1、异常分娩期产妇的护理（Nursing care of parturient during abnormal delivery）Nursing care of parturient during abnormal deliveryOne, A1 type questions: each examination questions below have A, B, C, D, E five alternative answers. Please choose the best answer from it.1. about the coordination of uterine atony, th
2、e following statement is correctA. is not suitable for intravenous infusion of oxytocinB. is not prone to placental retentionC. contractions in the middle of the uterus are stronger than those in the fundusD. polarity inversion of uterus contractionThe E. stage is often prolongedThe correct answer:
3、E2. the following circumstances can be trial production isA. head plane, pelvic inlet plane narrowB. head position, mid plane plane stenosisC. breech, pelvic entrance stenosisD. head position, pelvic outlet plane narrowE. breech, plane of pelvic outlet stenosisThe correct answer: A3. breech presenta
4、tion is the first course of labor in a vaginal deliveryA. supine position should not move moreB. prenatal routine anal enemaC. rupture of membranes as early as possibleWhen D. opened the whole fetal foot prolapse palace mouth palace mouth to the vagina, vulva with sterile towels should be sterilized
5、 to palm by vaginaE. listens to the fetal heart 1 times every 1015 minutesThe correct answer: C4., the term “total output“ exceeds that of the total course of laborA.6 hoursB.10 hoursC.20 hoursD.24 hoursE.36 hoursThe correct answer: D5., the treatment of pelvic inlet stenosis is incorrectA. before a
6、nd after the entrance from 8.5 to 9.5cm, you can trial productionB. not broken film, trial production 68 hours, fetal head can not enter the basin to do caesarean sectionC. has broken film, trial production 24 hours, fetal head can not enter the basin, need to do caesarean sectionD. sacral external
7、pain less than 16cm, full-term can be trial productionE. pelvic slopes are large and can be semi recumbent to minimize tiltingThe correct answer: D6. suspicious head pots are not called, the trial production time isA.8 to 10 hoursB.6 to 8 hoursC.2 to 4 hoursD.4 to 6 hoursE.1 to 2 hoursThe correct an
8、swer: C7. abnormal uterine contraction refers toA. abnormal rhythm of uterine contractionB. uterine contractility, symmetry, and polarity abnormalitiesC. abnormal uterine contractilityD. abnormal frequency of uterine contractionsE. or moreThe correct answer: E8. simple flat pelvis, measured outside
9、the pelvis is less than the normal diameter of the line isA. trochanter diameterB. interspinous diameterC. diameter of sciatic tuberosityD. sacral external diameterE. iliac crest diameterThe correct answer: D9. multipara, full-term fetal, which of the following can vaginal deliveryA. shoulder left p
10、osterior positionB. right shoulder anterior positionC. left anterior left ChinD. left posterior position of ChinE. occiput right posterior positionThe correct answer: E10. a primipara, 26 years old, pregnant women, palace mouth open all 2 hours without delivery, vaginal examination, fetal head sagit
11、tal diameter of pelvic cohesion, and after the skull in the left side of the pelvis, the loaA. left occiput transverse positionB. occiput right transverse positionC. occiput left anterior positionD. occiput right anterior positionE. occiput posterior positionThe correct answer: A11. primipara, 39 we
12、eks pregnant, the palace opened 2 hours, repeated efforts, no fetal head poking. Check: the bottom of the uterus is the buttocks, the front of the abdomen can touch a small part of the fetus, did not touch the fetal head. Anus check fetal head has reached the ischial spine 2cm, sagittal suture size
13、consistent with the pelvis, large fontanelle in front of diagnosisA. basin disproportionB. persistent occiput posterior positionC. persistent occiput transverse positionD. mild stenosis of pelvic inletE. primary uterine atonyThe correct answer: B12. the clinical manifestations of persistent occiput
14、transverse position wereA. can prolong the first stage of laborB. palace opens all the way, fetal pressure rectum, use abdominal pressure midwiferyC. often causes secondary uterine atonyD. biparietal diameter of the ischial spine after the plane had spontaneous vaginal deliveryE. membranes are not p
15、rone to rupture and require artificial rupture of membranesThe correct answer: C13. cervical abnormalities treatment, which error?A. outside the mouth of the uterus bonding, childbirth when the cervical canal disappeared, and the palace does not dilate, feasible cesarean sectionB. cervical edema inj
16、ection 1% procaine, when the mouth near the opening, the hand edema of the cervix before the lip push, the above treatment is invalid, feasible cesarean sectionC. palace neck is tough, can inject 1% procaine on both sides of palace neck, without alleviate, undertake caesarean sectionD. cervical scar
17、, uterine contraction is very strong,A primipara was 35 years old and underwent pelvic measurement. The results showed that the entrance plane was anteroposterior diameter 11cm and transverse diameter 13cm; the middle pelvic diameter was 9.5cm, anteroposterior diameter was 11.5cm; the transverse dia
18、meter was 8.3cm, and the posterior sagittal diameter was 8.5cm. According to the results of the examination, the pelvis shape of the mother isA. pelvisB. funnel pelvisC. normal pelvisD. malformation pelvisE. flat pelvisThe correct answer: B29. urgent birth means total labor process is insufficientA.
