1.ง่าย
Using US (ACOG) definitions, preterm labour is labour that begins:
- ABetween 20 and 37 weeks
- BBefore 20 weeks of pregnancy
- CAt any time before the due date at 40 weeks
- DAfter 42 weeks of pregnancy
2.ง่าย
Which postnatal warning sign should a woman report straight away after discharge?
- ABleeding that soaks a pad in an hour
- BTiredness in the first week
- CLochia that slowly changes colour
- DMild afterpains during feeds
3.ง่าย
When is chorionic villus sampling (CVS) usually performed?
- AAt about 28 to 32 weeks
- BAt about 11 to 14 weeks
- CAt about 36 to 38 weeks
- DAt about 20 to 24 weeks
4.ปานกลาง
Why is the hearing of newborns screened before discharge or soon after birth?
- AHearing loss can be cured with a single injection
- BIt detects congenital heart disease
- CEarly support improves language development
- DIt is required before vitamin K can be given
5.ปานกลาง
A woman at 37 weeks is GBS-positive. When should she receive antibiotics?
- AOrally at 37 weeks only
- BOnly to the baby after birth
- CNot at all, because GBS is normal flora
- DIntravenously during labour
6.ปานกลาง
After a circumcision, which finding should be reported?
- AA yellowish film over the glans on day 2
- BActive bleeding that soaks a nappy
- CMild swelling of the glans
- DFussiness at the first nappy change
7.ยาก
ในวันที่ 2 หลังผ่าตัดคลอด หญิงมีอุณหภูมิ 38.4 °C มดลูกกดเจ็บ และน้ำคาวปลามีกลิ่นเหม็น ภาวะใดน่าจะเป็นที่สุด?
- Aเยื่อบุมดลูกอักเสบ (endometritis)
- Bเต้านมคัดตึง
- Cภาวะซึมเศร้าชั่วคราวหลังคลอด (postpartum blues)
- Dการฟื้นตัวหลังคลอดตามปกติ
8.ยาก
A nurse teaches a first-time mother about exclusive breastfeeding. Which statement shows a need for further teaching?
- A"On hot days I should give my baby extra water between feeds."
- B"My milk supply increases the more often she feeds."
- C"I should feed my baby whenever she shows hunger cues."
- D"Wet nappies help me check that she is getting enough."
เฉลย
- 1. A · Between 20 and 37 weeks
- 2. A · Bleeding that soaks a pad in an hour
- 3. B · At about 11 to 14 weeks
- 4. C · Early support improves language development
- 5. D · Intravenously during labour
- 6. B · Active bleeding that soaks a nappy
- 7. A · เยื่อบุมดลูกอักเสบ (endometritis)
- 8. A · "On hot days I should give my baby extra water between feeds."
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