ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which pregnancy risk increases with maternal age over 35?

1. ANeural tube defects caused only by age
2. BTrisomies such as trisomy 21
3. CRh isoimmunisation
4. DPhysiological anaemia

ควรเตรียมยาใดไว้เป็นยาต้านพิษของแมกนีเซียมซัลเฟต?

1. Aวิตามินเค
2. Bแคลเซียมกลูโคเนต (calcium gluconate)
3. Cโพแทสเซียมคลอไรด์
4. Dนาลอกโซน (naloxone)

Which contraceptive method is usually avoided in the first weeks after birth in a breastfeeding mother?

1. ACondoms
2. BA copper intrauterine device
3. CProgestin-only pills
4. DCombined oestrogen-progestin pills

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

1. AMagnesium causes a large diuresis that leads to dehydration
2. BMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
3. CLow urine output shows that the magnesium is working
4. DUrine output tells the nurse exactly when to stop the infusion after the birth

A pregnant woman takes an iron supplement. Which instruction improves its absorption?

1. ATake it with orange juice rather than with tea
2. BTake it with an antacid to protect the stomach
3. CTake it with coffee to reduce nausea
4. DTake it together with milk or a calcium tablet

A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?

1. AFlumazenil is given to reverse the opioid
2. BEffective ventilation comes first; naloxone is not routine
3. CNaloxone is given before any ventilation is started
4. DNo support is needed because the effect lasts only seconds

A newborn has excessive frothy saliva and chokes and turns blue with the first feed. What is the priority?

1. AStop feeding and report it urgently
2. BGive the baby water instead of milk
3. CContinue feeding more slowly
4. DPlace the baby on its back to sleep

A woman with a fourth-degree tear is being discharged. Which instruction is appropriate?

1. ADo strong straining exercises to strengthen the muscles
2. BUse stool softeners and avoid suppositories and enemas
3. CTake rectal temperatures twice daily
4. DUse rectal suppositories each day to prevent constipation