1.ง่าย
How many vessels does a normal umbilical cord contain?
- ATwo arteries and one vein
- BOne artery and one vein
- CTwo arteries and two veins
- DOne artery and two veins
2.ง่าย
In a healthy term newborn, when does physiological jaundice usually reach its peak?
- AAt about 6 to 8 weeks
- BWithin the first 12 hours
- CAt about 3 weeks
- DAround days 3 to 5
3.ง่าย
What is the main purpose of an ultrasound scan in the first trimester?
- ATo measure fetal lung maturity
- BTo diagnose gestational diabetes
- CTo find out the baby's blood group
- DTo date the pregnancy and count fetuses
4.ปานกลาง
กราฟบันทึกของหญิงที่กำลังเจ็บครรภ์คลอดแสดง variable deceleration พยาบาลควรทำอะไรก่อน?
- Aเริ่มให้เบ่งทันที
- Bเปลี่ยนท่าของหญิงนั้น
- Cจัดให้นอนราบหงาย
- Dเพิ่มอัตราการให้ออกซิโทซิน
5.ปานกลาง
Why is it important that the uterus relaxes fully between contractions?
- AIt reduces the mother's need for fluids
- BIt prevents the membranes from rupturing
- CIt allows the cervix to close again between contractions
- DBlood flow to the placenta is restored between contractions
6.ปานกลาง
Which finding is a contraindication to a fetal scalp electrode?
- AA cephalic presentation
- BCervical dilation of 4 cm
- CMembranes that have ruptured
- DMaternal HIV infection
7.ยาก
A labouring woman has a temperature of 38.5 °C (101.3 °F), and the fetal baseline has risen from 140 to 170 bpm over the last hour. What is the most likely explanation?
- AReassuring fetal response to contractions
- BFetal tachycardia due to maternal fever or infection
- CFetal tachycardia due to a maternal opioid
- DFetal head compression
8.ยาก
A woman at 6 weeks has vaginal spotting and one-sided pelvic pain. Her hCG rose only slightly over 48 hours and no pregnancy is seen in the uterus on transvaginal ultrasound. What is the priority concern?
- AA normal early pregnancy
- BAn ectopic pregnancy
- CA molar pregnancy
- DA complete miscarriage with no further risk
เฉลย
- 1. A · Two arteries and one vein
- 2. D · Around days 3 to 5
- 3. D · To date the pregnancy and count fetuses
- 4. B · เปลี่ยนท่าของหญิงนั้น
- 5. D · Blood flow to the placenta is restored between contractions
- 6. D · Maternal HIV infection
- 7. B · Fetal tachycardia due to maternal fever or infection
- 8. B · An ectopic pregnancy
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