产科护理练习卷（附答案）

What does "effacement" of the cervix mean?

1. ADescent of the presenting part into the pelvis
2. BThinning and shortening of the cervix
3. CSoftening of the cervix in early pregnancy
4. DOpening of the external cervical os

Which measure is most helpful for perineal pain in the first 24 hours after a vaginal birth?

1. ACold packs on the perineum
2. BSitting on a hard chair
3. CA hot water bottle on the perineum
4. DTight underwear without a pad

Why should a pregnant woman avoid emptying a cat's litter tray?

1. ATo reduce the risk of toxoplasmosis
2. BTo reduce the risk of rubella
3. CTo reduce the risk of group B streptococcus
4. DTo reduce the risk of listeriosis

A newborn baby girl has a small amount of blood-tinged vaginal discharge on day 3. What should the nurse tell the parents?

1. AIt is caused by maternal hormones
2. BIt means the baby has a bleeding disorder
3. CIt is a sign of sexual abuse
4. DIt shows a urinary tract infection

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

1. AFeed the baby and recheck the glucose
2. BGive IV insulin immediately
3. CGive the baby plain water by bottle
4. DWithhold feeds and observe for 6 hours

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 rise in the first trimester and fall in the third
3. CThey often fall early on and then rise later in pregnancy
4. DThey stay the same throughout pregnancy

在新生儿复苏中，何时需要进行胸外按压？

1. A尽管已进行至少 30 秒的有效通气，心率仍低于 60 次/分
2. B婴儿出生时一旦不哭
3. C1 分钟时心率低于 120 次/分，即使尚未给予任何通气
4. D只要 APGAR 评分低于 7 分

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. BA normal fetal sleep cycle; recheck in an hour
3. CA sign of fetal well-being; no action is needed
4. DBenign head compression; continue routine monitoring