产科护理练习卷（附答案）

产后不久，宫底触之松软、如沼泽样。首要的护理措施是什么？

1. A让产妇喝一大杯水
2. B在会阴部放置冰袋
3. C记录发现，4 小时后再重新评估宫底
4. D按摩宫底，同时托住子宫下段

子宫收缩的频率如何测量？

1. A从一次宫缩结束到下一次宫缩开始
2. B从一次宫缩开始到下一次宫缩开始
3. C从一次宫缩高峰到下一次宫缩结束
4. D从一次宫缩开始到同一次宫缩结束

Which nutrient is needed in much greater amounts in pregnancy to support the increase in red blood cell production?

1. AVitamin A
2. BSodium
3. CIron
4. DVitamin E

A woman at 16 weeks has an amniocentesis. Which instruction after the procedure is correct?

1. AReport fever, leaking fluid or bleeding
2. BDrink no fluids for 24 hours
3. CBed rest is required for 2 weeks
4. DNo follow-up is needed for any symptoms

On abdominal palpation at 39 weeks, only 2/5 of the fetal head can be felt above the pelvic brim. How is this interpreted?

1. AThe head is engaged in the pelvis
2. BThe head is free above the pelvic brim
3. CThe fetus is in a breech presentation
4. DThe head is crowning at the vulva

下列哪一组列出了生物物理评分的组成部分？

1. AAPGAR 评分、脐血气、出生体重、身长和头围
2. B宫高、胎位、先露位置、宫颈消退和扩张
3. C胎心率模式、母亲血压、血糖、体重和尿蛋白
4. D无应激试验、胎儿呼吸、胎动、胎儿肌张力和羊水量

A woman has cytomegalovirus (CMV) infection in pregnancy. Which outcome in the baby is a major concern?

1. AOpen neural tube defects such as spina bifida
2. BPhenylketonuria
3. CHearing loss and developmental delay
4. DClubfoot only

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