1.ง่าย
Gestational hypertension is defined as new hypertension after 20 weeks:
- AWith proteinuria and a seizure
- BThat was already present before pregnancy
- CWithout proteinuria or organ damage
- DThat occurs only during labour
2.ง่าย
How often does a newborn usually breastfeed in the first weeks?
- AOnce every 6 hours
- BAbout 8 to 12 times in 24 hours
- CAbout 3 to 4 times in 24 hours
- DOnly when the mother's breasts feel full
3.ง่าย
In Rubin's "taking-in" phase after birth, the mother typically:
- ATakes full control of the baby's care
- BReturns to her usual work and roles
- CFocuses on her own needs and the birth
- DIs eager to learn how to bathe the baby
4.ปานกลาง
On abdominal palpation at 39 weeks, only 2/5 of the fetal head can be felt above the pelvic brim. How is this interpreted?
- AThe head is engaged in the pelvis
- BThe head is crowning at the vulva
- CThe head is free above the pelvic brim
- DThe fetus is in a breech presentation
5.ปานกลาง
Why is tight glucose control before conception important in women with pre-existing diabetes?
- AIt prevents the mother from developing pre-eclampsia
- BIt prevents the need for any monitoring during pregnancy
- CIt guarantees that the baby will be born at term
- DEarly hyperglycaemia raises the risk of birth defects
6.ปานกลาง
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- ASitting on a hard surface for long periods
- BAvoiding all fluids to prevent loose stools
- CSitz baths, cold pads and stool softeners
- DStraining hard to open the bowels
7.ยาก
หญิงอายุครรภ์ 30 สัปดาห์มีการหดรัดตัวของมดลูกสม่ำเสมอและเจ็บทุก 5 นาที ร่วมกับปากมดลูกเปลี่ยนแปลง การรักษาใดที่คาดว่าจะปกป้องปอดของทารกหากเกิดการคลอด?
- Aคอร์ติโคสเตียรอยด์ก่อนคลอด
- Bเมทิลเออร์โกโนวีน
- Cอิมมูโนโกลบูลิน anti-D
- Dออกซิโทซิน
8.ยาก
A biophysical profile scores 4 out of 10 at 38 weeks. How should the nurse interpret this?
- AIt is normal and reassuring
- BIt is equivocal and should be repeated next week
- CIt is abnormal and needs prompt review
- DIt only means the woman needs to drink more water
เฉลย
- 1. C · Without proteinuria or organ damage
- 2. B · About 8 to 12 times in 24 hours
- 3. C · Focuses on her own needs and the birth
- 4. A · The head is engaged in the pelvis
- 5. D · Early hyperglycaemia raises the risk of birth defects
- 6. C · Sitz baths, cold pads and stool softeners
- 7. A · คอร์ติโคสเตียรอยด์ก่อนคลอด
- 8. C · It is abnormal and needs prompt review
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