ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

เหตุใดจึงให้อิมมูโนโกลบูลินแอนตี้ดี (anti-D) แก่หญิงตั้งครรภ์หมู่เลือดอาร์เอชลบ (Rh-negative)?

1. Aเพื่อป้องกันทารกจากการติดเชื้อ เช่น หัดเยอรมันและสเตรปโตค็อกคัสกลุ่มบี
2. Bเพื่อรักษาภาวะโลหิตจางของมารดา
3. Cเพื่อไม่ให้ระบบภูมิคุ้มกันของมารดาสร้างแอนติบอดีต่อเลือดทารกที่เป็นอาร์เอชบวก
4. Dเพื่อทำให้ทารกเป็นอาร์เอชลบ

What is the purpose of an episiotomy?

1. ATo prevent all perineal pain after birth
2. BTo widen the vaginal outlet with a cut
3. CTo remove the placenta
4. DTo speed up cervical dilation

Which contraceptive method is usually avoided in the first weeks after birth in a breastfeeding mother?

1. AA copper intrauterine device
2. BCondoms
3. CProgestin-only pills
4. DCombined oestrogen-progestin pills

In which order do the final cardinal movements of labour occur after extension?

1. AExpulsion, restitution, external rotation
2. BInternal rotation, descent, expulsion
3. CExternal rotation, flexion, expulsion
4. DRestitution, external rotation, expulsion

A woman at 37 weeks is GBS-positive. When should she receive antibiotics?

1. AIntravenously during labour
2. BOrally at 37 weeks only
3. CNot at all, because GBS is normal flora
4. DOnly to the baby after birth

A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?

1. AA low white cell count only
2. BA raised haemoglobin level
3. CA high fibrinogen level and high platelets
4. DA low fibrinogen level and low platelets

A woman with an epidural in labour now has a temperature of 38.0 °C (100.4 °F). Which statement is most accurate?

1. AFever with an epidural is always caused by the epidural
2. BFever in labour can be ignored if the baby is moving
3. CThe epidural may cause it, but infection must be ruled out
4. DFever with an epidural always means the catheter is infected

A labouring woman refuses a recommended caesarean for fetal distress after a full explanation. She has decision-making capacity. What should the nurse do?

1. AAsk her partner to consent instead
2. BStop caring for her because she refused advice
3. CRespect her decision, document it and inform the team
4. DPrepare her for surgery anyway because the baby is at risk