19、2 hoursB.3 hoursC.6 hoursD.10 hoursE.12 hoursThe correct answer: B30. childbirth can be trial production, which of the following is the case?The cephalic entrance of A. is slightly narrow at the pelvic inletThe sum of transverse diameter and sagittal diameter of pelvic outlet during B. cephalic pres
20、entation 13cmThe transverse diameter of pelvis in C. cephalic presentation 10cmAt the D. breech presentation, the pelvic inlet is slightly narrowedWhen E. breech presentation, the middle diameter of pelvis 10cmThe correct answer: A31. which is right about vaginal abnormalities?A. vaginal septum can
21、affect the reduction of the fetal presentation, requiring cesarean section and deliveryB. vaginal delivery of the mediastinum has no obstruction to vaginal deliveryC. vaginal stenosis generally high position, a wide range of cesarean section should be completed, deliveryD. vaginal condyloma can be t
22、reated and easy to infect newborns, so it is not suitable for cesarean sectionE. vaginal thickness of the mediastinum prevents fetal presentation and should undergo cesarean sectionThe correct answer: B32., a woman, 28 year old primipara, full term pregnancy, prenatal examination: the uterus was ver
23、tical oval, first exposed soft and irregular, fetal heart on the umbilical left, fetal presentation, which of the following?A. shoulder presentationB. breech presentationC. mixed presentationD. chin revealE. frontal presentationThe correct answer: B33., the persistent occiput posterior position is c
24、haracterized byThe main cause of A. is fetal head extensionB. pelvic examination revealed empty pelvic spaceC. the pregnant woman feels prematurely anal distension and uses abdominal pressureD. is not prone to cervical edemaE. examination of vagina in pelvic anterior left back toward the side of the
25、 pelvis of auricleThe correct answer: C34., a pregnant woman, 28 weeks pregnant, prenatal examination of breech presentation, which measures should be taken at this time?A. external inversionB. knee chest positionC. lithotomy positionD. increase activityE. lie restThe correct answer: B35. which of t
26、he following has a high incidence of breech presentation?A. mixed breech presentationB. complete breech presentationC. double foot presentationD. straight leg breech presentationE. single breech presentationThe correct answer: D36. a primipara, 25 years old, pregnant women, prenatal examination for
27、persistent occipitoposterior position, presentation +3, fetal heart 140 / min, vaginal examination: full dilatation for 2 hours, the best method is the delivery of pregnant womenA. intravenous drip, oxytocin, vaginal deliveryB. episiotomy for forcepsC. vaginal rotation, vaginal deliveryD. cesarean s
28、ectionE. episiotomy hand rotation of the head into the pillow front after the forcepsThe correct answer: E37. the cause of uterine atony is excludedA. basin disproportionB. abnormalfetalpositionC. uses oxytocin a lotD. uterine dysplasiaE. endocrine disordersThe correct answer: B38. the most importan
29、t basis for the diagnosis of hydrocephalus is the fetusA. fetal head large fontanelleB. ultrasound measurement of fetal biparietal diameter 10cmC. fetal head soft and flexible SkullD. fetal position is higherE. vaginal examination, cranial suture gap is widerThe correct answer: C39. a pregnant woman
30、, 39 weeks pregnant, paroxysmal abdominal pain 3 hours, assault, measuring normal pelvic size, normal fetal position, fetal heart rate of 140 beats per minute, anus dilatation 3cm, presentation of +1, 4 hours without rupture of membranes, cervical dilatation 6cm, presentation of +2, without cephalop
31、elvic disproportion, the nursing measures maternal is appropriateA. closely observed progress in laborB. artificial rupture of membranesC. dilatation and curettageD. oxytocin intravenous infusionE. forcepsThe correct answer: B40. the most frequent presentation of the umbilical cord isA. shoulder pre
32、sentationB. incomplete breech presentationC. straight leg breech presentationD. complete breech presentationE. knee presentationThe correct answer: CTwo, A3 type questions: the following provides several cases, each case if the road test. Please answer the information provided by the answer,Choose t
33、he best answer for each of the five alternative answers A, B, C, D, and E below each of the questions.(12 questions sharing exercises)A woman, G2P1, 35 weeks pregnant, previous delivery due to the death of acute fetal after being dropped.1. which of these pregnancies is difficult to develop during c
34、hildbirth?A. postpartum hemorrhageB. fetal distressC. neonatal traumaD. flatulence, urinary retentionE. puerperal infection2. which of the following treatment points is incorrect?A. when necessary in advance of patient laborB. it is better to lie on the left side during bed restC. after labor, quiet
