ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which finding in an antenatal urine dipstick needs further assessment for pre-eclampsia?

1. AProtein
2. BLow specific gravity
3. CTrace leucocytes only
4. DNormal colour

What is ballottement in pregnancy?

1. AThe first fetal movements felt by the mother
2. BContractions that do not dilate the cervix
3. CBluish colour of the cervix
4. DThe fetus rebounds when pushed by the examiner

การลดลงของอัตราการเต้นของหัวใจทารกแบบช้า (late deceleration) เกิดจากอะไร?

1. Aศีรษะทารกถูกกด
2. Bการไหลเวียนเลือดระหว่างมดลูกกับรกไม่เพียงพอ
3. Cการดิ้นของทารก
4. Dความวิตกกังวลของมารดา

Which factors help start the newborn's first breath?

1. AOnly the pressure from the obstetrician's hand
2. BOnly the baby's first cry from hunger
3. CChemical, thermal, mechanical and sensory cues
4. DOnly the cutting of the umbilical cord

Why is it important to do newborn bloodspot screening at the recommended time rather than in the first hours?

1. AEarlier testing always gives false negatives for all conditions
2. BThe heel cannot be pricked until the cord falls off
3. CThe baby's blood cannot be sampled before day 3
4. DSome results, such as PKU, need milk feeds first

A woman who has had a caesarean asks when she can drive again. Which answer is most accurate?

1. ANever before 6 months
2. BOnly after her stitches are removed by a doctor
3. CWhen she can brake hard without pain
4. DThe same day she is discharged

A newborn's cord stump has redness spreading onto the abdominal skin and a foul discharge. What is the priority?

1. AReport it as possible omphalitis
2. BTeach the parents to pull the stump off
3. CApply talc and recheck in a week
4. DCover the cord with a tight dressing

A woman with an epidural in labour now has a temperature of 38.0 °C (100.4 °F). Which statement is most accurate?

1. AFever with an epidural always means the catheter is infected
2. BFever in labour can be ignored if the baby is moving
3. CFever with an epidural is always caused by the epidural
4. DThe epidural may cause it, but infection must be ruled out