1.ง่าย
Twins that develop from one fertilised ovum that splits are called:
- AMonozygotic twins
- BDizygotic twins
- CConjoined twins only
- DFraternal twins
2.ง่าย
When should a woman who has had a miscarriage and is Rh-negative receive anti-D immunoglobulin?
- AOnly if the father is Rh-negative
- BWithin 72 hours, when local guidelines advise it
- COnly before her next pregnancy
- DNever, because the pregnancy has ended
3.ง่าย
What advice helps reduce heartburn in pregnancy?
- AEat large meals and lie down afterwards
- BEat the main meal just before sleeping
- CEat small meals and stay upright after eating
- DDrink a large glass of milk just before going to bed
4.ปานกลาง
A woman at 16 weeks has an amniocentesis. Which instruction after the procedure is correct?
- ABed rest is required for 2 weeks
- BDrink no fluids for 24 hours
- CReport fever, leaking fluid or bleeding
- DNo follow-up is needed for any symptoms
5.ปานกลาง
Which factor most increases a postnatal woman's risk of venous thromboembolism?
- ANormal blood loss
- BEarly walking after birth
- CBreastfeeding
- DCaesarean birth
6.ปานกลาง
A woman at 26 weeks asks which symptom she should report straight away. Which one is a danger sign?
- AIncreased vaginal discharge that is white and odourless
- BMild swelling of the ankles at the end of the day
- CSudden swelling of the face and hands with a headache
- DOccasional heartburn after large meals
7.ยาก
A deceleration lasts 3 minutes before the baseline recovers. How is this classified?
- AA change of baseline
- BAn early deceleration
- CA prolonged deceleration
- DA variable acceleration
8.ยาก
A newborn male has a urethral opening on the underside of the penis. What should the nurse tell the parents?
- ACircumcision should be done straight away
- BCircumcision should wait for specialist review
- CIt will correct itself by school age
- DIt is a normal variation that needs no follow-up
เฉลย
- 1. A · Monozygotic twins
- 2. B · Within 72 hours, when local guidelines advise it
- 3. C · Eat small meals and stay upright after eating
- 4. C · Report fever, leaking fluid or bleeding
- 5. D · Caesarean birth
- 6. C · Sudden swelling of the face and hands with a headache
- 7. C · A prolonged deceleration
- 8. B · Circumcision should wait for specialist review
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