Pielęgniarstwo położnicze: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

What is a uterine inversion?

  1. AThe uterus tilts backwards towards the spine
  2. BThe placenta implants low in the uterus
  3. CThe uterus turns inside out after birth
  4. DThe uterus tears along an old caesarean scar
2.Łatwy

How far does the fundus normally descend each day after birth?

  1. AAbout 1 cm per week
  2. BAbout 1 cm per day
  3. CAbout 5 cm per day
  4. DIt stays at the umbilicus for 2 weeks
3.Łatwy

Transient tachypnoea of the newborn is caused by:

  1. ASlow clearance of fetal lung fluid
  2. BBlockage of the nasal passages
  3. CLack of surfactant in preterm babies
  4. DBacterial infection of the lungs
4.Średni

Which placental hormone causes insulin resistance in the second half of pregnancy?

  1. AHuman placental lactogen (hPL)
  2. BOxytocin
  3. CHuman chorionic gonadotrophin (hCG)
  4. DRelaxin
5.Średni

After birth of the baby, the placenta has not been delivered after a long time despite active management. What is this called?

  1. APlacental abruption
  2. BRetained placenta
  3. CUterine inversion
  4. DPlacenta praevia
6.Średni

During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?

  1. AA normal finding in all newborns
  2. BClubfoot affecting the same side
  3. CDevelopmental dysplasia of the hip
  4. DA fractured femur from the birth
7.Trudny

A woman at 41 weeks has a Bishop score of 3 and is booked for induction. What is the most likely first step?

  1. AAn emergency caesarean
  2. BAn immediate amniotomy at the bedside
  3. CA high-dose oxytocin infusion straight away
  4. DCervical ripening with a prostaglandin
8.Trudny

A woman has been breastfeeding for 3 weeks. Her baby has gained little weight, feeds briefly and falls asleep at the breast. What is the most appropriate first action?

  1. AObserve a full feed to assess latch and milk transfer
  2. BReassure her that slow weight gain is normal
  3. CAdvise her to stop breastfeeding and use formula only
  4. DTell her to feed only every 6 hours to build hunger

Klucz odpowiedzi

  1. 1. C · The uterus turns inside out after birth
  2. 2. B · About 1 cm per day
  3. 3. A · Slow clearance of fetal lung fluid
  4. 4. A · Human placental lactogen (hPL)
  5. 5. B · Retained placenta
  6. 6. C · Developmental dysplasia of the hip
  7. 7. D · Cervical ripening with a prostaglandin
  8. 8. A · Observe a full feed to assess latch and milk transfer

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