Werkblad Verloskundige verpleegkunde met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
A second-degree perineal tear involves:
AThe anal sphincter muscle complex
BThe rectal mucosa and anal sphincter
CThe skin, vaginal mucosa and perineal muscles
DOnly the perineal skin and vaginal mucosa
2.Makkelijk
An ultrasound report says "oligohydramnios". What does this mean?
AInfection of the amniotic fluid
BBlood in the amniotic fluid
CToo much amniotic fluid
DToo little amniotic fluid
3.Makkelijk
A woman lists her symptoms. Which one is a presumptive (subjective) sign of pregnancy?
AAmenorrhoea
BA positive pregnancy test
CBallottement of the fetus
DFetal heart tones heard by Doppler
4.Gemiddeld
Which feature suggests a newborn is preterm rather than term?
ALabia majora covering the labia minora
BCreases covering the whole sole
CFirm ear cartilage that springs back
DPlantar creases only on the front of the sole
5.Gemiddeld
Which feature best distinguishes true labour from false labour?
AContractions that are felt only in the lower abdomen
BDiscomfort that eases with a warm bath and rest
CProgressive dilation and effacement of the cervix
DContractions that stop when the woman walks around
6.Gemiddeld
Why is tight glucose control before conception important in women with pre-existing diabetes?
AIt prevents the need for any monitoring during pregnancy
BIt prevents the mother from developing pre-eclampsia
CEarly hyperglycaemia raises the risk of birth defects
DIt guarantees that the baby will be born at term
7.Moeilijk
A woman at 20 weeks presents with painless cervical dilation and bulging membranes, without contractions. She lost a previous pregnancy in the same way. What is the likely diagnosis?
ACervical insufficiency
BPlacental abruption
CPreterm labour caused by infection
DPlacenta praevia
8.Moeilijk
A woman at 30 weeks reports a sudden gush of clear fluid from the vagina without contractions. What is the priority nursing action?
AAdvise a warm bath to see whether the leaking stops
BAssess the fetal heart rate and check the fluid, and avoid a digital examination
CReassure her that it is urine and send her home
DPerform a digital vaginal examination to check dilation
Antwoordenblad
1. C · The skin, vaginal mucosa and perineal muscles
2. D · Too little amniotic fluid
3. A · Amenorrhoea
4. D · Plantar creases only on the front of the sole
5. C · Progressive dilation and effacement of the cervix
6. C · Early hyperglycaemia raises the risk of birth defects
7. A · Cervical insufficiency
8. B · Assess the fetal heart rate and check the fluid, and avoid a digital examination
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