Сестринское дело в акушерстве: лист заданий с ответами

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1.Лёгкая

What is lochia alba?

  1. AGreen, foul-smelling discharge
  2. BPink to brown discharge from about day 4 to day 10
  3. CBright red discharge in the first days
  4. DWhite-yellow discharge in the later weeks
2.Лёгкая

Which measure is most helpful for perineal pain in the first 24 hours after a vaginal birth?

  1. AA hot water bottle on the perineum
  2. BSitting on a hard chair
  3. CTight underwear without a pad
  4. DCold packs on the perineum
3.Лёгкая

Приём фолиевой кислоты до зачатия и в начале беременности в основном снижает риск:

  1. AДефектов нервной трубки
  2. BГестационного диабета
  3. CПослеродового кровотечения
  4. DПреэклампсии
4.Средняя

Which position of the fetal head presents the smallest diameter to the pelvis?

  1. AA neutral position with no flexion
  2. BFull extension, with the face presenting
  3. CPartial extension, with the brow presenting
  4. DFull flexion, with the chin on the chest
5.Средняя

Why is an indwelling catheter placed before a caesarean birth?

  1. ATo measure the baby's fluid balance
  2. BTo keep the bladder empty during surgery
  3. CTo collect a urine sample for culture
  4. DTo prevent postpartum haemorrhage
6.Средняя

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

  1. AWithhold feeds and observe for 6 hours
  2. BGive IV insulin immediately
  3. CGive the baby plain water by bottle
  4. DFeed the baby and recheck the glucose
7.Сложная

A breastfeeding mother has a hard, tender lump in one breast without fever. She feels well. What is the most likely cause and the best advice?

  1. AA breast abscess; stop breastfeeding completely
  2. BBreast cancer; stop breastfeeding at once
  3. CA blocked duct; keep feeding and vary positions
  4. DMastitis; stop feeding from that breast
8.Сложная

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

Ответы

  1. 1. D · White-yellow discharge in the later weeks
  2. 2. D · Cold packs on the perineum
  3. 3. A · Дефектов нервной трубки
  4. 4. D · Full flexion, with the chin on the chest
  5. 5. B · To keep the bladder empty during surgery
  6. 6. D · Feed the baby and recheck the glucose
  7. 7. C · A blocked duct; keep feeding and vary positions
  8. 8. B · Observe a full feed to assess latch and milk transfer

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