Pielęgniarstwo położnicze: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

By what age have nearly all healthy term babies passed their first meconium?

  1. ABy 48 hours
  2. BOnly after the first formula feed
  3. CAfter the umbilical cord falls off
  4. DWithin 5 to 7 days
2.Łatwy

What is a nuchal cord?

  1. AA cord wrapped around the baby's neck
  2. BA cord that is unusually short
  3. CA cord with only two vessels
  4. DA cord that comes out before the baby
3.Łatwy

In Rubin's "taking-in" phase after birth, the mother typically:

  1. AFocuses on her own needs and the birth
  2. BTakes full control of the baby's care
  3. CReturns to her usual work and roles
  4. DIs eager to learn how to bathe the baby
4.Średni

In which order do the final cardinal movements of labour occur after extension?

  1. AInternal rotation, descent, expulsion
  2. BExpulsion, restitution, external rotation
  3. CExternal rotation, flexion, expulsion
  4. DRestitution, external rotation, expulsion
5.Średni

A woman at 37 weeks is GBS-positive. When should she receive antibiotics?

  1. AOnly to the baby after birth
  2. BNot at all, because GBS is normal flora
  3. CIntravenously during labour
  4. DOrally at 37 weeks only
6.Średni

A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?

  1. AStraining hard to open the bowels
  2. BSitz baths, cold pads and stool softeners
  3. CSitting on a hard surface for long periods
  4. DAvoiding all fluids to prevent loose stools
7.Trudny

A woman with a fourth-degree tear is being discharged. Which instruction is appropriate?

  1. AUse stool softeners and avoid suppositories and enemas
  2. BUse rectal suppositories each day to prevent constipation
  3. CDo strong straining exercises to strengthen the muscles
  4. DTake rectal temperatures twice daily
8.Trudny

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

Klucz odpowiedzi

  1. 1. A · By 48 hours
  2. 2. A · A cord wrapped around the baby's neck
  3. 3. A · Focuses on her own needs and the birth
  4. 4. D · Restitution, external rotation, expulsion
  5. 5. C · Intravenously during labour
  6. 6. B · Sitz baths, cold pads and stool softeners
  7. 7. A · Use stool softeners and avoid suppositories and enemas
  8. 8. C · Evolving fetal hypoxia; escalate for urgent obstetric review

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