1.ง่าย
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AThe first 3 days after conception
- BAbout weeks 3 to 8 after conception
- CAbout weeks 20 to 28 after conception
- DThe last month of pregnancy
2.ง่าย
Which phase of the first stage of labour is often marked by irritability, nausea, shaking and a feeling of losing control?
- ATransition
- BEarly active phase
- CLatent phase
- DThird stage
3.ง่าย
What does "multipara" mean?
- AA woman who has never given birth
- BA woman who is pregnant for the first time
- CA woman who has given birth two or more times
- DA woman who is pregnant with twins
4.ปานกลาง
A woman with hypothyroidism becomes pregnant. What usually happens to her levothyroxine needs?
- AThey usually rise, so levels are checked early
- BShe switches to iodine tablets instead
- CThey decrease to zero, so she stops the drug
- DThey stay the same, so no monitoring is needed
5.ปานกลาง
Contractions start at 10:00, 10:04 and 10:08, and each lasts 60 seconds. How should the nurse describe them?
- AEvery 4 minutes, lasting 240 seconds
- BEvery 3 minutes, lasting 60 seconds
- CEvery 5 minutes, lasting 60 seconds
- DEvery 4 minutes, lasting 60 seconds
6.ปานกลาง
On day 2, a newborn has red blotches with small yellow-white centres on the trunk. The baby is well. What is most likely?
- ANeonatal sepsis
- BHerpes simplex infection
- CPort-wine stain
- DErythema toxicum
7.ยาก
A nurse is teaching a mother how to prevent shaken baby syndrome. Which statement shows a need for further teaching?
- A"If I get too frustrated, I will put him in his cot and step away for a few minutes."
- B"Crying often increases in the first weeks, and that can be normal."
- C"If I feel very angry, it is fine to shake him a little to stop the crying."
- D"I can call someone to help when I feel overwhelmed."
8.ยาก
ไม่นานหลังเริ่มให้ epidural หญิงที่กำลังเจ็บครรภ์คลอดมีความดันโลหิตลดลงเหลือ 86/50 mmHg และอัตราการเต้นของหัวใจทารกลดลง พยาบาลควรทำอะไรก่อน?
- Aขอให้เธอเดินรอบห้อง
- Bยกหัวเตียงขึ้นสูงในท่านั่งเพื่อให้หายใจดีขึ้น
- Cจัดให้นอนตะแคงเพื่อให้มดลูกพ้นจากหลอดเลือดใหญ่
- Dเพิ่มอัตราการให้ยาทาง epidural
เฉลย
- 1. B · About weeks 3 to 8 after conception
- 2. A · Transition
- 3. C · A woman who has given birth two or more times
- 4. A · They usually rise, so levels are checked early
- 5. D · Every 4 minutes, lasting 60 seconds
- 6. D · Erythema toxicum
- 7. C · "If I feel very angry, it is fine to shake him a little to stop the crying."
- 8. C · จัดให้นอนตะแคงเพื่อให้มดลูกพ้นจากหลอดเลือดใหญ่
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com