Scheda di esercizi di Infermieristica ostetrica con soluzioni

Quale descrizione corrisponde al "baby blues" dopo il parto?

1. APensieri di fare del male al bambino che persistono per mesi
2. BUmore depresso, perdita di interesse e sonno scarso che durano più di 2 settimane e compromettono la vita quotidiana
3. CAllucinazioni e confusione che iniziano all'improvviso nelle prime settimane dopo il parto
4. DPianto facile e sbalzi d'umore che iniziano entro pochi giorni e si risolvono entro circa 2 settimane

Poco dopo il parto il fondo dell'utero appare molle e flaccido. Qual è la prima azione infermieristica?

1. AApplicare un impacco di ghiaccio sul perineo
2. BRegistrare il reperto e rivalutare il fondo dopo 4 ore
3. CMassaggiare il fondo sostenendo il segmento uterino inferiore
4. DFar bere alla donna un grande bicchiere d'acqua

Which fetal position is the most common and favourable for a vaginal birth?

1. ARight mentum posterior (RMP)
2. BLeft occiput anterior (LOA)
3. CRight occiput posterior (ROP)
4. DLeft sacrum anterior (LSA)

Which finding in a term newborn's first hours is normal?

1. AA respiratory rate of 80 at rest with retractions
2. BPauses in breathing of 30 seconds with bradycardia
3. CCentral cyanosis of the lips and tongue
4. DShort breathing pauses with no colour change

A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?

1. AFeed the baby and recheck the glucose
2. BGive IV insulin immediately
3. CWithhold feeds and observe for 6 hours
4. DGive the baby plain water by bottle

A woman who has had a caesarean asks when she can drive again. Which answer is most accurate?

1. AOnly after her stitches are removed by a doctor
2. BWhen she can brake hard without pain
3. CNever before 6 months
4. DThe same day she is discharged

A newborn whose mother had a fever and prolonged rupture of membranes is well at birth. Why does the nurse monitor this baby closely?

1. AThe baby has a higher risk of hip dysplasia
2. BThe baby has a higher risk of early sepsis
3. CThe baby is likely to be post-term
4. DThe baby will certainly develop jaundice

Ten days after birth, a woman phones to say her bleeding has suddenly become heavy and bright red with clots, with lower abdominal pain and a temperature of 38,2 °C (100,8 °F). Which response is most appropriate?

1. ATell her it is probably her first period and needs no action
2. BAdvise her to use tampons so the blood loss is easier to measure
3. CAsk her to come in now; retained tissue or infection is possible
4. DReassure her that lochia rubra often returns and review at 6 weeks