regolari contrazioni del travaglio
3. CLa discesa del feto nella pelvi a fine gravidanza
4. DIl primo battito cardiaco fetale udito con il Doppler

A "contraction stress test" assesses how the fetus responds to:

1. ALoud sound applied to the abdomen
2. BA change in maternal position only
3. CMaternal exercise on a treadmill
4. DReduced blood flow during contractions

Una donna con preeclampsia riferisce una forte cefalea e la visione di lampi luminosi. Che cosa suggerisce?

1. APreeclampsia con segni di gravità, con rischio di eclampsia
2. BUna cefalea tensiva, frequente e innocua a fine gravidanza
3. CBassa glicemia
4. DNormali effetti del solfato di magnesio

Why are afterpains often stronger in multiparous women?

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

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

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

A woman at 16 weeks says she drinks four cups of strong coffee a day. Which response is most appropriate?

1. AAdvise switching to energy drinks, which contain less caffeine
2. BTell her coffee has no effect on pregnancy and she can continue
3. CTell her to switch to strong tea, which has no caffeine
4. DAdvise limiting caffeine to about 200 mg a day, roughly two cups of coffee

Fluid leaking from the vagina is tested. Which result supports rupture of the membranes?

1. AFluid that smells of ammonia
2. BA ferning pattern on a dried slide under the microscope
3. CFluid that contains glucose on a urine dipstick
4. DA nitrazine test that turns yellow, showing acidic fluid