ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

โดยทั่วไปตรวจคัดกรองเบาหวานขณะตั้งครรภ์เมื่อใดในหญิงที่ไม่มีปัจจัยเสี่ยงตั้งแต่ระยะแรก?

1. Aที่ 36 ถึง 38 สัปดาห์
2. Bหลังคลอดเท่านั้น
3. Cที่ 24 ถึง 28 สัปดาห์
4. Dที่ 8 ถึง 10 สัปดาห์

What is the main aim of tocolytic drugs such as nifedipine in preterm labour?

1. AMaturing the fetal lungs
2. BRipening the cervix
3. CPreventing maternal seizures
4. DSuppressing uterine contractions

What is Goodell's sign?

1. ASoftening of the cervix
2. BFetal movements felt by the examiner
3. CA bluish colour of the cervix
4. DSoftening of the lower uterine segment

Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?

1. AIn the parents' bed, between the two adults
2. BIn a separate cot or crib in the parents' room
3. COn a sofa with a parent when the baby is unsettled
4. DIn a separate bedroom from the first night

Which position of the fetal head presents the smallest diameter to the pelvis?

1. APartial extension, with the brow presenting
2. BA neutral position with no flexion
3. CFull extension, with the face presenting
4. DFull flexion, with the chin on the chest

A woman at 39 weeks with a healthy pregnancy asks about walking in early labour. What is the best advice?

1. AUpright positions always make labour slower
2. BShe must stay in bed on her back for the whole labour
3. CWalking will cause the cord to prolapse
4. DWalking and upright positions can help progress

A woman 5 hours after birth had a large blood loss and now has a heart rate of 128/min, blood pressure of 88/50 mmHg and cold hands. Which action is most important?

1. ACall for urgent help and start fluid resuscitation
2. BEncourage her to breastfeed to contract the uterus
3. CGive her a hot drink and recheck in an hour
4. DAsk her to walk to improve circulation

A newborn is cold-stressed. Which complications should the nurse anticipate?

1. AHyperglycaemia, polycythaemia and hypertension
2. BFever, diarrhoea and dehydration
3. CHypoglycaemia, hypoxia and metabolic acidosis
4. DHypercalcaemia and seizures only