1.ง่าย
In a healthy term newborn, when does physiological jaundice usually reach its peak?
- AWithin the first 12 hours
- BAround days 3 to 5
- CAt about 3 weeks
- DAt about 6 to 8 weeks
2.ง่าย
The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:
- AChloasma
- BLinea nigra
- CSpider naevi
- DStriae gravidarum
3.ง่าย
Which hormone is mainly responsible for milk production?
- AProlactin
- BOxytocin
- CProgesterone
- DOestrogen
4.ปานกลาง
A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?
- ALow urine output shows that the magnesium is working
- BMagnesium causes a large diuresis that leads to dehydration
- CUrine output tells the nurse exactly when to stop the infusion after the birth
- DMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
5.ปานกลาง
Why is a baby of a mother with poorly controlled diabetes often large?
- AThe baby inherits a gene for large size
- BDiabetes always prolongs the pregnancy
- CFetal hyperinsulinaemia acts as a growth hormone
- DThe mother's insulin crosses the placenta
6.ปานกลาง
ที่อายุครรภ์ 32 สัปดาห์ ความสูงยอดมดลูกเท่ากับ 37 ซม. ควรนึกถึงคำอธิบายใด?
- Aน้ำคร่ำน้อยเกินไป
- Bทารกในครรภ์เจริญเติบโตช้า
- Cครรภ์แฝดหรือน้ำคร่ำมากเกินไป
- Dทารกเคลื่อนต่ำลงสู่อุ้งเชิงกรานแล้ว
7.ยาก
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AIntravenous iron
- BStopping iron and waiting until after birth
- CA routine blood transfusion
- DDoubling her caffeine intake
8.ยาก
A woman in labour has a breech presentation and her membranes rupture. What should the nurse check first?
- AThe baby's sex on ultrasound
- BThe fetal heart rate and for cord prolapse
- CThe colour of her urine
- DHer blood glucose level
เฉลย
- 1. B · Around days 3 to 5
- 2. B · Linea nigra
- 3. A · Prolactin
- 4. D · Magnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
- 5. C · Fetal hyperinsulinaemia acts as a growth hormone
- 6. C · ครรภ์แฝดหรือน้ำคร่ำมากเกินไป
- 7. A · Intravenous iron
- 8. B · The fetal heart rate and for cord prolapse
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