NS4 quizz

Susan was admitted to hospital for complaints of giddiness.  She is having her first child and is 37 weeks pregnant. Her blood pressure recorded in Emergency department was 150/90. A provisional diagnosis of Pre -eclampsia was ruled out. What are the other common signs and symptoms will she present ?

• nausea and acetone present in the urine.
• nausea and glucose present in the urine.
• edema and protein present in the urine
• edema and blood present in the urine. 

The next day, Susan complained of severe abdominal pain highly suspicious of Abruptio placenta. One of the immediate management that will be carried out will be to

• infuse blood and immediate delivery of the baby in the labour ward.
• give her pain relief.
• List her for ceaserean section in the operating theatre.
• continue blood pressure monitoring for another 24 hours.     

Mdm Laila was admitted to labour ward when she experienced true labour. She is scheduled for normal vertex delivery and is in the first stage of labour which is

• full cervical dilatation of 10 cm to the birth of an infant.
• delivery of the placenta.
• the onset of labour to a full cervical dilatation of 10 cm.
• recovery stage.

Mdm Laila delivered a healthy female baby at 1500hrs through normal vertex delivery and completed the third stage of labour. To prevent post partum haemorrhage, the nurse massages the fundus or the uterus to

• promote uterine involution.
• promote pain relief.
• promote uterine sub involution.
• promote delivery of the placenta.

The delay of ovulation in lactating women is caused by one of the following hormones.

• Oestrogen.
• Progesterone.
• Oxytocin.
• Prolactin.

Mdm T has been married for 4 years and was trying for a child.  She was seen at the polyclinic being 6 weeks of amenorrhea. The test to be done to confirm if she is pregnant will be 

• an obstetric ultrasound.
• a full blood count.
• an abdominal x-ray.
• a urine test for glucose.

During late pregnancy, the woman will experience frequent micturation.  This may be due to 

• increased level of progesterone in the circulation.
• increased level of prolactin in the circulation.
• the bladder straightening upright.
• the growing uterus compressing on the bladder.

Madam T is now 12 weeks pregnant and she was admitted for severe nausea and vomiting. The first  priority in nursing care management for her is 

• to correct her electrolyte imbalance.
• to observe for septicaemic shock.
• to provide psychological support.
• to provide her with antenatal teaching.

Madam T had her ultrasound scanning done at 39 weeks and noted to have marginal placenta praviae.  The goal of management if she goes into labour is to

• immediately run an oxytocin drip to induce labour.
• immediately run hartman’s solution to prevent shock.
• artificially ruture the membranes and prepare for surgery soonest.
• artificially rupture the membranes and deliver vaginally soonest.

During fetal circulation, one of the shunt that prevents the fetal lungs from overload is the

• foramen ovale.
• ductus arteriosus.
• ductus venosus.
• inferior vena cava.