Pielęgniarstwo położnicze: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

What does "multipara" mean?

  1. AA woman who has never given birth
  2. BA woman who is pregnant for the first time
  3. CA woman who has given birth two or more times
  4. DA woman who is pregnant with twins
2.Łatwy

Jak wygląda smółka?

  1. AJasnoszara i wodnista
  2. BŻółta, ziarnista i luźna
  3. CCiemnozielona do czarnej i lepka
  4. DJaskrawoczerwona i płynna
3.Łatwy

Which sign is often the earliest sign of sepsis in a newborn?

  1. AA high fever above 40 °C (104 °F) on the first day
  2. BUnstable temperature and poor feeding
  3. CA loud, vigorous cry
  4. DA bulging anterior fontanelle at birth
4.Średni

How does a port-wine stain differ from a "stork bite" (salmon patch)?

  1. AA stork bite only occurs in preterm babies
  2. BA port-wine stain does not fade with time
  3. CA stork bite is a raised tumour that grows quickly
  4. DA port-wine stain always disappears within a year
5.Średni

In early pregnancy, how does the serum hCG level normally change?

  1. AIt stays at the same level throughout the first trimester
  2. BIt roughly doubles every 2 to 3 days in the first weeks
  3. CIt falls steadily from the day of implantation
  4. DIt rises slowly until it peaks just before birth
6.Średni

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

  1. AUrine output tells the nurse exactly when to stop the infusion after the birth
  2. BMagnesium causes a large diuresis that leads to dehydration
  3. CLow urine output shows that the magnesium is working
  4. DMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
7.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 sign of fetal well-being; no action is needed
  2. BA normal fetal sleep cycle; recheck in an hour
  3. CBenign head compression; continue routine monitoring
  4. DEvolving fetal hypoxia; escalate for urgent obstetric review
8.Trudny

Which finding in a newborn at 6 hours requires the most urgent action?

  1. ACentral cyanosis, fast breathing and grunting
  2. BAcrocyanosis of the hands and feet
  3. CSmall white milia on the nose and chin
  4. DMild moulding of the head

Klucz odpowiedzi

  1. 1. C · A woman who has given birth two or more times
  2. 2. C · Ciemnozielona do czarnej i lepka
  3. 3. B · Unstable temperature and poor feeding
  4. 4. B · A port-wine stain does not fade with time
  5. 5. B · It roughly doubles every 2 to 3 days in the first weeks
  6. 6. D · Magnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
  7. 7. D · Evolving fetal hypoxia; escalate for urgent obstetric review
  8. 8. A · Central cyanosis, fast breathing and grunting

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