1.简单
In Rubin's "taking-in" phase after birth, the mother typically:
- ATakes full control of the baby's care
- BFocuses on her own needs and the birth
- CReturns to her usual work and roles
- DIs eager to learn how to bathe the baby
2.简单
Using US (ACOG) definitions, preterm labour is labour that begins:
- ABetween 20 and 37 weeks
- BAfter 42 weeks of pregnancy
- CBefore 20 weeks of pregnancy
- DAt any time before the due date at 40 weeks
3.简单
What does "gravida" mean in an obstetric history?
- AThe number of babies born at term
- BThe total number of pregnancies, including the current one
- CThe number of births after 20 weeks
- DThe number of children now living
4.中等
A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?
- AWarfarin crosses the placenta and can harm the fetus
- BHeparin crosses the placenta better and also protects the fetus
- CWarfarin is ineffective in pregnancy
- DHeparin can be taken as a tablet once a day
5.中等
During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?
- AA normal finding in all newborns
- BA fractured femur from the birth
- CClubfoot affecting the same side
- DDevelopmental dysplasia of the hip
6.中等
A woman at 26 weeks asks which symptom she should report straight away. Which one is a danger sign?
- AOccasional heartburn after large meals
- BSudden swelling of the face and hands with a headache
- CMild swelling of the ankles at the end of the day
- DIncreased vaginal discharge that is white and odourless
7.困难
A newborn whose mother had a fever and prolonged rupture of membranes is well at birth. Why does the nurse monitor this baby closely?
- AThe baby has a higher risk of hip dysplasia
- BThe baby is likely to be post-term
- CThe baby will certainly develop jaundice
- DThe baby has a higher risk of early sepsis
8.困难
A mother on day 1 is quiet, lets the nurse change the baby and talks repeatedly about the birth. How should the nurse interpret this?
- ASigns of postpartum psychosis
- BRejection of the baby
- CNormal taking-in behaviour
- DNormal letting-go behaviour
答案
- 1. B · Focuses on her own needs and the birth
- 2. A · Between 20 and 37 weeks
- 3. B · The total number of pregnancies, including the current one
- 4. A · Warfarin crosses the placenta and can harm the fetus
- 5. D · Developmental dysplasia of the hip
- 6. B · Sudden swelling of the face and hands with a headache
- 7. D · The baby has a higher risk of early sepsis
- 8. C · Normal taking-in behaviour
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