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Which phase of the first stage of labour is often marked by irritability, nausea, shaking and a feeling of losing control?

1. ALatent phase
2. BEarly active phase
3. CThird stage
4. DTransition

Waar zijn bekkenbodemoefeningen (Kegel) voor bedoeld?

1. ADe melkproductie verhogen
2. BDe bekkenbodemspieren versterken en urine-incontinentie helpen voorkomen
3. CEen stuitligging in de laatste weken van de zwangerschap omdraaien naar hoofdligging
4. DDe bloeddruk verlagen

What does "effacement" of the cervix mean?

1. AOpening of the external cervical os
2. BSoftening of the cervix in early pregnancy
3. CThinning and shortening of the cervix
4. DDescent of the presenting part into the pelvis

A woman at 24 weeks reports burning on urination and urinary frequency. What is the priority action?

1. ACollect a urine sample for culture and inform the provider
2. BReassure her that urinary frequency is normal in pregnancy
3. CAdvise cranberry juice and no further action
4. DAdvise her to drink less to reduce frequency

Obesity before pregnancy (BMI 40) most increases the risk of which pregnancy complication?

1. AHyperemesis gravidarum
2. BPlacenta praevia only
3. CGestational diabetes
4. DLow birth weight from overnutrition

Why are afterpains often stronger in multiparous women?

1. AThey produce no oxytocin after birth
2. BTheir uterus contracts and relaxes more irregularly
3. CThey have a smaller uterus than first-time mothers
4. DTheir uterus is always infected

A woman says she was told her non-invasive prenatal test (cell-free DNA) is "high chance" for trisomy 21. Which statement by the nurse is accurate?

1. AThe test analyses fetal cells from the amniotic fluid
2. BA high-chance result means the test should simply be repeated at birth
3. CIt is a screening test, so a diagnostic test is offered to confirm it
4. DThe result is diagnostic and the baby definitely has trisomy 21

After birth of the head, the nurse feels the umbilical cord loosely around the baby's neck. What is the appropriate action?

1. APush the baby's head back into the vagina
2. BSlip the loop over the head or let the body deliver through it
3. CClamp and cut the cord before the shoulders deliver in every case
4. DAsk the woman to stop pushing for 30 minutes