1.ง่าย
Which fetal structure carries oxygen-rich blood from the placenta to the fetus?
- AThe umbilical vein
- BThe pulmonary artery
- CThe ductus arteriosus
- DThe umbilical arteries
2.ง่าย
Which condition is a clear indication for a caesarean birth?
- AA previous labour that was fast and uncomplicated
- BA fetus in the left occiput anterior position
- CA placenta praevia covering the internal cervical os
- DMild ankle swelling at the end of the day at term
3.ง่าย
"ระยะที่ 4" ของการคลอดหมายถึงอะไร?
- Aช่วงเวลาที่เบ่งคลอด
- B6 สัปดาห์แรกหลังคลอด
- Cช่วงตั้งแต่เริ่มมีการหดรัดตัวสม่ำเสมอจนปากมดลูกเปิดหมด
- D1 ถึง 2 ชั่วโมงแรกหลังรกคลอด
4.ปานกลาง
Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?
- AIn the parents' bed, between the two adults
- BIn a separate cot or crib in the parents' room
- CIn a separate bedroom from the first night
- DOn a sofa with a parent when the baby is unsettled
5.ปานกลาง
A pregnant woman takes an iron supplement. Which instruction improves its absorption?
- ATake it with an antacid to protect the stomach
- BTake it with orange juice rather than with tea
- CTake it with coffee to reduce nausea
- DTake it together with milk or a calcium tablet
6.ปานกลาง
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt is given into the muscle of the thigh
- BIt is a tablet taken with meals
- CIt must be stopped if she chooses to breastfeed her baby
- DIt is injected under the skin; report unusual bleeding
7.ยาก
A preterm baby's parents are being taught about breast milk. Which statement shows they understand its special benefit for preterm babies?
- A"Breast milk removes the need for eye screening."
- B"Breast milk means our baby will not need any oxygen."
- C"Breast milk lowers the risk of necrotising enterocolitis."
- D"Breast milk stops jaundice from ever developing."
8.ยาก
A newborn's heart rate is 80/min after 30 seconds of positive-pressure ventilation and the chest is not moving. What should the nurse do next?
- ACorrect the ventilation, starting with mask and airway
- BStart chest compressions immediately at a 3:1 ratio
- CGive IV adrenaline straight away
- DStop ventilation and give oxygen by mask only
เฉลย
- 1. A · The umbilical vein
- 2. C · A placenta praevia covering the internal cervical os
- 3. D · 1 ถึง 2 ชั่วโมงแรกหลังรกคลอด
- 4. B · In a separate cot or crib in the parents' room
- 5. B · Take it with orange juice rather than with tea
- 6. D · It is injected under the skin; report unusual bleeding
- 7. C · "Breast milk lowers the risk of necrotising enterocolitis."
- 8. A · Correct the ventilation, starting with mask and airway
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