1.ง่าย
What is lanugo?
- AFine, downy hair on the body
- BA birthmark on the face
- CA white coating on the skin
- DPeeling skin on the hands and feet
2.ง่าย
ในการประเมินหลังคลอดแบบ BUBBLE-HE ตัว "B" ตัวแรกย่อมาจากอะไร?
- Aเสียงลำไส้ (Bowel sounds)
- Bความดันโลหิต (Blood pressure)
- Cความผูกพัน (Bonding)
- Dเต้านม (Breasts)
3.ง่าย
What is the most common cause of sore, cracked nipples in the first days of breastfeeding?
- AA poor latch
- BToo much milk
- CFeeding too often
- DUsing both breasts
4.ปานกลาง
Which behaviour shows positive early bonding between mother and newborn?
- AAvoiding holding the baby during the first day
- BCalling the baby "it" and not looking at it
- CFace-to-face eye contact and talking to the baby
- DAsking staff to keep the baby in the nursery at all times
5.ปานกลาง
Why is a baby of a mother with poorly controlled diabetes often large?
- AFetal hyperinsulinaemia acts as a growth hormone
- BThe baby inherits a gene for large size
- CDiabetes always prolongs the pregnancy
- DThe mother's insulin crosses the placenta
6.ปานกลาง
Which is a common sign of iron deficiency anaemia in pregnancy?
- ATiredness, pallor and breathlessness
- BWeight gain and ankle swelling
- CHigh blood pressure and headache
- DIncreased appetite and frequent urination
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?
- ABright lights and frequent handling to keep the baby awake
- BA quiet, dim room, swaddling and small, frequent feeds
- CGiving naloxone to reverse the opioids
- DWithholding feeds until the symptoms settle
8.ยาก
After birth of the head, the nurse feels the umbilical cord loosely around the baby's neck. What is the appropriate action?
- AAsk the woman to stop pushing for 30 minutes
- BClamp and cut the cord before the shoulders deliver in every case
- CPush the baby's head back into the vagina
- DSlip the loop over the head or let the body deliver through it
เฉลย
- 1. A · Fine, downy hair on the body
- 2. D · เต้านม (Breasts)
- 3. A · A poor latch
- 4. C · Face-to-face eye contact and talking to the baby
- 5. A · Fetal hyperinsulinaemia acts as a growth hormone
- 6. A · Tiredness, pallor and breathlessness
- 7. B · A quiet, dim room, swaddling and small, frequent feeds
- 8. D · Slip the loop over the head or let the body deliver through it
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