产科护理练习卷（附答案）

Twins that develop from one fertilised ovum that splits are called:

1. AMonozygotic twins
2. BDizygotic twins
3. CFraternal twins
4. DConjoined twins only

Which haemoglobin level is commonly used to define anaemia in the first trimester of pregnancy?

1. ABelow 140 g/L (14 g/dL)
2. BBelow 130 g/L (13 g/dL)
3. CBelow 110 g/L (11 g/dL)
4. DBelow 80 g/L (8 g/dL)

The anterior fontanelle of a newborn is:

1. ARound, at the base of the skull
2. BTriangular, where the parietal and occipital bones meet
3. CClosed at birth in a term baby
4. DDiamond-shaped, where the frontal and parietal bones meet

Why is congenital hypothyroidism included in newborn screening?

1. AIt causes jaundice that cannot be treated
2. BIt can only be treated before birth
3. CIt causes hip dysplasia
4. DEarly treatment prevents brain damage

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

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

A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?

1. AWarfarin is ineffective in pregnancy
2. BHeparin can be taken as a tablet once a day
3. CHeparin crosses the placenta better and also protects the fetus
4. DWarfarin crosses the placenta and can harm the fetus

A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?

1. AUterine tone, bleeding and newborn injury
2. BOnly the newborn's blood glucose
3. CThe mother's ability to walk alone
4. DOnly the mother's temperature

A woman at 20 weeks presents with painless cervical dilation and bulging membranes, without contractions. She lost a previous pregnancy in the same way. What is the likely diagnosis?

1. APreterm labour caused by infection
2. BCervical insufficiency
3. CPlacenta praevia
4. DPlacental abruption