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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which blood test on the mother detects antibodies against Rh-positive red cells?
AIndirect Coombs test (antibody screen)
BDirect Coombs test on the mother's red cells
CHaemoglobin electrophoresis
DProthrombin time
2.سهلة
By what age have nearly all healthy term babies passed their first meconium?
ABy 48 hours
BWithin 5 to 7 days
COnly after the first formula feed
DAfter the umbilical cord falls off
3.سهلة
A second-degree perineal tear involves:
AThe skin, vaginal mucosa and perineal muscles
BOnly the perineal skin and vaginal mucosa
CThe rectal mucosa and anal sphincter
DThe anal sphincter muscle complex
4.متوسطة
A woman at 24 weeks says she craves eating ice and clay. What should the nurse assess for?
AThyroid overactivity
BGestational diabetes
CPre-eclampsia with severe features
DIron deficiency anaemia
5.متوسطة
A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?
ANecrotising enterocolitis
BInfantile pyloric stenosis
CHirschsprung disease
DCow's milk protein allergy
6.متوسطة
Why do newborns become cold so easily?
AThey cannot produce heat at all
BThey sweat more than adults
CThey have a large surface area and little fat
DTheir blood is thicker than adult blood
7.صعبة
Why does the foramen ovale close soon after birth?
ABlood flow to the lungs decreases after birth
BProstaglandin levels rise in the newborn's blood
CLeft atrial pressure rises above right atrial pressure
DThe umbilical vein carries more blood to the heart
8.صعبة
A biophysical profile scores 4 out of 10 at 38 weeks. How should the nurse interpret this?
AIt is abnormal and needs prompt review
BIt only means the woman needs to drink more water
CIt is equivocal and should be repeated next week
DIt is normal and reassuring
مفتاح الإجابات
1. A · Indirect Coombs test (antibody screen)
2. A · By 48 hours
3. A · The skin, vaginal mucosa and perineal muscles
4. D · Iron deficiency anaemia
5. A · Necrotising enterocolitis
6. C · They have a large surface area and little fat
7. C · Left atrial pressure rises above right atrial pressure
8. A · It is abnormal and needs prompt review
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