Сестринское дело в акушерстве: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

Which is a function of amniotic fluid?

  1. ARemoving carbon dioxide from the fetus
  2. BProducing fetal red blood cells
  3. CCushioning the fetus against injury
  4. DSupplying oxygen to the fetus
2.Лёгкая

What is "moulding" of the fetal head?

  1. AEarly closure of the fontanelles before birth
  2. BOverlapping of the skull bones in the birth canal
  3. CSwelling of the scalp from pressure on the cervix
  4. DBleeding under the outer layer of a skull bone
3.Лёгкая

Which condition is a clear indication for a caesarean birth?

  1. AA placenta praevia covering the internal cervical os
  2. BA previous labour that was fast and uncomplicated
  3. CMild ankle swelling at the end of the day at term
  4. DA fetus in the left occiput anterior position
4.Средняя

A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?

  1. AGive the baby plain water by bottle
  2. BWithhold feeds and observe for 6 hours
  3. CFeed the baby and recheck the glucose
  4. DGive IV insulin immediately
5.Средняя

Why is it important that the uterus relaxes fully between contractions?

  1. AIt reduces the mother's need for fluids
  2. BIt allows the cervix to close again between contractions
  3. CIt prevents the membranes from rupturing
  4. DBlood flow to the placenta is restored between contractions
6.Средняя

The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?

  1. AAbove the umbilicus on the mother's left side
  2. BAbove the umbilicus on the mother's right side
  3. CBelow the umbilicus on the mother's left side
  4. DDirectly over the fundus
7.Сложная

Which statement by a woman with postnatal depression shows that the nurse's teaching has been effective?

  1. A"Depression after birth means I am a bad mother."
  2. B"I will tell my midwife or doctor if I have thoughts of harming myself."
  3. C"If I take medicine I can never breastfeed again."
  4. D"I should keep my feelings to myself so I don't worry my family."
8.Сложная

A woman in active labour has been at 6 cm for 4 hours despite regular contractions. Which factor among the "5 Ps" should the nurse consider first?

  1. AThe passenger: fetal size, position or presentation
  2. BThe placenta: whether it is anterior or posterior
  3. CThe past history of her mother's labour
  4. DThe pulse rate during contractions

Ответы

  1. 1. C · Cushioning the fetus against injury
  2. 2. B · Overlapping of the skull bones in the birth canal
  3. 3. A · A placenta praevia covering the internal cervical os
  4. 4. C · Feed the baby and recheck the glucose
  5. 5. D · Blood flow to the placenta is restored between contractions
  6. 6. C · Below the umbilicus on the mother's left side
  7. 7. B · "I will tell my midwife or doctor if I have thoughts of harming myself."
  8. 8. A · The passenger: fetal size, position or presentation

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