1.ง่าย
By what age have nearly all healthy term babies passed their first meconium?
- AOnly after the first formula feed
- BWithin 5 to 7 days
- CAfter the umbilical cord falls off
- DBy 48 hours
2.ง่าย
Why is eye ointment such as erythromycin given to newborns in some countries?
- ATo prevent retinopathy of prematurity
- BTo improve eyesight
- CTo prevent gonococcal eye infection
- DTo prevent jaundice
3.ง่าย
Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?
- ALow specific gravity
- BTrace leucocytes only
- CNormal colour
- DProtein
4.ปานกลาง
A newborn baby girl has a small amount of blood-tinged vaginal discharge on day 3. What should the nurse tell the parents?
- AIt is caused by maternal hormones
- BIt means the baby has a bleeding disorder
- CIt is a sign of sexual abuse
- DIt shows a urinary tract infection
5.ปานกลาง
A newborn's anterior fontanelle is sunken. What should the nurse suspect?
- ANormal crying
- BHydrocephalus
- CDehydration
- DRaised intracranial pressure
6.ปานกลาง
Which position of the fetal head presents the smallest diameter to the pelvis?
- AFull extension, with the face presenting
- BPartial extension, with the brow presenting
- CA neutral position with no flexion
- DFull flexion, with the chin on the chest
7.ยาก
An ultrasound at 30 weeks shows polyhydramnios and no visible fetal stomach bubble. Which fetal condition should be considered?
- AOesophageal atresia
- BPost-term pregnancy
- CFetal growth from maternal diabetes only
- DRenal agenesis
8.ยาก
A labouring woman refuses a recommended caesarean for fetal distress after a full explanation. She has decision-making capacity. What should the nurse do?
- APrepare her for surgery anyway because the baby is at risk
- BRespect her decision, document it and inform the team
- CStop caring for her because she refused advice
- DAsk her partner to consent instead
เฉลย
- 1. D · By 48 hours
- 2. C · To prevent gonococcal eye infection
- 3. D · Protein
- 4. A · It is caused by maternal hormones
- 5. C · Dehydration
- 6. D · Full flexion, with the chin on the chest
- 7. A · Oesophageal atresia
- 8. B · Respect her decision, document it and inform the team
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