1.ง่าย
Which hormone is detected by a standard pregnancy test?
- ALuteinising hormone (LH)
- BHuman chorionic gonadotrophin (hCG)
- CFollicle-stimulating hormone (FSH)
- DHuman placental lactogen (hPL)
2.ง่าย
What is ballottement in pregnancy?
- AThe first fetal movements felt by the mother
- BThe fetus rebounds when pushed by the examiner
- CBluish colour of the cervix
- DContractions that do not dilate the cervix
3.ง่าย
"Fetal lie" describes:
- AThe level of the presenting part relative to the ischial spines
- BThe part of the fetus that enters the pelvis first
- CThe relation of the fetal long axis to the mother's long axis
- DHow much the fetal head is flexed on the chest
4.ปานกลาง
หลังเริ่มให้ยาชาเข้าช่องเหนือเยื่อหุ้มไขสันหลัง (epidural) ระหว่างคลอด พยาบาลควรเฝ้าระวังภาวะแทรกซ้อนใด?
- Aความดันโลหิตต่ำของมารดา
- Bน้ำตาลในเลือดสูงของมารดา
- Cความรู้สึกปวดปัสสาวะเพิ่มขึ้น
- Dความดันโลหิตสูงของมารดา
5.ปานกลาง
Which drug is a known teratogen that must be stopped before a planned pregnancy?
- AFolic acid
- BParacetamol (acetaminophen)
- CLevothyroxine
- DIsotretinoin
6.ปานกลาง
Which substance in amniotic fluid is used to judge fetal lung maturity?
- ABilirubin, assessed by its colour
- BGlucose, assessed by its concentration
- CSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- DAlpha-fetoprotein, assessed by its level
7.ยาก
Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?
- ACervical laceration
- BUterine inversion
- CUterine atony
- DAmniotic fluid embolism
8.ยาก
A woman with known mitral stenosis is pregnant. When is she at greatest risk of heart failure?
- AOnly during the first stage of labour
- BRisk is the same at every point in pregnancy
- CWhen blood volume peaks in late pregnancy and in the hours after birth
- DOnly in the first trimester, when nausea is worst
เฉลย
- 1. B · Human chorionic gonadotrophin (hCG)
- 2. B · The fetus rebounds when pushed by the examiner
- 3. C · The relation of the fetal long axis to the mother's long axis
- 4. A · ความดันโลหิตต่ำของมารดา
- 5. D · Isotretinoin
- 6. C · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 7. B · Uterine inversion
- 8. C · When blood volume peaks in late pregnancy and in the hours after birth
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