1.ง่าย
What are milia?
- ATiny white spots on the nose and chin
- BRed blotches with small yellow centres
- CFlat bluish-grey patches on the lower back
- DPinkish marks on the back of the neck
2.ง่าย
Which factors make up the Bishop score?
- AMaternal pulse, blood pressure, temperature and breathing
- BFetal tone, movement, breathing and amniotic fluid
- CDilation, effacement, consistency, cervical position and station
- DFetal heart rate baseline, variability, accelerations and decelerations
3.ง่าย
How many vessels does a normal umbilical cord contain?
- AOne artery and one vein
- BTwo arteries and two veins
- CTwo arteries and one vein
- DOne artery and two veins
4.ปานกลาง
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
- AMassage the breasts to stimulate milk flow
- BWear a supportive bra and use cold packs
- CExpress milk often to relieve fullness
- DApply warm showers to the breasts several times a day
5.ปานกลาง
Misoprostol is given for postpartum haemorrhage. Which side effect is common?
- AShivering and fever
- BSevere hypertension
- CBradycardia and hypoglycaemia
- DBronchospasm in all patients
6.ปานกลาง
A woman with epilepsy is planning a pregnancy. Which advice is most appropriate?
- ABreastfeeding will never be possible
- BStop all antiepileptic drugs before trying to conceive
- CAvoid folic acid because it lowers drug levels
- DReview her medicines with her doctor before conception
7.ยาก
A woman had a classical (vertical upper-segment) caesarean in her last pregnancy. She asks about her plan for this birth. Which answer is accurate?
- AHer previous incision makes no difference to the plan
- BShe should wait until 42 weeks and then decide
- CShe should try for a vaginal birth with oxytocin induction
- DA planned repeat caesarean before labour is advised
8.ยาก
A healthy newborn is jittery. Which finding helps tell jitteriness from a seizure?
- AJitteriness stops when the limb is gently held
- BSeizures are always triggered by loud sounds
- CJitteriness comes with eye deviation and apnoea
- DSeizures stop when the limb is held
เฉลย
- 1. A · Tiny white spots on the nose and chin
- 2. C · Dilation, effacement, consistency, cervical position and station
- 3. C · Two arteries and one vein
- 4. B · Wear a supportive bra and use cold packs
- 5. A · Shivering and fever
- 6. D · Review her medicines with her doctor before conception
- 7. D · A planned repeat caesarean before labour is advised
- 8. A · Jitteriness stops when the limb is gently held
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