Cevaplı Doğum ve kadın sağlığı hemşireliği çalışma kâğıdı

Which definition of a fetal heart rate acceleration applies from 32 weeks?

1. AA rise of 30 bpm lasting 2 minutes
2. BA rise of 5 bpm lasting 5 seconds
3. CA fall of 15 bpm lasting at least 15 seconds
4. DA rise of at least 15 bpm lasting at least 15 seconds

Which of these is one of the "5 Ps" of labour?

1. APassageway
2. BPlacenta praevia
3. CPressure
4. DPulse

Which teratogenic effect is linked with maternal rubella infection in early pregnancy?

1. ACleft lip, cleft palate and club foot
2. BLimb reduction defects and missing fingers
3. CDeafness, cataracts and heart defects
4. DNeural tube defects

A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?

1. ABruising that suggests birth trauma or abuse
2. BA port-wine stain that will need laser treatment
3. CA sign of a serious blood clotting disorder
4. DHarmless dermal melanocytosis, to be documented

A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?

1. AUse gestures and simple English only
2. BAsk her 10-year-old child to interpret
3. CAsk her partner to sign for her
4. DUse a professional interpreter

Why is indomethacin generally not used as a tocolytic after about 32 weeks?

1. AIt triggers maternal hypoglycaemia
2. BIt can close the fetal ductus arteriosus too early
3. CIt causes severe maternal hypertension
4. DIt stimulates stronger contractions late in pregnancy

A newborn has a deep dimple with a tuft of hair over the lower spine. What is the significance?

1. AIt is a sign of congenital heart disease
2. BIt may be a sign of an underlying spinal defect
3. CIt means the baby will have hip dysplasia
4. DIt is an expected birthmark with no meaning

Daha önce sezaryen geçirmiş ve vajinal doğum deneyen bir kadında ani şiddetli karın ağrısı gelişiyor, fetal kalp hızı keskin biçimde düşüyor ve gelen kısım artık hissedilemiyor. En olası tanı nedir?

1. APlasenta previa
2. Bİkinci evreye normal ilerleme
3. CBaş sıkışmasına bağlı erken deselerasyonlar
4. DUterus rüptürü