ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

What advice helps reduce heartburn in pregnancy?

1. ADrink a large glass of milk just before going to bed
2. BEat small meals and stay upright after eating
3. CEat the main meal just before sleeping
4. DEat large meals and lie down afterwards

Which anaesthesia is usually used for a planned caesarean birth?

1. APudendal nerve block
2. BSpinal anaesthesia
3. CInhaled nitrous oxide only
4. DLocal infiltration of the perineum

ควรเตรียมยาใดไว้เป็นยาต้านพิษของแมกนีเซียมซัลเฟต?

1. Aแคลเซียมกลูโคเนต (calcium gluconate)
2. Bวิตามินเค
3. Cโพแทสเซียมคลอไรด์
4. Dนาลอกโซน (naloxone)

A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?

1. AMagnesium toxicity
2. BSpinal headache
3. CWater intoxication
4. DHypoglycaemia

Why are afterpains often stronger in multiparous women?

1. ATheir uterus contracts and relaxes more irregularly
2. BThey produce no oxytocin after birth
3. CThey have a smaller uterus than first-time mothers
4. DTheir uterus is always infected

A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?

1. AHirschsprung disease
2. BInfantile pyloric stenosis
3. CCow's milk protein allergy
4. DNecrotising enterocolitis

Over the last hour, a labour tracing shows variable decelerations that are becoming deeper and longer, a baseline rising from 135 to 165 bpm and falling variability. How should the nurse interpret this?

1. AEvolving fetal hypoxia; escalate for urgent obstetric review
2. BA normal fetal sleep cycle; recheck in an hour
3. CA sign of fetal well-being; no action is needed
4. DBenign head compression; continue routine monitoring

After the placenta is delivered, the nurse examines it. Why?

1. ATo estimate the baby's gestational age from its weight
2. BTo check the mother's blood type and Rh factor
3. CTo check that it is complete and nothing is retained
4. DTo decide whether the baby needs vitamin K