1.ง่าย
How should the umbilical cord stump be cared for at home?
- APull it off once it starts to dry
- BCover it tightly with a plaster
- CKeep it clean, dry and outside the nappy
- DApply baby oil to soften it
2.ง่าย
When should a healthy newborn normally pass urine for the first time?
- AWithin the first 24 hours
- BAfter the first week
- CWithin the first 72 hours
- DWithin the first hour only
3.ง่าย
"ระยะที่ 4" ของการคลอดหมายถึงอะไร?
- A1 ถึง 2 ชั่วโมงแรกหลังรกคลอด
- B6 สัปดาห์แรกหลังคลอด
- Cช่วงเวลาที่เบ่งคลอด
- Dช่วงตั้งแต่เริ่มมีการหดรัดตัวสม่ำเสมอจนปากมดลูกเปิดหมด
4.ปานกลาง
Which set of findings is consistent with hypovolaemia after a postpartum haemorrhage?
- ASlow breathing and a rising blood pressure
- BSlow heart rate, high blood pressure and warm, dry skin
- CRising pulse, falling blood pressure, low urine output
- DIncreased urine output and flushed skin
5.ปานกลาง
In which order do the final cardinal movements of labour occur after extension?
- AExternal rotation, flexion, expulsion
- BInternal rotation, descent, expulsion
- CExpulsion, restitution, external rotation
- DRestitution, external rotation, expulsion
6.ปานกลาง
A woman with pre-eclampsia is on magnesium sulfate. Which task can be delegated to a healthcare assistant (unlicensed assistive personnel)?
- AAssessing her deep tendon reflexes
- BAdjusting the magnesium infusion rate
- CMeasuring and recording urine output
- DEvaluating her for signs of toxicity
7.ยาก
A newborn has excessive frothy saliva and chokes and turns blue with the first feed. What is the priority?
- APlace the baby on its back to sleep
- BStop feeding and report it urgently
- CGive the baby water instead of milk
- DContinue feeding more slowly
8.ยาก
A newborn is pale, has a heart rate of 170/min and weak pulses after a difficult vacuum birth. The scalp is boggy and swelling across the sutures is increasing. What should the nurse suspect?
- ASubgaleal haemorrhage
- BNormal moulding
- CCaput succedaneum
- DSimple cephalhaematoma
เฉลย
- 1. C · Keep it clean, dry and outside the nappy
- 2. A · Within the first 24 hours
- 3. A · 1 ถึง 2 ชั่วโมงแรกหลังรกคลอด
- 4. C · Rising pulse, falling blood pressure, low urine output
- 5. D · Restitution, external rotation, expulsion
- 6. C · Measuring and recording urine output
- 7. B · Stop feeding and report it urgently
- 8. A · Subgaleal haemorrhage
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