1.ง่าย
What is the purpose of an episiotomy?
- ATo prevent all perineal pain after birth
- BTo widen the vaginal outlet with a cut
- CTo remove the placenta
- DTo speed up cervical dilation
2.ง่าย
Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?
- AProtein
- BNormal colour
- CTrace leucocytes only
- DLow specific gravity
3.ง่าย
Why is eye ointment such as erythromycin given to newborns in some countries?
- ATo prevent gonococcal eye infection
- BTo improve eyesight
- CTo prevent jaundice
- DTo prevent retinopathy of prematurity
4.ปานกลาง
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AUse a professional interpreter
- BUse gestures and simple English only
- CAsk her 10-year-old child to interpret
- DAsk her partner to sign for her
5.ปานกลาง
A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?
- AMagnesium toxicity
- BHypoglycaemia
- CWater intoxication
- DSpinal headache
6.ปานกลาง
Misoprostol is given for postpartum haemorrhage. Which side effect is common?
- AShivering and fever
- BBronchospasm in all patients
- CBradycardia and hypoglycaemia
- DSevere hypertension
7.ยาก
A preterm baby born at 28 weeks is at risk of intraventricular haemorrhage. Which nursing measure reduces this risk?
- AFrequent handling and stimulation to keep the baby alert
- BMinimal handling with the head in midline
- CRapid fluid boluses to support blood pressure
- DKeeping the head of the cot lower than the feet
8.ยาก
A woman has a painful, red breast with a fluctuant swelling that has not improved after antibiotics. What should be suspected?
- AAn allergic reaction to the antibiotic
- BA blocked duct needing only massage
- CNormal engorgement
- DA breast abscess needing drainage
เฉลย
- 1. B · To widen the vaginal outlet with a cut
- 2. A · Protein
- 3. A · To prevent gonococcal eye infection
- 4. A · Use a professional interpreter
- 5. C · Water intoxication
- 6. A · Shivering and fever
- 7. B · Minimal handling with the head in midline
- 8. D · A breast abscess needing drainage
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