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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which drug class is used to treat uterine atony?
ATocolytics
BUterotonics
CAntihypertensives
DAnticoagulants
2.سهلة
What is the most common cause of sore, cracked nipples in the first days of breastfeeding?
AToo much milk
BA poor latch
CUsing both breasts
DFeeding too often
3.سهلة
A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?
APolycythaemia
BMacrosomia of the baby
CPainful sickle crises
DHyperthyroidism
4.متوسطة
In which order do the final cardinal movements of labour occur after extension?
AExpulsion, restitution, external rotation
BExternal rotation, flexion, expulsion
CInternal rotation, descent, expulsion
DRestitution, external rotation, expulsion
5.متوسطة
A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?
AWarfarin crosses the placenta and can harm the fetus
BWarfarin is ineffective in pregnancy
CHeparin can be taken as a tablet once a day
DHeparin crosses the placenta better and also protects the fetus
6.متوسطة
أين يوجد قاع الرحم عادةً بعد نحو 12 ساعة من الولادة المهبلية؟
Aتحت الارتفاق العاني وغير محسوس
Bمتماسكًا ومزاحًا إلى أقصى الجهة اليسرى
Cمتماسكًا، في الخط الناصف، عند مستوى السرة تقريبًا
Dرخوًا وعلى بُعد عرضي إصبعين فوق الناتئ الخنجري
7.صعبة
A woman in active labour has been at 6 cm for 4 hours despite regular contractions. Which factor among the "5 Ps" should the nurse consider first?
AThe past history of her mother's labour
BThe placenta: whether it is anterior or posterior
CThe pulse rate during contractions
DThe passenger: fetal size, position or presentation
8.صعبة
A woman at 41 weeks has a Bishop score of 3 and is booked for induction. What is the most likely first step?
AAn emergency caesarean
BCervical ripening with a prostaglandin
CA high-dose oxytocin infusion straight away
DAn immediate amniotomy at the bedside
مفتاح الإجابات
1. B · Uterotonics
2. B · A poor latch
3. C · Painful sickle crises
4. D · Restitution, external rotation, expulsion
5. A · Warfarin crosses the placenta and can harm the fetus
6. C · متماسكًا، في الخط الناصف، عند مستوى السرة تقريبًا
7. D · The passenger: fetal size, position or presentation
8. B · Cervical ripening with a prostaglandin
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