Cevaplı Doğum ve kadın sağlığı hemşireliği çalışma kâğıdı

A "contraction stress test" assesses how the fetus responds to:

1. AA change in maternal position only
2. BReduced blood flow during contractions
3. CLoud sound applied to the abdomen
4. DMaternal exercise on a treadmill

What advice helps reduce heartburn in pregnancy?

1. ADrink a large glass of milk just before going to bed
2. BEat the main meal just before sleeping
3. CEat small meals and stay upright after eating
4. DEat large meals and lie down afterwards

Which scale is commonly used to screen for postnatal depression?

1. AGlasgow Coma Scale
2. BEdinburgh Postnatal Depression Scale
3. CApgar score
4. DBishop score

A woman 1 day after birth has a blood pressure of 150/96 mmHg and a headache. She had normal blood pressures in pregnancy. What should the nurse do?

1. AReassure her that this is normal after birth
2. BEncourage her to walk to lower her blood pressure
3. CGive paracetamol (acetaminophen) and ignore the blood pressure
4. DReport it and assess for postpartum pre-eclampsia

A newborn's anterior fontanelle is sunken. What should the nurse suspect?

1. ADehydration
2. BHydrocephalus
3. CRaised intracranial pressure
4. DNormal crying

A woman at 28 weeks asks why her heart rate is higher than before pregnancy. Which response is accurate?

1. AThe heart rate rises because blood pressure is much higher in pregnancy
2. BA rise of about 10 to 15 beats per minute is normal in pregnancy
3. CHeart rate normally falls in pregnancy, so this needs urgent review
4. DA higher heart rate in pregnancy always points to heart disease

A woman has cytomegalovirus (CMV) infection in pregnancy. Which outcome in the baby is a major concern?

1. AOpen neural tube defects such as spina bifida
2. BHearing loss and developmental delay
3. CPhenylketonuria
4. DClubfoot only

A woman at 28 weeks has itching, and her liver tests and bile acids are raised. Which advice is most important?

1. AReport reduced fetal movements straight away
2. BTake a hot bath to relieve the itching
3. CStop attending antenatal visits once itching settles
4. DItching proves the baby is healthy