解答つき母性看護・産科看護ワークシート

前置胎盤に典型的な徴候はどれですか？

1. A常に暗赤色で凝血を伴う出血
2. B高熱と悪臭のあるおりもの
3. C硬い子宮を伴う強い腹痛
4. D痛みのない鮮紅色の腟出血

A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?

1. ALie flat on her back and raise both legs
2. BPoint the toes downwards as far as possible
3. CMassage the calf firmly with the knee bent
4. DStraighten the leg and pull the foot upwards

By what age have nearly all healthy term babies passed their first meconium?

1. AAfter the umbilical cord falls off
2. BBy 48 hours
3. CWithin 5 to 7 days
4. DOnly after the first formula feed

A woman at 28 weeks is Rh-negative and has a positive antibody screen for anti-D. What does this mean?

1. AHer baby is definitely Rh-negative
2. BThe result is normal and needs no further action
3. CShe is sensitised; the fetus is watched for anaemia
4. DShe needs a double dose of anti-D immunoglobulin

Which breastfeeding mother should be advised not to breastfeed?

1. AA mother with a common cold
2. BA mother with mastitis
3. CA mother who had a caesarean birth
4. DA mother receiving chemotherapy

A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?

1. AExplain the risks without judgement and offer safer treatments
2. BRefuse to continue her care until she stops
3. CTell her that cannabis is a natural remedy and safe in pregnancy
4. DAdvise her to switch to tobacco instead

産後 6 時間たっても、女性が排尿していません。子宮底はぶよぶよと柔らかく右に偏位し、出血が増えています。これが優先事項なのはなぜですか？

1. A膀胱が充満すると子宮が収縮できず、出血が増えるため
2. B膀胱の充満は正常な回復のサインであるため
3. C硬膜外麻酔がまだよく効いていることを示すため
4. D尿閉は経腟分娩後ではなく、帝王切開後にだけ問題になるため

A woman is 10 cm dilated with an urge to push. The fetal head is at station 0 and the tracing is normal. Which approach is supported by current practice?

1. ATell her not to push until the head is visible
2. BAsk her to push continuously from 7 cm onwards
3. CInsist she lies flat on her back and holds her breath for long periods
4. DLet her push with her urge in a position she prefers