1.ง่าย
สาเหตุที่พบบ่อยที่สุดของการตกเลือดหลังคลอดคืออะไร?
- Aชิ้นส่วนรกหรือเยื่อหุ้มทารกตกค้างในมดลูก
- Bความผิดปกติของการแข็งตัวของเลือด
- Cปากมดลูกฉีกขาด
- Dมดลูกไม่หดรัดตัว (uterine atony)
2.ง่าย
What is the most common cause of sore, cracked nipples in the first days of breastfeeding?
- AUsing both breasts
- BA poor latch
- CToo much milk
- DFeeding too often
3.ง่าย
How should the umbilical cord stump be cared for at home?
- AApply baby oil to soften it
- BKeep it clean, dry and outside the nappy
- CPull it off once it starts to dry
- DCover it tightly with a plaster
4.ปานกลาง
A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?
- AFeed the baby and recheck the glucose
- BGive IV insulin immediately
- CWithhold feeds and observe for 6 hours
- DGive the baby plain water by bottle
5.ปานกลาง
Parents ask why their baby is having a pulse oximetry check on the right hand and a foot. What is the reason?
- ATo screen for critical congenital heart disease
- BTo screen for hearing loss
- CTo measure the baby's blood pressure
- DTo check the baby's blood glucose
6.ปานกลาง
A woman in labour has severe back pain with each contraction. The fetus is in an occiput posterior position. Which measure is most likely to help?
- AHolding her breath and pushing with each contraction
- BSacral counterpressure and a hands-and-knees position
- CAvoiding movement until full dilation
- DLying flat on her back with her legs raised
7.ยาก
An 18-year-old at 30 weeks has missed several antenatal visits. What is the most helpful nursing approach?
- ATell her she is putting her baby at risk and must attend
- BReport her to social services for missing visits
- CExplore barriers and offer flexible, youth-friendly care
- DDischarge her from antenatal care
8.ยาก
A preterm baby born at 28 weeks is at risk of intraventricular haemorrhage. Which nursing measure reduces this risk?
- AKeeping the head of the cot lower than the feet
- BMinimal handling with the head in midline
- CRapid fluid boluses to support blood pressure
- DFrequent handling and stimulation to keep the baby alert
เฉลย
- 1. D · มดลูกไม่หดรัดตัว (uterine atony)
- 2. B · A poor latch
- 3. B · Keep it clean, dry and outside the nappy
- 4. A · Feed the baby and recheck the glucose
- 5. A · To screen for critical congenital heart disease
- 6. B · Sacral counterpressure and a hands-and-knees position
- 7. C · Explore barriers and offer flexible, youth-friendly care
- 8. B · Minimal handling with the head in midline
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