1.ง่าย
How should the umbilical cord stump be cared for at home?
- AKeep it clean, dry and outside the nappy
- BCover it tightly with a plaster
- CPull it off once it starts to dry
- DApply baby oil to soften it
2.ง่าย
By what age have nearly all healthy term babies passed their first meconium?
- ABy 48 hours
- BOnly after the first formula feed
- CAfter the umbilical cord falls off
- DWithin 5 to 7 days
3.ง่าย
เหตุใดจึงให้วิตามินเคแก่ทารกแรกเกิดไม่นานหลังคลอด?
- Aเพื่อป้องกันภาวะเลือดออกจากการขาดวิตามินเค
- Bเพื่อเพิ่มน้ำตาลในเลือด
- Cเพื่อป้องกันการติดเชื้อที่ตา
- Dเพื่อป้องกันตัวเหลืองในทารกแรกเกิด
4.ปานกลาง
When should an Rh-negative woman with no anti-D antibodies routinely receive antenatal anti-D immunoglobulin?
- AAfter she has formed anti-D antibodies
- BOnly at the first antenatal visit
- COnly if the baby is known to be Rh-negative
- DAt about 28 weeks of pregnancy
5.ปานกลาง
Obesity before pregnancy (BMI 40) most increases the risk of which pregnancy complication?
- ALow birth weight from overnutrition
- BPlacenta praevia only
- CGestational diabetes
- DHyperemesis gravidarum
6.ปานกลาง
A woman's epidural has just been inserted. Which nursing action is a priority in the next hours?
- AEncourage her to walk around the room on her own
- BCheck her blood pressure and bladder often
- CKeep her lying flat on her back
- DRestrict all oral and IV fluids
7.ยาก
A breastfeeding mother asks whether she can have a progestin-only implant before discharge. Which reply is best?
- AProgestin-only methods are compatible with breastfeeding
- BAny hormonal contraception will stop her milk supply
- CImplants contain oestrogen, which is safe in breastfeeding
- DShe should wait until she stops breastfeeding before using any method
8.ยาก
A woman at 8 weeks takes valproate for epilepsy. She asks whether she should stop it. Which response is best?
- AStop the drug today because it causes birth defects
- BDo not stop it suddenly; arrange urgent specialist review
- CContinue as usual because epilepsy drugs are all safe in pregnancy
- DHalve the dose herself to reduce the risk to the baby
เฉลย
- 1. A · Keep it clean, dry and outside the nappy
- 2. A · By 48 hours
- 3. A · เพื่อป้องกันภาวะเลือดออกจากการขาดวิตามินเค
- 4. D · At about 28 weeks of pregnancy
- 5. C · Gestational diabetes
- 6. B · Check her blood pressure and bladder often
- 7. A · Progestin-only methods are compatible with breastfeeding
- 8. B · Do not stop it suddenly; arrange urgent specialist review
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