ใบงาน การพยาบาลมารดาและสูติศาสตร์ พร้อมเฉลย

Which blood test on the mother detects antibodies against Rh-positive red cells?

1. AProthrombin time
2. BHaemoglobin electrophoresis
3. CDirect Coombs test on the mother's red cells
4. DIndirect Coombs test (antibody screen)

A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?

1. AHyperthyroidism
2. BMacrosomia of the baby
3. CPainful sickle crises
4. DPolycythaemia

What is the most common cause of sore, cracked nipples in the first days of breastfeeding?

1. AFeeding too often
2. BToo much milk
3. CUsing both breasts
4. DA poor latch

Which woman on the antenatal unit should the nurse see first?

1. AAt 28 weeks: due for routine anti-D
2. BAt 30 weeks: mild ankle swelling in the evening
3. CAt 34 weeks: severe headache, BP 164/110 mmHg
4. DAt 38 weeks: irregular Braxton Hicks contractions

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?

1. AFlumazenil is given to reverse the opioid
2. BNo support is needed because the effect lasts only seconds
3. CNaloxone is given before any ventilation is started
4. DEffective ventilation comes first; naloxone is not routine

During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?

1. AA fractured femur from the birth
2. BClubfoot affecting the same side
3. CA normal finding in all newborns
4. DDevelopmental dysplasia of the hip

A woman at 41 weeks has a Bishop score of 3 and is booked for induction. What is the most likely first step?

1. AAn immediate amniotomy at the bedside
2. BCervical ripening with a prostaglandin
3. CAn emergency caesarean
4. DA high-dose oxytocin infusion straight away

Which postpartum task can be delegated to an assistive staff member (healthcare assistant)?

1. AAssessing the fundus of a woman with heavy bleeding
2. BTaking vital signs of a stable woman
3. CTeaching a first-time mother about breastfeeding
4. DEvaluating a woman for signs of postpartum depression