Pielęgniarstwo położnicze: karta pracy z odpowiedziami

A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?

1. APainful sickle crises
2. BHyperthyroidism
3. CPolycythaemia
4. DMacrosomia of the baby

Which type of vaccine is generally avoided during pregnancy?

1. AInactivated influenza vaccines
2. BLive attenuated vaccines, such as MMR
3. CTetanus toxoid vaccines
4. DVaccines against whooping cough

A second-degree perineal tear involves:

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

Why is a baby of a mother with poorly controlled diabetes often large?

1. AFetal hyperinsulinaemia acts as a growth hormone
2. BThe baby inherits a gene for large size
3. CDiabetes always prolongs the pregnancy
4. DThe mother's insulin crosses the placenta

A woman 4 hours after birth has severe perineal pain and pressure. Her fundus is firm, lochia is normal, and her heart rate is rising. What should the nurse suspect?

1. ANormal afterpains
2. BUterine atony
3. CA urinary tract infection
4. DA vulvar or vaginal haematoma

At station +2, where is the presenting part?

1. A2 cm below the ischial spines
2. BFloating above the pelvic inlet
3. C2 cm above the ischial spines
4. DAt the level of the ischial spines

A woman with active genital herpes lesions is admitted in early labour with intact membranes. What should the nurse expect?

1. AA caesarean birth to reduce the risk of neonatal herpes
2. BRupture of the membranes to speed up labour
3. CA vaginal birth with no special precautions
4. DA fetal scalp electrode for close monitoring

Po masażu dna macicy macica pozostaje wiotka, a krwawienie jest obfite. Jakie jest priorytetowe następne działanie?

1. APosadzić kobietę w pozycji wysokiej Fowlera
2. BSamodzielnie mocno masować dno macicy przez 30 minut, zanim wezwie się zespół
3. CWezwać pomoc i podać zleconą substancję uterotoniczną, np. oksytocynę, zgodnie z procedurą
4. DPodać płyny doustnie i ponownie sprawdzić za godzinę