ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

What is the purpose of an episiotomy?

1. ATo remove the placenta
2. BTo prevent all perineal pain after birth
3. CTo speed up cervical dilation
4. DTo widen the vaginal outlet with a cut

โดยปกติประเมินคะแนนอัปการ์ (APGAR) เมื่อใด?

1. Aเฉพาะที่ 10 นาทีหลังคลอด
2. Bที่ 30 นาทีและที่ 24 ชั่วโมง
3. Cก่อนตัดสายสะดือและที่ 1 ชั่วโมง
4. Dที่ 1 และ 5 นาทีหลังคลอด

An intrauterine pressure catheter (IUPC) measures:

1. AThe volume of amniotic fluid
2. BThe fetal heart rate from the scalp
3. CMaternal blood pressure
4. DThe strength of uterine contractions

In early pregnancy, how does the serum hCG level normally change?

1. AIt rises slowly until it peaks just before birth
2. BIt roughly doubles every 2 to 3 days in the first weeks
3. CIt falls steadily from the day of implantation
4. DIt stays at the same level throughout the first trimester

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

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

Which finding is a contraindication to a fetal scalp electrode?

1. AMaternal HIV infection
2. BA cephalic presentation
3. CMembranes that have ruptured
4. DCervical dilation of 4 cm

A woman received an opioid IV 30 minutes ago. The tracing now shows minimal variability but no decelerations. What is the most likely cause?

1. AProlapse of the umbilical cord
2. BSevere fetal anaemia from Rh disease
3. CThe opioid's effect on the fetal brain
4. DPlacental abruption

Just after the membranes rupture, there is painless vaginal bleeding and the fetal heart rate drops sharply. The mother's vital signs are normal. Which condition is most likely?

1. ARuptured vasa praevia
2. BBloody show
3. CUterine rupture
4. DPlacental abruption