ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which hormone is mainly responsible for milk production?

1. AProlactin
2. BProgesterone
3. COestrogen
4. DOxytocin

A woman lists her symptoms. Which one is a presumptive (subjective) sign of pregnancy?

1. AAmenorrhoea
2. BFetal heart tones heard by Doppler
3. CA positive pregnancy test
4. DBallottement of the fetus

An intrauterine pressure catheter (IUPC) measures:

1. AThe strength of uterine contractions
2. BThe volume of amniotic fluid
3. CMaternal blood pressure
4. DThe fetal heart rate from the scalp

Which baby is at greatest risk of early-onset group B streptococcal infection?

1. AA baby of a GBS-positive mother with no antibiotics
2. BA baby born at 40 weeks to a mother with no risk factors
3. CA baby whose mother was GBS-negative at 36 weeks
4. DA baby born by planned caesarean with intact membranes

A woman at 37 weeks is GBS-positive. When should she receive antibiotics?

1. AIntravenously during labour
2. BOnly to the baby after birth
3. CNot at all, because GBS is normal flora
4. DOrally at 37 weeks only

Why is a baby of a mother with poorly controlled diabetes often large?

1. AThe baby inherits a gene for large size
2. BThe mother's insulin crosses the placenta
3. CDiabetes always prolongs the pregnancy
4. DFetal hyperinsulinaemia acts as a growth hormone

At 18 weeks, a woman's maternal serum alpha-fetoprotein is well above the normal range for her dates. Which condition does this result most suggest?

1. AAn open neural tube defect
2. BPre-eclampsia
3. CGestational diabetes
4. DDown syndrome (trisomy 21)

A woman 5 hours after birth had a large blood loss and now has a heart rate of 128/min, blood pressure of 88/50 mmHg and cold hands. Which action is most important?

1. AAsk her to walk to improve circulation
2. BEncourage her to breastfeed to contract the uterus
3. CCall for urgent help and start fluid resuscitation
4. DGive her a hot drink and recheck in an hour