ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which measure is most helpful for perineal pain in the first 24 hours after a vaginal birth?

1. ACold packs on the perineum
2. BSitting on a hard chair
3. CA hot water bottle on the perineum
4. DTight underwear without a pad

Which hormone is mainly responsible for milk production?

1. AProgesterone
2. BProlactin
3. COxytocin
4. DOestrogen

Using US (ACOG) definitions, preterm labour is labour that begins:

1. AAt any time before the due date at 40 weeks
2. BAfter 42 weeks of pregnancy
3. CBetween 20 and 37 weeks
4. DBefore 20 weeks of pregnancy

A woman with pre-existing type 1 diabetes is pregnant. How do her insulin needs usually change?

1. AThey often fall early on and then rise later in pregnancy
2. BInsulin is stopped during pregnancy and restarted after birth
3. CThey rise in the first trimester and fall in the third
4. DThey stay the same throughout pregnancy

A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?

1. AHarmless dermal melanocytosis, to be documented
2. BBruising that suggests birth trauma or abuse
3. CA port-wine stain that will need laser treatment
4. DA sign of a serious blood clotting disorder

เหตุใดจึงให้คอร์ติโคสเตียรอยด์ เช่น เบตาเมทาโซน แก่หญิงที่เจ็บครรภ์คลอดก่อนกำหนด?

1. Aเพื่อหยุดการหดรัดตัวของมดลูก
2. Bเพื่อลดความดันโลหิตของมารดา
3. Cเพื่อป้องกันการติดเชื้อของเยื่อหุ้มทารก
4. Dเพื่อเร่งความสมบูรณ์ของปอดทารก

A newborn has cyanosis that improves when crying and worsens during feeding. Which condition should be suspected?

1. AChoanal atresia
2. BCongenital hip dysplasia
3. CCleft lip only
4. DOesophageal atresia

A woman who had a placenta praevia and two previous caesareans is scheduled for a caesarean. The team plans for possible hysterectomy and blood products. Why?

1. AShe is at high risk of pre-eclampsia only
2. BShe is at high risk of a post-term birth
3. CShe is at high risk of placenta accreta spectrum
4. DShe is at high risk of gestational diabetes