1.ง่าย
Why are women often very sweaty in the first days after birth?
- AThe body is shedding extra pregnancy fluid
- BIt shows that the breast milk is starting to come in
- CIt is a sign of infection
- DIt is caused by low blood glucose
2.ง่าย
What is an amniotomy?
- AManual removal of the placenta
- BRemoval of amniotic fluid with a needle for testing
- CA cut in the perineum to enlarge the outlet
- DArtificial rupture of the membranes
3.ง่าย
Which factors make up the Bishop score?
- AFetal heart rate baseline, variability, accelerations and decelerations
- BFetal tone, movement, breathing and amniotic fluid
- CMaternal pulse, blood pressure, temperature and breathing
- DDilation, effacement, consistency, cervical position and station
4.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?
- AEffective ventilation comes first; naloxone is not routine
- BNaloxone is given before any ventilation is started
- CFlumazenil is given to reverse the opioid
- DNo support is needed because the effect lasts only seconds
5.ปานกลาง
A breastfed baby has jaundice in the first week with poor feeding and few wet nappies. What is the most likely cause?
- ASuboptimal intake jaundice
- BABO incompatibility
- CBreast milk jaundice
- DBiliary atresia with obstruction
6.ปานกลาง
Why is congenital hypothyroidism included in newborn screening?
- AEarly treatment prevents brain damage
- BIt can only be treated before birth
- CIt causes hip dysplasia
- DIt causes jaundice that cannot be treated
7.ยาก
A preterm infant receiving oxygen has saturations that are consistently 100%. What should the nurse do?
- ARemove the saturation probe to save the skin
- BLeave it unchanged because 100% is ideal
- CIncrease the oxygen to provide a safety margin
- DWean the oxygen to the target saturation range
8.ยาก
At 18 weeks, a woman's maternal serum alpha-fetoprotein is well above the normal range for her dates. Which condition does this result most suggest?
- AGestational diabetes
- BDown syndrome (trisomy 21)
- CPre-eclampsia
- DAn open neural tube defect
เฉลย
- 1. A · The body is shedding extra pregnancy fluid
- 2. D · Artificial rupture of the membranes
- 3. D · Dilation, effacement, consistency, cervical position and station
- 4. A · Effective ventilation comes first; naloxone is not routine
- 5. A · Suboptimal intake jaundice
- 6. A · Early treatment prevents brain damage
- 7. D · Wean the oxygen to the target saturation range
- 8. D · An open neural tube defect
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