Робочий аркуш «Акушерське медсестринство» з відповідями

A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?

1. AMacrosomia of the baby
2. BPainful sickle crises
3. CHyperthyroidism
4. DPolycythaemia

Why should a pregnant woman avoid emptying a cat's litter tray?

1. ATo reduce the risk of rubella
2. BTo reduce the risk of listeriosis
3. CTo reduce the risk of toxoplasmosis
4. DTo reduce the risk of group B streptococcus

Which blood test on the mother detects antibodies against Rh-positive red cells?

1. AHaemoglobin electrophoresis
2. BProthrombin time
3. CDirect Coombs test on the mother's red cells
4. DIndirect Coombs test (antibody screen)

Which nursing measure is used during phototherapy?

1. ATurn the baby often and monitor hydration
2. BRemove the eye shields while the lights are on
3. CKeep the baby fully clothed under the lights
4. DLimit feeds to reduce stooling

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

1. AMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
2. BLow urine output shows that the magnesium is working
3. CUrine output tells the nurse exactly when to stop the infusion after the birth
4. DMagnesium causes a large diuresis that leads to dehydration

Misoprostol is given for postpartum haemorrhage. Which side effect is common?

1. ABronchospasm in all patients
2. BBradycardia and hypoglycaemia
3. CShivering and fever
4. DSevere hypertension

На 38-му тижні жінка телефонує й повідомляє, що з учорашнього дня дитина ворушиться значно менше, ніж зазвичай. Яка найкраща порада?

1. AПочекати до наступного планового прийому наступного тижня
2. BВипити холодний солодкий напій і дзвонити, лише якщо рухів немає 3 дні
3. CПрийти сьогодні для оцінки серцебиття плода
4. DЗменшення рухів нормальне ближче до терміну й не потребує дій

A woman at 8 weeks takes valproate for epilepsy. She asks whether she should stop it. Which response is best?

1. AHalve the dose herself to reduce the risk to the baby
2. BContinue as usual because epilepsy drugs are all safe in pregnancy
3. CDo not stop it suddenly; arrange urgent specialist review
4. DStop the drug today because it causes birth defects