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الاسم: ____________________ التاريخ: ____________
1.سهلة
A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?
APainful sickle crises
BHyperthyroidism
CMacrosomia of the baby
DPolycythaemia
2.سهلة
What advice helps reduce heartburn in pregnancy?
AEat large meals and lie down afterwards
BEat the main meal just before sleeping
CDrink a large glass of milk just before going to bed
DEat small meals and stay upright after eating
3.سهلة
Mastitis is most often caused by which organism?
AGroup B streptococcus
BEscherichia coli
CCandida albicans
DStaphylococcus aureus
4.متوسطة
A woman 4 hours after birth has severe perineal pain and pressure. Her fundus is firm, lochia is normal, and her heart rate is rising. What should the nurse suspect?
ANormal afterpains
BUterine atony
CA vulvar or vaginal haematoma
DA urinary tract infection
5.متوسطة
A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?
AA raised haemoglobin level
BA high fibrinogen level and high platelets
CA low fibrinogen level and low platelets
DA low white cell count only
6.متوسطة
Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?
AOn a sofa with a parent when the baby is unsettled
BIn a separate bedroom from the first night
CIn the parents' bed, between the two adults
DIn a separate cot or crib in the parents' room
7.صعبة
Why does the foramen ovale close soon after birth?
AProstaglandin levels rise in the newborn's blood
BThe umbilical vein carries more blood to the heart
CBlood flow to the lungs decreases after birth
DLeft atrial pressure rises above right atrial pressure
8.صعبة
A newborn passed no meconium by 48 hours and has a swollen abdomen and green vomiting. Which condition should be suspected?
ADevelopmental hip dysplasia
BPhysiological jaundice
CHirschsprung disease
DErythema toxicum
مفتاح الإجابات
1. A · Painful sickle crises
2. D · Eat small meals and stay upright after eating
3. D · Staphylococcus aureus
4. C · A vulvar or vaginal haematoma
5. C · A low fibrinogen level and low platelets
6. D · In a separate cot or crib in the parents' room
7. D · Left atrial pressure rises above right atrial pressure
8. C · Hirschsprung disease
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