1.ง่าย
การลดลงของอัตราการเต้นของหัวใจทารกแบบเร็ว (early deceleration) เกิดจากอะไร?
- Aสายสะดือถูกกด
- Bการไหลเวียนเลือดระหว่างมดลูกกับรกไม่เพียงพอ
- Cมารดามีไข้
- Dศีรษะทารกถูกกด
2.ง่าย
A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?
- AMacrosomia of the baby
- BHyperthyroidism
- CPolycythaemia
- DPainful sickle crises
3.ง่าย
What does "gravida" mean in an obstetric history?
- AThe number of children now living
- BThe total number of pregnancies, including the current one
- CThe number of babies born at term
- DThe number of births after 20 weeks
4.ปานกลาง
During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?
- AClubfoot affecting the same side
- BA fractured femur from the birth
- CDevelopmental dysplasia of the hip
- DA normal finding in all newborns
5.ปานกลาง
After a circumcision, which finding should be reported?
- AActive bleeding that soaks a nappy
- BA yellowish film over the glans on day 2
- CFussiness at the first nappy change
- DMild swelling of the glans
6.ปานกลาง
Why is an indwelling catheter placed before a caesarean birth?
- ATo prevent postpartum haemorrhage
- BTo measure the baby's fluid balance
- CTo collect a urine sample for culture
- DTo keep the bladder empty during surgery
7.ยาก
An 18-year-old at 30 weeks has missed several antenatal visits. What is the most helpful nursing approach?
- ATell her she is putting her baby at risk and must attend
- BReport her to social services for missing visits
- CDischarge her from antenatal care
- DExplore barriers and offer flexible, youth-friendly care
8.ยาก
A woman at 12 weeks has light bleeding and mild cramping. The cervix is closed and fetal heart activity is seen on ultrasound. How is this classified?
- AMissed miscarriage
- BThreatened miscarriage
- CInevitable miscarriage
- DIncomplete miscarriage
เฉลย
- 1. D · ศีรษะทารกถูกกด
- 2. D · Painful sickle crises
- 3. B · The total number of pregnancies, including the current one
- 4. C · Developmental dysplasia of the hip
- 5. A · Active bleeding that soaks a nappy
- 6. D · To keep the bladder empty during surgery
- 7. D · Explore barriers and offer flexible, youth-friendly care
- 8. B · Threatened miscarriage
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