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الاسم: ____________________ التاريخ: ____________
1.سهلة
By what age have nearly all healthy term babies passed their first meconium?
AAfter the umbilical cord falls off
BBy 48 hours
CWithin 5 to 7 days
DOnly after the first formula feed
2.سهلة
Which postnatal warning sign should a woman report straight away after discharge?
AMild afterpains during feeds
BTiredness in the first week
CBleeding that soaks a pad in an hour
DLochia that slowly changes colour
3.سهلة
Which vaccine is routinely given to newborns at birth in many countries?
AHuman papillomavirus vaccine
BHepatitis B vaccine
CVaricella vaccine
DMeasles vaccine
4.متوسطة
A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?
ALow urine output shows that the magnesium is working
BUrine output tells the nurse exactly when to stop the infusion after the birth
CMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
DMagnesium causes a large diuresis that leads to dehydration
5.متوسطة
Which test estimates how much fetal blood has entered the mother's circulation, to guide the dose of anti-D?
ANitrazine test
BDirect Coombs test on the baby
CKleihauer–Betke test
DGlucose tolerance test
6.متوسطة
A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?
AA low fibrinogen level and low platelets
BA low white cell count only
CA high fibrinogen level and high platelets
DA raised haemoglobin level
7.صعبة
A woman received an opioid IV 30 minutes ago. The tracing now shows minimal variability but no decelerations. What is the most likely cause?
ASevere fetal anaemia from Rh disease
BPlacental abruption
CProlapse of the umbilical cord
DThe opioid's effect on the fetal brain
8.صعبة
حديث ولادة في حالة انقطاع النفس بعد تدفئته وتجفيفه وتنبيهه. ما الخطوة التالية؟
Aالانتظار وتقييم درجة أبغار عند الدقيقة 5 قبل فعل أي شيء
Bتعليق الطفل رأسًا على عقب وصفع ظهره
Cبدء التهوية بالضغط الإيجابي بالكيس والقناع
Dبدء الضغطات الصدرية فورًا
مفتاح الإجابات
1. B · By 48 hours
2. C · Bleeding that soaks a pad in an hour
3. B · Hepatitis B vaccine
4. C · Magnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
5. C · Kleihauer–Betke test
6. A · A low fibrinogen level and low platelets
7. D · The opioid's effect on the fetal brain
8. C · بدء التهوية بالضغط الإيجابي بالكيس والقناع
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