产科护理练习卷（附答案）

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

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

Which sign is often the earliest sign of sepsis in a newborn?

1. AA loud, vigorous cry
2. BA high fever above 40 °C (104 °F) on the first day
3. CA bulging anterior fontanelle at birth
4. DUnstable temperature and poor feeding

What is a nuchal cord?

1. AA cord that comes out before the baby
2. BA cord wrapped around the baby's neck
3. CA cord that is unusually short
4. DA cord with only two vessels

During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?

1. AClubfoot affecting the same side
2. BDevelopmental dysplasia of the hip
3. CA fractured femur from the birth
4. DA normal finding in all newborns

A woman with pre-existing type 1 diabetes is pregnant. How do her insulin needs usually change?

1. AInsulin is stopped during pregnancy and restarted after birth
2. BThey often fall early on and then rise later in pregnancy
3. CThey stay the same throughout pregnancy
4. DThey rise in the first trimester and fall in the third

Which event in an Rh-negative, non-sensitised woman requires an extra dose of anti-D immunoglobulin?

1. AAmniocentesis
2. BA glucose tolerance test
3. CA routine urine test
4. DA blood pressure check

A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?

1. ARecord it and arrange follow-up; many descend later
2. BMassage the groin daily to push it down
3. CTell the parents it will never descend
4. DArrange emergency surgery on the testis today

A biophysical profile scores 4 out of 10 at 38 weeks. How should the nurse interpret this?

1. AIt is normal and reassuring
2. BIt is equivocal and should be repeated next week
3. CIt is abnormal and needs prompt review
4. DIt only means the woman needs to drink more water