Pielęgniarstwo położnicze: karta pracy z odpowiedziami

A second-degree perineal tear involves:

1. AOnly the perineal skin and vaginal mucosa
2. BThe skin, vaginal mucosa and perineal muscles
3. CThe rectal mucosa and anal sphincter
4. DThe anal sphincter muscle complex

During a vaginal examination in labour, the examiner feels the small triangular fontanelle at the front of the pelvis. What does this suggest?

1. AAn occiput posterior position
2. BA face presentation
3. CAn occiput anterior position
4. DA breech presentation

What is the purpose of an episiotomy?

1. ATo remove the placenta
2. BTo speed up cervical dilation
3. CTo prevent all perineal pain after birth
4. DTo widen the vaginal outlet with a cut

After a circumcision, which finding should be reported?

1. AMild swelling of the glans
2. BFussiness at the first nappy change
3. CActive bleeding that soaks a nappy
4. DA yellowish film over the glans on day 2

A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?

1. ANo support is needed because the effect lasts only seconds
2. BFlumazenil is given to reverse the opioid
3. CNaloxone is given before any ventilation is started
4. DEffective ventilation comes first; naloxone is not routine

Co oznacza akronim HELLP?

1. AHemoliza, podwyższone enzymy wątrobowe, mała liczba płytek krwi (Haemolysis, Elevated Liver enzymes, Low Platelets)
2. BKrwotok, rzucawka, niskie ciśnienie
3. CHiperglikemia, podwyższony mleczan, niskie stężenie potasu
4. DNadciśnienie, podwyższone lipidy, niskie stężenie białka

Tuż po pęknięciu błon płodowych w trakcie porodu kobieta nagle zaczyna ciężko oddychać, sinieje i ma niedociśnienie. Jaki stan należy podejrzewać?

1. ANiedociśnienie w pozycji na plecach
2. BAtak paniki
3. CZator płynem owodniowym
4. DPrawidłową reakcję na silny skurcz

Ten days after birth, a woman phones to say her bleeding has suddenly become heavy and bright red with clots, with lower abdominal pain and a temperature of 38,2 °C (100,8 °F). Which response is most appropriate?

1. AAdvise her to use tampons so the blood loss is easier to measure
2. BAsk her to come in now; retained tissue or infection is possible
3. CReassure her that lochia rubra often returns and review at 6 weeks
4. DTell her it is probably her first period and needs no action