Werkblad Verloskundige verpleegkunde met antwoorden

De "vierde fase" van de bevalling verwijst naar:

1. ADe eerste 6 weken na de geboorte
2. BDe tijd van het begin van regelmatige weeën tot volledige ontsluiting
3. CDe eerste 1 tot 2 uur na de geboorte van de placenta
4. DDe periode van persen

De regel van Naegele berekent de uitgerekende datum vanaf de eerste dag van de laatste menstruatie (LMP). Welke berekening hoort daarbij?

1. A7 dagen aftrekken, 3 maanden optellen en 1 jaar optellen
2. B7 dagen optellen en 3 maanden optellen
3. C7 dagen optellen, 3 maanden aftrekken en 1 jaar optellen
4. D14 dagen optellen en 10 maanden optellen

The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:

1. ASpider naevi
2. BStriae gravidarum
3. CLinea nigra
4. DChloasma

On abdominal palpation at 39 weeks, only 2/5 of the fetal head can be felt above the pelvic brim. How is this interpreted?

1. AThe head is crowning at the vulva
2. BThe head is engaged in the pelvis
3. CThe head is free above the pelvic brim
4. DThe fetus is in a breech presentation

On day 1 after birth, a woman's white cell count is mildly raised and she has no symptoms. How should this be interpreted?

1. AIt shows she is dehydrated
2. BIt means she has leukaemia
3. CIt can be normal soon after birth
4. DIt proves she has an infection

A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?

1. AReport it at once because it is a sign of a clotting disorder
2. BUse a soft brush and keep up routine dental care
3. CStop brushing until the bleeding has settled after birth
4. DAvoid all dental visits until after the baby is born

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

Over the last hour, a labour tracing shows variable decelerations that are becoming deeper and longer, a baseline rising from 135 to 165 bpm and falling variability. How should the nurse interpret this?

1. AA sign of fetal well-being; no action is needed
2. BA normal fetal sleep cycle; recheck in an hour
3. CEvolving fetal hypoxia; escalate for urgent obstetric review
4. DBenign head compression; continue routine monitoring