Pielęgniarstwo położnicze: karta pracy z odpowiedziami

How should a postnatal woman clean her perineum after using the toilet?

1. ARinse with water and wipe front to back
2. BWipe from back to front with dry paper
3. CAvoid washing the area for a week
4. DUse a scented douche each time she voids

A pregnant teenager is at increased risk of which complication?

1. APreterm birth and low birth weight
2. BMultiple pregnancy
3. CMacrosomia and shoulder dystocia
4. DPost-term pregnancy beyond 42 weeks

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

1. AStriae gravidarum
2. BSpider naevi
3. CChloasma
4. DLinea nigra

A pregnant woman taking iron says her stools have turned black. What is the best response?

1. ATell her to double the dose of the tablets
2. BTell her to stop the iron immediately
3. CAdvise her to go to the emergency department now
4. DExplain that this is an expected effect of iron

Which feature best distinguishes true labour from false labour?

1. AProgressive dilation and effacement of the cervix
2. BContractions that stop when the woman walks around
3. CDiscomfort that eases with a warm bath and rest
4. DContractions that are felt only in the lower abdomen

Which baby is at greatest risk of early-onset group B streptococcal infection?

1. AA baby of a GBS-positive mother with no antibiotics
2. BA baby whose mother was GBS-negative at 36 weeks
3. CA baby born by planned caesarean with intact membranes
4. DA baby born at 40 weeks to a mother with no risk factors

A pregnant woman with chronic hypertension takes lisinopril. Why should the nurse alert the prescriber?

1. ALisinopril is the first-choice antihypertensive in pregnancy
2. BACE inhibitors cause neural tube defects only in the third trimester
3. CACE inhibitors can harm fetal kidney development and are avoided in pregnancy
4. DLisinopril will cause her blood pressure to rise in pregnancy

A fetal tracing shows a smooth, wave-like pattern with no variability, like a sine wave. What should the nurse suspect?

1. AFetal head compression
2. BA maternal urinary infection
3. CA normal fetal sleep cycle
4. DSevere fetal anaemia