1.ง่าย
ควรเตรียมยาใดไว้เป็นยาต้านพิษของแมกนีเซียมซัลเฟต?
- Aนาลอกโซน (naloxone)
- Bแคลเซียมกลูโคเนต (calcium gluconate)
- Cวิตามินเค
- Dโพแทสเซียมคลอไรด์
2.ง่าย
A fetal heart rate baseline above 160 bpm for 10 minutes or more is called:
- AMinimal variability
- BA prolonged acceleration
- CFetal tachycardia
- DFetal bradycardia
3.ง่าย
By what age have nearly all healthy term babies passed their first meconium?
- ABy 48 hours
- BWithin 5 to 7 days
- COnly after the first formula feed
- DAfter the umbilical cord falls off
4.ปานกลาง
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AIt protects her from pre-eclampsia
- BIt is a live vaccine that gives the baby lifelong immunity to whooping cough
- CHer antibodies cross the placenta and protect the newborn
- DIt prevents the baby from developing rubella
5.ปานกลาง
A woman 2 hours after birth has a temperature of 37.8 °C (100.0 °F), a firm fundus and normal lochia. What is the most likely cause?
- APulmonary embolism
- BEndometritis
- CDehydration after labour
- DMastitis
6.ปานกลาง
A woman at 10 weeks has morning sickness. Which suggestion is most likely to help?
- AEat spicy and fatty foods to settle the stomach
- BDrink large amounts of fluid with each meal
- CSkip breakfast and eat one large meal in the evening
- DEat dry crackers before rising and eat small meals
7.ยาก
A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?
- AMassage the groin daily to push it down
- BTell the parents it will never descend
- CRecord it and arrange follow-up; many descend later
- DArrange emergency surgery on the testis today
8.ยาก
A woman at 34 weeks with type 1 diabetes has a blood glucose of 2.8 mmol/L (50 mg/dL), is sweating and shaky but is alert. What should the nurse do first?
- AGive her usual insulin dose
- BWait until her next meal
- CGive fast-acting glucose by mouth and recheck
- DCheck the fetal heart rate before any treatment
เฉลย
- 1. B · แคลเซียมกลูโคเนต (calcium gluconate)
- 2. C · Fetal tachycardia
- 3. A · By 48 hours
- 4. C · Her antibodies cross the placenta and protect the newborn
- 5. C · Dehydration after labour
- 6. D · Eat dry crackers before rising and eat small meals
- 7. C · Record it and arrange follow-up; many descend later
- 8. C · Give fast-acting glucose by mouth and recheck
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