产科护理练习卷（附答案）

Which is an early hunger cue in a newborn?

1. AArching the back and screaming
2. BLoud, frantic crying
3. CRooting and sucking on the hands
4. DFalling into deep sleep

常规在什么时间评估 APGAR 评分？

1. A脐带剪断前和 1 小时时
2. B出生后 1 分钟和 5 分钟
3. C30 分钟和 24 小时时
4. D仅在出生后 10 分钟

"Fetal lie" describes:

1. AThe relation of the fetal long axis to the mother's long axis
2. BThe part of the fetus that enters the pelvis first
3. CHow much the fetal head is flexed on the chest
4. DThe level of the presenting part relative to the ischial spines

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. BA fractured femur from the birth
3. CA normal finding in all newborns
4. DDevelopmental dysplasia of the hip

A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?

1. AIt is injected under the skin; report unusual bleeding
2. BIt is given into the muscle of the thigh
3. CIt is a tablet taken with meals
4. DIt must be stopped if she chooses to breastfeed her baby

A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?

1. AGive the baby plain water by bottle
2. BFeed the baby and recheck the glucose
3. CWithhold feeds and observe for 6 hours
4. DGive IV insulin immediately

Over the last hour, a labour tracing shows variable decelerations that are becoming deeper and longer, a baseline rising from 135 to 165 bpm and falling variability. How should the nurse interpret this?

1. AEvolving fetal hypoxia; escalate for urgent obstetric review
2. BBenign head compression; continue routine monitoring
3. CA sign of fetal well-being; no action is needed
4. DA normal fetal sleep cycle; recheck in an hour

A woman needs an emergency caesarean under general anaesthesia. Why is she given an antacid such as sodium citrate before induction?

1. ATo prevent nausea after the operation
2. BTo lower her blood pressure before surgery
3. CTo make aspirated stomach contents less acidic
4. DTo speed up gastric emptying for surgery