1.ง่าย
การรับประทานกรดโฟลิกก่อนตั้งครรภ์และในระยะแรกของการตั้งครรภ์ช่วยลดความเสี่ยงของโรคใดเป็นหลัก?
- Aการตกเลือดหลังคลอด
- Bเบาหวานขณะตั้งครรภ์
- Cครรภ์เป็นพิษ (pre-eclampsia)
- Dความผิดปกติของหลอดประสาท (neural tube defect)
2.ง่าย
Which sign is often the earliest sign of sepsis in a newborn?
- AA bulging anterior fontanelle at birth
- BA high fever above 40 °C (104 °F) on the first day
- CA loud, vigorous cry
- DUnstable temperature and poor feeding
3.ง่าย
How often does a newborn usually breastfeed in the first weeks?
- AOnly when the mother's breasts feel full
- BAbout 3 to 4 times in 24 hours
- CAbout 8 to 12 times in 24 hours
- DOnce every 6 hours
4.ปานกลาง
Contractions start at 10:00, 10:04 and 10:08, and each lasts 60 seconds. How should the nurse describe them?
- AEvery 4 minutes, lasting 60 seconds
- BEvery 4 minutes, lasting 240 seconds
- CEvery 3 minutes, lasting 60 seconds
- DEvery 5 minutes, lasting 60 seconds
5.ปานกลาง
Why are afterpains often stronger in multiparous women?
- ATheir uterus is always infected
- BThey have a smaller uterus than first-time mothers
- CThey produce no oxytocin after birth
- DTheir uterus contracts and relaxes more irregularly
6.ปานกลาง
A woman at 18 weeks asks about safe exercise. Which advice is correct?
- AExercise lying flat on her back is best after 20 weeks
- BContact sports and scuba diving are safe if she did them before
- CExercise should be stopped completely during pregnancy
- DModerate exercise like walking or swimming is encouraged
7.ยาก
After a severe postpartum haemorrhage, a woman cannot breastfeed because her milk does not come in, and she feels very tired. Which condition should be suspected?
- APostpartum thyroiditis
- BBreast engorgement
- CMastitis
- DSheehan syndrome
8.ยาก
A biophysical profile scores 4 out of 10 at 38 weeks. How should the nurse interpret this?
- AIt is normal and reassuring
- BIt is equivocal and should be repeated next week
- CIt only means the woman needs to drink more water
- DIt is abnormal and needs prompt review
เฉลย
- 1. D · ความผิดปกติของหลอดประสาท (neural tube defect)
- 2. D · Unstable temperature and poor feeding
- 3. C · About 8 to 12 times in 24 hours
- 4. A · Every 4 minutes, lasting 60 seconds
- 5. D · Their uterus contracts and relaxes more irregularly
- 6. D · Moderate exercise like walking or swimming is encouraged
- 7. D · Sheehan syndrome
- 8. D · It is abnormal and needs prompt review
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