35、 point oxytocin, strengthen contractionsD. the newborn is given a hemostatic agent as directed by the doctorE. postpartum should observe the amount of bleedingThe correct answer: 1.D; 2.C(35 questions sharing exercises)A primipara, G3P0, good general condition, fetal full-term, left occipitoanterior
36、, fetal heart 140 / min, 17 hours of uterine cervix, uterine 3cm, compared with the initial batch of long time, about 10 to 15 minutes at a time, for 30 seconds, when the peak of uterine contractions is not hard, after inspection without cephalopelvic disproportion.3., in addition to uterine contrac
37、tions fatigue, the mother can also be diagnosed asA. latency is shortenedB. prolonged incubation periodC. active phase is shortenedD. active phase is prolongedE. prolonged second stage of labor4. of the maternal care is incorrectA. encourages women to eatB. do psychological nursingC. timing hearing
38、of fetal heartD. instructs the puerpera to urinate once every 68 hoursE. closely observed the progress of labor5. the proper treatment of the mother shall beA. to natural childbirthB. immediately end forceps deliveryC. immediately underwent cesarean sectionD. aspiration of fetal headIntravenous drip
39、 of oxytocin, E.The correct answer: 3.B; 4.D; 5.E(67 questions sharing exercises)A woman, pregnant 1 produce 0, had a previous birth history, pregnancy; 39 weeks, paroxysmal abdominal pain 1 hours to see red, measuring bone basin normal size, without cephalopelvic disproportion, normal fetal positio
40、n, fetal heart 130 / min, anus, cervix dilated 6cm, first exposed +31 hours after fetal membranes break when the dew head dial6. which of the following treatment measures are correct?A. contractions instruct the female to hold her breathB. forced the fetal head back into the birth canalC. intravenou
41、s infusion of oxytocin slowlyD. regular soap enemaE. gave intramuscular injection of dolantin7., the fetus, the newborn will not have any impact?A. preterm birthB. first servedC. fetal distressD. neonatal intracranial hemorrhageE. neonatal asphyxiaThe correct answer: 6.E; 7.A(89 questions sharing ex
42、ercises)A woman, 34 years old, pregnant 1 produce 0 full-term, paroxysmal abdominal pain 3 hours of labor, obstetric examination, right occipitoanterior position, fetal heart 140 / min, irregular uterine anus, cervix 2cm, presentation of the spine, a maternal distress, 2 hours after the anus palace
43、mouth is still 2cm when the uterine fundus is not hard, fetal heart 120 / min8. the maternity may beA. threatened rupture of uterusB. primary uterine atonyC. secondary uterine atonyD. high strength uterine atonyE. uterine contractions are too strong9. the treatment of this puerpera is appropriateA.
44、pethidine intramuscular injectionB.10% glucose intravenous dripC. oxytocin intravenous dripD. artificial rupture of membranesE. vaginal deliveryThe correct answer: 8.D; 9.A(1011 questions sharing exercises)A pregnant woman, 30 years old, 40 weeks of pregnancy, intermittent abdominal pain with vagina
45、l discharge 3 hours of admission, examination of the fundus to the pubic symphysis 35cm, fetal occiput right anterior position, fetal heart 136 / min, anus dilatation 3cm, presentation of -1, and gradually expand the hospital 4 hours after cervical dilatation, 7cm. Presentation -1.10., the most like
46、ly diagnosis of the pregnant womanA. abnormalfetalpositionB. primary uterine atonyPelvic stenosis in C.D. pelvic inlet stenosisE. macrosomia11. measures to be taken by the motherA. closely observed progress in laborB. vaginal examination, pelvic measurementC. oxytocin intravenous infusionD. pethidin
47、e intramuscular injectionE.10% glucose intravenous dripThe correct answer: 10.D; 11.B(1214 questions sharing exercises)Primipara, pregnant term, outside the normal pelvic measurement, broken film harem mouth open all, after 2 hours failed to delivery, contractions 5060 seconds /3 to 4 minutes, vagin
48、al examination, first exposed +3,Fetal head sagittal suture in the pelvis diameter on posterior fontanelle in the left side of the pelvis.12. of the loaA. occiput left anterior positionB. occiput right anterior positionC. occiput left posterior positionD. left occiput transverse positionE. occiput r
49、ight transverse position13. the measures to be taken areA. oxytocin intravenous infusionB. lateral episiotomy with fetal head aspirationC. spontaneous delivery of lateral episiotomyD. episiotomy forcepsE. cesarean section14., postoperative care measures wrongA. intramuscular injection of oxytocin immediately after delivery of the placentaB. if there is soft birth canal injury, repair in timeC. line forceps or fetal head aspiration, nurses should do withD. such as undergoing surgery, midwifery, giving antibioticsE. if uterine atony is found during labor, cesarean section should be pe
