ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which sign is often the earliest sign of sepsis in a newborn?

1. AA loud, vigorous cry
2. BA high fever above 40 °C (104 °F) on the first day
3. CA bulging anterior fontanelle at birth
4. DUnstable temperature and poor feeding

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

1. AProgestin-only pills
2. BCondoms
3. CA copper intrauterine device
4. DCombined oestrogen-progestin pills

Why should a pregnant woman avoid emptying a cat's litter tray?

1. ATo reduce the risk of group B streptococcus
2. BTo reduce the risk of listeriosis
3. CTo reduce the risk of rubella
4. DTo reduce the risk of toxoplasmosis

Which substance in amniotic fluid is used to judge fetal lung maturity?

1. AAlpha-fetoprotein, assessed by its level
2. BGlucose, assessed by its concentration
3. CSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
4. DBilirubin, assessed by its colour

Why is tight glucose control before conception important in women with pre-existing diabetes?

1. AIt guarantees that the baby will be born at term
2. BEarly hyperglycaemia raises the risk of birth defects
3. CIt prevents the need for any monitoring during pregnancy
4. DIt prevents the mother from developing pre-eclampsia

How does a port-wine stain differ from a "stork bite" (salmon patch)?

1. AA port-wine stain does not fade with time
2. BA stork bite only occurs in preterm babies
3. CA port-wine stain always disappears within a year
4. DA stork bite is a raised tumour that grows quickly

ในวันที่ 2 หลังผ่าตัดคลอด หญิงมีอุณหภูมิ 38.4 °C มดลูกกดเจ็บ และน้ำคาวปลามีกลิ่นเหม็น ภาวะใดน่าจะเป็นที่สุด?

1. Aการฟื้นตัวหลังคลอดตามปกติ
2. Bเต้านมคัดตึง
3. Cเยื่อบุมดลูกอักเสบ (endometritis)
4. Dภาวะซึมเศร้าชั่วคราวหลังคลอด (postpartum blues)

A woman at 30 weeks is in a minor car accident. She feels fine and has no bleeding. What should the nurse advise?

1. AStay at home because there is no bleeding
2. BCome in only if she bleeds within a week
3. CCome in for fetal monitoring even without symptoms
4. DTake a warm bath and rest