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الاسم: ____________________ التاريخ: ____________
1.سهلة
What causes the let-down (milk ejection) reflex?
AProlactin
BInsulin
COxytocin
DHuman placental lactogen
2.سهلة
Which stool pattern is typical of a breastfed baby after the first week?
AYellow, soft and seedy stools
BHard, pale and formed stools
CBlack, tarry and sticky stools
DGreen, watery stools with mucus
3.سهلة
Which anaesthesia is usually used for a planned caesarean birth?
APudendal nerve block
BSpinal anaesthesia
CLocal infiltration of the perineum
DInhaled nitrous oxide only
4.متوسطة
Why is congenital hypothyroidism included in newborn screening?
AIt causes jaundice that cannot be treated
BIt can only be treated before birth
CIt causes hip dysplasia
DEarly treatment prevents brain damage
5.متوسطة
Why is it important to do newborn bloodspot screening at the recommended time rather than in the first hours?
AThe heel cannot be pricked until the cord falls off
BSome results, such as PKU, need milk feeds first
CEarlier testing always gives false negatives for all conditions
DThe baby's blood cannot be sampled before day 3
6.متوسطة
During newborn resuscitation, what is the ratio of chest compressions to breaths?
A5 compressions to 1 breath
B30 compressions to 2 breaths
C15 compressions to 2 breaths
D3 compressions to 1 breath
7.صعبة
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
ATo reduce the baby's risk of cerebral palsy
BTo treat a urinary tract infection
CTo prevent eclamptic seizures
DTo speed up fetal lung maturation
8.صعبة
A woman who had a placenta praevia and two previous caesareans is scheduled for a caesarean. The team plans for possible hysterectomy and blood products. Why?
AShe is at high risk of pre-eclampsia only
BShe is at high risk of gestational diabetes
CShe is at high risk of placenta accreta spectrum
DShe is at high risk of a post-term birth
مفتاح الإجابات
1. C · Oxytocin
2. A · Yellow, soft and seedy stools
3. B · Spinal anaesthesia
4. D · Early treatment prevents brain damage
5. B · Some results, such as PKU, need milk feeds first
6. D · 3 compressions to 1 breath
7. A · To reduce the baby's risk of cerebral palsy
8. C · She is at high risk of placenta accreta spectrum
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