1.ง่าย
Which is a main function of the placenta?
- AExchange of gases and nutrients
- BProduction of insulin for the fetus
- CProduction of fetal bile
- DProduction of fetal antibodies
2.ง่าย
What is the purpose of an episiotomy?
- ATo prevent all perineal pain after birth
- BTo widen the vaginal outlet with a cut
- CTo speed up cervical dilation
- DTo remove the placenta
3.ง่าย
Which teratogenic effect is linked with maternal rubella infection in early pregnancy?
- ACleft lip, cleft palate and club foot
- BLimb reduction defects and missing fingers
- CDeafness, cataracts and heart defects
- DNeural tube defects
4.ปานกลาง
A woman at 32 weeks has varicose veins in her legs. Which advice is most appropriate?
- ARaise the legs when resting and avoid long standing
- BAvoid walking until after the birth
- CWear tight elastic bands around the top of the thighs
- DSit with her legs crossed to support the veins
5.ปานกลาง
The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?
- ADirectly over the fundus
- BAbove the umbilicus on the mother's right side
- CAbove the umbilicus on the mother's left side
- DBelow the umbilicus on the mother's left side
6.ปานกลาง
ตัวย่อ HELLP ย่อมาจากอะไร?
- AHaemorrhage (ตกเลือด), eclampsia (ชักจากครรภ์เป็นพิษ), low pressure (ความดันต่ำ)
- BHyperglycaemia (น้ำตาลสูง), elevated lactate (แลคเตทสูง), low potassium (โพแทสเซียมต่ำ)
- CHaemolysis (เม็ดเลือดแดงแตก), elevated liver enzymes (เอนไซม์ตับสูง), low platelets (เกล็ดเลือดต่ำ)
- DHypertension (ความดันโลหิตสูง), elevated lipids (ไขมันสูง), low protein (โปรตีนต่ำ)
7.ยาก
A woman has a painful, red breast with a fluctuant swelling that has not improved after antibiotics. What should be suspected?
- ANormal engorgement
- BA blocked duct needing only massage
- CAn allergic reaction to the antibiotic
- DA breast abscess needing drainage
8.ยาก
A woman on day 2 after a caesarean suddenly has chest pain, breathlessness, a heart rate of 120/min and an oxygen saturation of 90%. What is the priority?
- ATell her to rest and recheck in 4 hours
- BCall for help, sit her up and give oxygen
- CAsk her to walk to the bathroom
- DGive her a laxative for abdominal pressure
เฉลย
- 1. A · Exchange of gases and nutrients
- 2. B · To widen the vaginal outlet with a cut
- 3. C · Deafness, cataracts and heart defects
- 4. A · Raise the legs when resting and avoid long standing
- 5. D · Below the umbilicus on the mother's left side
- 6. C · Haemolysis (เม็ดเลือดแดงแตก), elevated liver enzymes (เอนไซม์ตับสูง), low platelets (เกล็ดเลือดต่ำ)
- 7. D · A breast abscess needing drainage
- 8. B · Call for help, sit her up and give oxygen
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