Робочий аркуш «Акушерське медсестринство» з відповідями

Kernicterus is caused by deposits of which substance in the brain?

1. ACalcium from the mother
2. BConjugated bilirubin
3. CExcess glucose from feeds
4. DUnconjugated bilirubin

Smoking in pregnancy is most strongly linked with which outcome?

1. AMacrosomia
2. BPost-term pregnancy
3. CPolyhydramnios
4. DLow birth weight

Which type of vaccine is generally avoided during pregnancy?

1. ATetanus toxoid vaccines
2. BVaccines against whooping cough
3. CLive attenuated vaccines, such as MMR
4. DInactivated influenza vaccines

A woman is 5 days after birth. She cries often, sleeps poorly when the baby sleeps and feels she is a bad mother. What should the nurse do?

1. AAdvise her to stop breastfeeding to rest
2. BTell her this is the baby blues and will pass
3. CScreen further for depression and self-harm
4. DTell her partner to take over all baby care

When the newborn's head is turned to one side, the arm on that side extends and the other arm flexes. Which reflex is this?

1. ARooting reflex
2. BTonic neck reflex
3. CPalmar grasp reflex
4. DMoro reflex

Which baby is at greatest risk of early-onset group B streptococcal infection?

1. AA baby whose mother was GBS-negative at 36 weeks
2. BA baby born at 40 weeks to a mother with no risk factors
3. CA baby born by planned caesarean with intact membranes
4. DA baby of a GBS-positive mother with no antibiotics

At 18 weeks, a woman's maternal serum alpha-fetoprotein is well above the normal range for her dates. Which condition does this result most suggest?

1. APre-eclampsia
2. BAn open neural tube defect
3. CDown syndrome (trisomy 21)
4. DGestational diabetes

Routine screening at the booking visit shows asymptomatic bacteriuria. Why is treatment important even though the woman has no symptoms?

1. AIt can progress to pyelonephritis and trigger preterm labour
2. BTreatment is not needed because it will settle after birth
3. CIt will cause gestational diabetes later in the pregnancy if left untreated
4. DIt is treated only to prevent bladder stones