解答つき母性看護・産科看護ワークシート

Which is a non-drug method of labour pain relief?

1. AInhaled nitrous oxide
2. BWarm water immersion
3. CPethidine (meperidine) injection
4. DEpidural analgesia

What is ballottement in pregnancy?

1. AContractions that do not dilate the cervix
2. BThe first fetal movements felt by the mother
3. CThe fetus rebounds when pushed by the examiner
4. DBluish colour of the cervix

What is the main aim of tocolytic drugs such as nifedipine in preterm labour?

1. AMaturing the fetal lungs
2. BSuppressing uterine contractions
3. CPreventing maternal seizures
4. DRipening the cervix

Why is a baby of a mother with poorly controlled diabetes often large?

1. AThe baby inherits a gene for large size
2. BThe mother's insulin crosses the placenta
3. CDiabetes always prolongs the pregnancy
4. DFetal hyperinsulinaemia acts as a growth hormone

A pregnant woman taking iron says her stools have turned black. What is the best response?

1. AExplain that this is an expected effect of iron
2. BTell her to stop the iron immediately
3. CTell her to double the dose of the tablets
4. DAdvise her to go to the emergency department now

Which breastfeeding mother should be advised not to breastfeed?

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

硫酸マグネシウムを点滴中の女性の呼吸数が 10 回/分で、膝蓋腱反射が消失しています。看護師が最初にすべきことは何ですか？

1. Aナロキソンを 1 回投与する
2. B点滴を止めて医療者に緊急連絡し、グルコン酸カルシウムを準備する
3. Cこれらの徴候は子癇前症が悪化している証拠なので、点滴の速度を上げる
4. D2 時間後に反射をもう一度確認する

A labouring woman feels intense rectal pressure and says "the baby is coming". She was 7 cm 20 minutes ago. What should the nurse do first?

1. ALeave her to get the birth equipment from the store
2. BGive her an opioid for the pain
3. CTell her it is too early and to stop pushing
4. DCheck whether the head is visible and stay with her