1.ง่าย
Smoking in pregnancy is most strongly linked with which outcome?
- APost-term pregnancy
- BPolyhydramnios
- CMacrosomia
- DLow birth weight
2.ง่าย
What are milia?
- AFlat bluish-grey patches on the lower back
- BTiny white spots on the nose and chin
- CPinkish marks on the back of the neck
- DRed blotches with small yellow centres
3.ง่าย
The anterior fontanelle of a newborn is:
- AClosed at birth in a term baby
- BDiamond-shaped, where the frontal and parietal bones meet
- CRound, at the base of the skull
- DTriangular, where the parietal and occipital bones meet
4.ปานกลาง
A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?
- AStop brushing until the bleeding has settled after birth
- BAvoid all dental visits until after the baby is born
- CUse a soft brush and keep up routine dental care
- DReport it at once because it is a sign of a clotting disorder
5.ปานกลาง
Why is tight glucose control before conception important in women with pre-existing diabetes?
- AEarly hyperglycaemia raises the risk of birth defects
- BIt prevents the mother from developing pre-eclampsia
- CIt prevents the need for any monitoring during pregnancy
- DIt guarantees that the baby will be born at term
6.ปานกลาง
A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?
- ANo support is needed because the effect lasts only seconds
- BFlumazenil is given to reverse the opioid
- CEffective ventilation comes first; naloxone is not routine
- DNaloxone is given before any ventilation is started
7.ยาก
A woman in labour has a breech presentation and her membranes rupture. What should the nurse check first?
- AHer blood glucose level
- BThe colour of her urine
- CThe fetal heart rate and for cord prolapse
- DThe baby's sex on ultrasound
8.ยาก
After a severe postpartum haemorrhage, a woman cannot breastfeed because her milk does not come in, and she feels very tired. Which condition should be suspected?
- APostpartum thyroiditis
- BSheehan syndrome
- CMastitis
- DBreast engorgement
เฉลย
- 1. D · Low birth weight
- 2. B · Tiny white spots on the nose and chin
- 3. B · Diamond-shaped, where the frontal and parietal bones meet
- 4. C · Use a soft brush and keep up routine dental care
- 5. A · Early hyperglycaemia raises the risk of birth defects
- 6. C · Effective ventilation comes first; naloxone is not routine
- 7. C · The fetal heart rate and for cord prolapse
- 8. B · Sheehan syndrome
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