1.ง่าย
Which reflex is tested by stroking the newborn's cheek, causing the baby to turn towards the touch?
- ABabinski reflex
- BRooting reflex
- CTonic neck reflex
- DMoro reflex
2.ง่าย
What is the main role of a support person such as a doula in labour?
- AGiving pain medication
- BContinuous emotional and physical support
- CInterpreting the fetal heart rate tracing
- DPerforming vaginal examinations
3.ง่าย
Which contraceptive method is usually avoided in the first weeks after birth in a breastfeeding mother?
- AA copper intrauterine device
- BCondoms
- CProgestin-only pills
- DCombined oestrogen-progestin pills
4.ปานกลาง
A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?
- AHirschsprung disease
- BNecrotising enterocolitis
- CInfantile pyloric stenosis
- DCow's milk protein allergy
5.ปานกลาง
During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?
- AA normal finding in all newborns
- BDevelopmental dysplasia of the hip
- CA fractured femur from the birth
- DClubfoot affecting the same side
6.ปานกลาง
ภาวะแทรกซ้อนใดของทารกแรกเกิดสัมพันธ์กับเบาหวานขณะตั้งครรภ์ที่ควบคุมได้ไม่ดี?
- Aโรคอาร์เอชของทารกแรกเกิด
- Bทารกตัวโตเกินไป (macrosomia) และการบาดเจ็บจากการคลอด
- Cหัดเยอรมันแต่กำเนิด
- Dทารกตัวเล็กมากและเจริญเติบโตช้าในผู้ป่วยส่วนใหญ่
7.ยาก
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AIntravenous iron
- BA routine blood transfusion
- CDoubling her caffeine intake
- DStopping iron and waiting until after birth
8.ยาก
A nurse is teaching a mother how to prevent shaken baby syndrome. Which statement shows a need for further teaching?
- A"I can call someone to help when I feel overwhelmed."
- B"If I get too frustrated, I will put him in his cot and step away for a few minutes."
- C"Crying often increases in the first weeks, and that can be normal."
- D"If I feel very angry, it is fine to shake him a little to stop the crying."
เฉลย
- 1. B · Rooting reflex
- 2. B · Continuous emotional and physical support
- 3. D · Combined oestrogen-progestin pills
- 4. B · Necrotising enterocolitis
- 5. B · Developmental dysplasia of the hip
- 6. B · ทารกตัวโตเกินไป (macrosomia) และการบาดเจ็บจากการคลอด
- 7. A · Intravenous iron
- 8. D · "If I feel very angry, it is fine to shake him a little to stop the crying."
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