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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which uterine incision allows a woman to be considered for a vaginal birth after caesarean (VBAC)?
AA low transverse incision
BA classical vertical incision
CA T-shaped incision
DAn incision through the upper segment
2.سهلة
Which condition is included in routine newborn bloodspot screening?
ACoeliac disease
BPhenylketonuria
CType 2 diabetes
DAsthma
3.سهلة
What is the typical head circumference of a term newborn?
AAbout 40 to 43 cm
BAbout 25 to 28 cm
CAbout 20 to 23 cm
DAbout 33 to 35 cm
4.متوسطة
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
AHarmless dermal melanocytosis, to be documented
BBruising that suggests birth trauma or abuse
CA port-wine stain that will need laser treatment
DA sign of a serious blood clotting disorder
5.متوسطة
Which drug is a known teratogen that must be stopped before a planned pregnancy?
ALevothyroxine
BParacetamol (acetaminophen)
CFolic acid
DIsotretinoin
6.متوسطة
A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?
AUrine output tells the nurse exactly when to stop the infusion after the birth
BMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
CMagnesium causes a large diuresis that leads to dehydration
DLow urine output shows that the magnesium is working
7.صعبة
بعد تمزق أغشية امرأة في المخاض بوقت قصير، أصبحت فجأة شديدة ضيق النفس ومزرقّة ومنخفضة الضغط. أي حالة ينبغي الاشتباه فيها؟
Aنوبة هلع
Bاستجابة طبيعية لانقباض قوي
Cالانصمام بالسائل الأمنيوسي
Dانخفاض الضغط في الاستلقاء الظهري
8.صعبة
A woman is 10 cm dilated with an urge to push. The fetal head is at station 0 and the tracing is normal. Which approach is supported by current practice?
AAsk her to push continuously from 7 cm onwards
BInsist she lies flat on her back and holds her breath for long periods
CLet her push with her urge in a position she prefers
DTell her not to push until the head is visible
مفتاح الإجابات
1. A · A low transverse incision
2. B · Phenylketonuria
3. D · About 33 to 35 cm
4. A · Harmless dermal melanocytosis, to be documented
5. D · Isotretinoin
6. B · Magnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
7. C · الانصمام بالسائل الأمنيوسي
8. C · Let her push with her urge in a position she prefers
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