ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

เกิดอะไรขึ้นในระยะที่ 3 ของการคลอด?

1. Aปากมดลูกเปิดจาก 4 เป็น 10 ซม.
2. Bมารดาพักฟื้นใน 2 ชั่วโมงแรกหลังคลอด
3. Cรกและเยื่อหุ้มทารกคลอดออกมา
4. Dทารกคลอดออกมา

On which part of the foot is a newborn heel-prick blood sample taken?

1. AThe ball of the foot
2. BThe outer or inner side of the heel
3. CThe tip of the big toe
4. DThe centre of the back of the heel

Which is a function of amniotic fluid?

1. AProducing fetal red blood cells
2. BSupplying oxygen to the fetus
3. CRemoving carbon dioxide from the fetus
4. DCushioning the fetus against injury

Which baby is at greatest risk of early-onset group B streptococcal infection?

1. AA baby born by planned caesarean with intact membranes
2. BA baby born at 40 weeks to a mother with no risk factors
3. CA baby of a GBS-positive mother with no antibiotics
4. DA baby whose mother was GBS-negative at 36 weeks

In fetal circulation, what is the function of the foramen ovale?

1. AIt carries blood from the aorta back to the placenta
2. BIt carries blood from the pulmonary artery to the aorta
3. CIt shunts blood from the right atrium to the left atrium
4. DIt lets blood from the umbilical vein bypass the liver

A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?

1. AWarfarin is ineffective in pregnancy
2. BWarfarin crosses the placenta and can harm the fetus
3. CHeparin crosses the placenta better and also protects the fetus
4. DHeparin can be taken as a tablet once a day

A non-stress test at 36 weeks shows no accelerations in 40 minutes. What is the most appropriate next step?

1. AFurther testing, such as a biophysical profile
2. BRecord the result as reactive and reassuring
3. CSend her home and repeat the test in a month
4. DImmediately start oxytocin to induce labour

A woman at 28 weeks has itching, and her liver tests and bile acids are raised. Which advice is most important?

1. ATake a hot bath to relieve the itching
2. BItching proves the baby is healthy
3. CReport reduced fetal movements straight away
4. DStop attending antenatal visits once itching settles