Сестринское дело в акушерстве: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
Which is a function of amniotic fluid?
ARemoving carbon dioxide from the fetus
BProducing fetal red blood cells
CCushioning the fetus against injury
DSupplying oxygen to the fetus
2.Лёгкая
What is "moulding" of the fetal head?
AEarly closure of the fontanelles before birth
BOverlapping of the skull bones in the birth canal
CSwelling of the scalp from pressure on the cervix
DBleeding under the outer layer of a skull bone
3.Лёгкая
Which condition is a clear indication for a caesarean birth?
AA placenta praevia covering the internal cervical os
BA previous labour that was fast and uncomplicated
CMild ankle swelling at the end of the day at term
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?
AGive the baby plain water by bottle
BWithhold feeds and observe for 6 hours
CFeed the baby and recheck the glucose
DGive IV insulin immediately
5.Средняя
Why is it important that the uterus relaxes fully between contractions?
AIt reduces the mother's need for fluids
BIt allows the cervix to close again between contractions
CIt prevents the membranes from rupturing
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?
AAbove the umbilicus on the mother's left side
BAbove the umbilicus on the mother's right side
CBelow the umbilicus on the mother's left side
DDirectly over the fundus
7.Сложная
Which statement by a woman with postnatal depression shows that the nurse's teaching has been effective?
A"Depression after birth means I am a bad mother."
B"I will tell my midwife or doctor if I have thoughts of harming myself."
C"If I take medicine I can never breastfeed again."
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?
AThe passenger: fetal size, position or presentation
BThe placenta: whether it is anterior or posterior
CThe past history of her mother's labour
DThe pulse rate during contractions
Ответы
1. C · Cushioning the fetus against injury
2. B · Overlapping of the skull bones in the birth canal
3. A · A placenta praevia covering the internal cervical os
4. C · Feed the baby and recheck the glucose
5. D · Blood flow to the placenta is restored between contractions
6. C · Below the umbilicus on the mother's left side
7. B · "I will tell my midwife or doctor if I have thoughts of harming myself."
8. A · The passenger: fetal size, position or presentation
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