Werkblad Verloskundige verpleegkunde met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Using US (ACOG) definitions, preterm labour is labour that begins:
AAt any time before the due date at 40 weeks
BBetween 20 and 37 weeks
CBefore 20 weeks of pregnancy
DAfter 42 weeks of pregnancy
2.Makkelijk
By what age have nearly all healthy term babies passed their first meconium?
AAfter the umbilical cord falls off
BBy 48 hours
COnly after the first formula feed
DWithin 5 to 7 days
3.Makkelijk
Kort na de geboorte voelt de fundus week en slap aan. Wat is de eerste verpleegkundige handeling?
ADe bevinding noteren en de fundus over 4 uur opnieuw beoordelen
BEen icepack op het perineum leggen
CDe fundus masseren terwijl het onderste deel van de baarmoeder wordt ondersteund
DDe vrouw een groot glas water geven
4.Gemiddeld
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
AWear a supportive bra and use cold packs
BExpress milk often to relieve fullness
CMassage the breasts to stimulate milk flow
DApply warm showers to the breasts several times a day
5.Gemiddeld
A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?
AMagnesium causes a large diuresis that leads to dehydration
BLow urine output shows that the magnesium is working
CUrine output tells the nurse exactly when to stop the infusion after the birth
DMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
6.Gemiddeld
A pregnant woman taking iron says her stools have turned black. What is the best response?
ATell her to double the dose of the tablets
BAdvise her to go to the emergency department now
CExplain that this is an expected effect of iron
DTell her to stop the iron immediately
7.Moeilijk
A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?
AUterine tone, bleeding and newborn injury
BOnly the mother's temperature
CThe mother's ability to walk alone
DOnly the newborn's blood glucose
8.Moeilijk
A woman 1 day after a caesarean asks how to hold her baby for breastfeeding without pressure on her wound. Which position is best?
AStanding up while breastfeeding
BLying flat on her back with the baby on her abdomen
CThe cradle hold with the baby across the incision
DThe football (rugby) hold or side-lying
Antwoordenblad
1. B · Between 20 and 37 weeks
2. B · By 48 hours
3. C · De fundus masseren terwijl het onderste deel van de baarmoeder wordt ondersteund
4. A · Wear a supportive bra and use cold packs
5. D · Magnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
6. C · Explain that this is an expected effect of iron
7. A · Uterine tone, bleeding and newborn injury
8. D · The football (rugby) hold or side-lying
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