1.ง่าย
Which drug is given routinely in active management of the third stage of labour?
- ATerbutaline
- BOxytocin
- CMagnesium sulfate
- DNifedipine
2.ง่าย
A newborn's cot is placed next to a cold outside window. Which type of heat loss is most likely?
- ARadiation
- BConduction
- CConvection
- DEvaporation
3.ง่าย
What is vernix caseosa?
- ASmall white spots on the nose
- BFine, soft hair on the shoulders and back
- CA white, cheesy coating on the skin
- DBluish patches over the lower back
4.ปานกลาง
หลังเริ่มให้ยาชาเข้าช่องเหนือเยื่อหุ้มไขสันหลัง (epidural) ระหว่างคลอด พยาบาลควรเฝ้าระวังภาวะแทรกซ้อนใด?
- Aความรู้สึกปวดปัสสาวะเพิ่มขึ้น
- Bน้ำตาลในเลือดสูงของมารดา
- Cความดันโลหิตต่ำของมารดา
- Dความดันโลหิตสูงของมารดา
5.ปานกลาง
Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?
- AIn a separate cot or crib in the parents' room
- BOn a sofa with a parent when the baby is unsettled
- CIn the parents' bed, between the two adults
- DIn a separate bedroom from the first night
6.ปานกลาง
Which placental hormone causes insulin resistance in the second half of pregnancy?
- ARelaxin
- BHuman placental lactogen (hPL)
- CHuman chorionic gonadotrophin (hCG)
- DOxytocin
7.ยาก
A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?
- AWithholding feeds until the symptoms settle
- BA quiet, dim room, swaddling and small, frequent feeds
- CBright lights and frequent handling to keep the baby awake
- DGiving naloxone to reverse the opioids
8.ยาก
A woman in her first antenatal visit discloses that her partner hits her. What is the most appropriate nursing action?
- ARecord it but avoid discussing it further to protect her privacy
- BTalk with her alone, assess her safety and offer support
- CAsk her partner to join the conversation to hear both sides
- DAdvise her that the violence will probably stop now that she is pregnant
เฉลย
- 1. B · Oxytocin
- 2. A · Radiation
- 3. C · A white, cheesy coating on the skin
- 4. C · ความดันโลหิตต่ำของมารดา
- 5. A · In a separate cot or crib in the parents' room
- 6. B · Human placental lactogen (hPL)
- 7. B · A quiet, dim room, swaddling and small, frequent feeds
- 8. B · Talk with her alone, assess her safety and offer support
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