ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which sign shows a good breastfeeding latch?

1. AOnly the nipple is in the baby's mouth
2. BClicking sounds are heard while feeding
3. CThe lips are flanged outwards over the areola
4. DThe baby's cheeks are sucked in with each suck

What is the most common cause of sore, cracked nipples in the first days of breastfeeding?

1. AToo much milk
2. BUsing both breasts
3. CA poor latch
4. DFeeding too often

Which nutrient is needed in much greater amounts in pregnancy to support the increase in red blood cell production?

1. AIron
2. BVitamin E
3. CSodium
4. DVitamin A

A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?

1. AIt prevents the baby from developing rubella
2. BIt protects her from pre-eclampsia
3. CHer antibodies cross the placenta and protect the newborn
4. DIt is a live vaccine that gives the baby lifelong immunity to whooping cough

Low-dose aspirin may be prescribed from early pregnancy to a woman with a high risk of:

1. APre-eclampsia
2. BPlacenta praevia
3. CHyperemesis gravidarum
4. DGestational diabetes

A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?

1. AWarfarin crosses the placenta and can harm the fetus
2. BHeparin can be taken as a tablet once a day
3. CWarfarin is ineffective in pregnancy
4. DHeparin crosses the placenta better and also protects the fetus

A woman at 16 weeks says she drinks four cups of strong coffee a day. Which response is most appropriate?

1. AAdvise switching to energy drinks, which contain less caffeine
2. BTell her to switch to strong tea, which has no caffeine
3. CTell her coffee has no effect on pregnancy and she can continue
4. DAdvise limiting caffeine to about 200 mg a day, roughly two cups of coffee

At 4 hours, a newborn's temperature is 37.9 °C (100.2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?

1. AGive an antipyretic medicine immediately
2. BPlace him in a cold bath
3. CStart antibiotics without further assessment
4. DRemove extra layers and recheck