ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

การลดลงของอัตราการเต้นของหัวใจทารกแบบแปรผัน (variable deceleration) มักเกิดจากอะไร?

1. Aวงจรการหลับตามปกติของทารก
2. Bการไหลเวียนเลือดระหว่างมดลูกกับรกไม่เพียงพอ
3. Cศีรษะทารกถูกกด
4. Dสายสะดือถูกกด

Which anaesthesia is usually used for a planned caesarean birth?

1. APudendal nerve block
2. BInhaled nitrous oxide only
3. CLocal infiltration of the perineum
4. DSpinal anaesthesia

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

1. APreventing maternal seizures
2. BSuppressing uterine contractions
3. CRipening the cervix
4. DMaturing the fetal lungs

Which is a common sign of iron deficiency anaemia in pregnancy?

1. AIncreased appetite and frequent urination
2. BHigh blood pressure and headache
3. CTiredness, pallor and breathlessness
4. DWeight gain and ankle swelling

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

1. AMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
2. BUrine output tells the nurse exactly when to stop the infusion after the birth
3. CLow urine output shows that the magnesium is working
4. DMagnesium causes a large diuresis that leads to dehydration

Why is congenital hypothyroidism included in newborn screening?

1. AIt causes hip dysplasia
2. BIt causes jaundice that cannot be treated
3. CIt can only be treated before birth
4. DEarly treatment prevents brain damage

A breastfeeding mother asks whether she can have a progestin-only implant before discharge. Which reply is best?

1. AProgestin-only methods are compatible with breastfeeding
2. BAny hormonal contraception will stop her milk supply
3. CShe should wait until she stops breastfeeding before using any method
4. DImplants contain oestrogen, which is safe in breastfeeding

Which finding is a sign that the placenta is separating in the third stage of labour?

1. AA gush of blood and lengthening of the cord
2. BSudden severe abdominal pain
3. CThe uterus becomes soft and wide
4. DImmediate fall in maternal blood pressure