1.ง่าย
Which fish should pregnant women avoid because of its high mercury content?
- ASalmon
- BCod
- CSwordfish
- DSardines
2.ง่าย
What is the "bloody show"?
- AHeavy bright red bleeding before labour
- BBlood-tinged mucus as the cervix starts to change
- CGreen fluid leaking from the vagina
- DDark red bleeding with constant abdominal pain
3.ง่าย
In Rubin's "taking-in" phase after birth, the mother typically:
- AIs eager to learn how to bathe the baby
- BFocuses on her own needs and the birth
- CReturns to her usual work and roles
- DTakes full control of the baby's care
4.ปานกลาง
In fetal circulation, what is the function of the foramen ovale?
- AIt carries blood from the aorta back to the placenta
- BIt carries blood from the pulmonary artery to the aorta
- CIt shunts blood from the right atrium to the left atrium
- DIt lets blood from the umbilical vein bypass the liver
5.ปานกลาง
A newborn's anterior fontanelle is sunken. What should the nurse suspect?
- ARaised intracranial pressure
- BHydrocephalus
- CNormal crying
- DDehydration
6.ปานกลาง
Which newborn finding is commonly associated with Down syndrome?
- AA single palmar crease and low tone
- BA high-pitched cry and tremors
- CLong nails and peeling skin
- DAbundant vernix and lanugo
7.ยาก
Ten days after birth, a woman phones to say her bleeding has suddenly become heavy and bright red with clots, with lower abdominal pain and a temperature of 38.2 °C (100.8 °F). Which response is most appropriate?
- AAdvise her to use tampons so the blood loss is easier to measure
- BReassure her that lochia rubra often returns and review at 6 weeks
- CAsk her to come in now; retained tissue or infection is possible
- DTell her it is probably her first period and needs no action
8.ยาก
A woman at 6 weeks has vaginal spotting and one-sided pelvic pain. Her hCG rose only slightly over 48 hours and no pregnancy is seen in the uterus on transvaginal ultrasound. What is the priority concern?
- AA molar pregnancy
- BA complete miscarriage with no further risk
- CAn ectopic pregnancy
- DA normal early pregnancy
เฉลย
- 1. C · Swordfish
- 2. B · Blood-tinged mucus as the cervix starts to change
- 3. B · Focuses on her own needs and the birth
- 4. C · It shunts blood from the right atrium to the left atrium
- 5. D · Dehydration
- 6. A · A single palmar crease and low tone
- 7. C · Ask her to come in now; retained tissue or infection is possible
- 8. C · An ectopic pregnancy
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