1.ง่าย
Which pregnancy risk increases with maternal age over 35?
- APhysiological anaemia
- BRh isoimmunisation
- CTrisomies such as trisomy 21
- DNeural tube defects caused only by age
2.ง่าย
การลดลงของอัตราการเต้นของหัวใจทารกแบบช้า (late deceleration) เกิดจากอะไร?
- Aศีรษะทารกถูกกด
- Bการไหลเวียนเลือดระหว่างมดลูกกับรกไม่เพียงพอ
- Cการดิ้นของทารก
- Dความวิตกกังวลของมารดา
3.ง่าย
Which type of tissue lets newborns produce heat without shivering?
- ABrown fat
- BWhite subcutaneous fat
- CLanugo hair
- DSkeletal muscle
4.ปานกลาง
A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?
- AHer breasts never feel full
- BThe baby feeds for exactly 5 minutes each side
- CAt least 6 wet nappies a day and yellow stools
- DThe baby sleeps for 8 hours without feeding
5.ปานกลาง
When should an Rh-negative woman with no anti-D antibodies routinely receive antenatal anti-D immunoglobulin?
- AAt about 28 weeks of pregnancy
- BAfter she has formed anti-D antibodies
- COnly at the first antenatal visit
- DOnly if the baby is known to be Rh-negative
6.ปานกลาง
Which measure helps prevent venous thromboembolism after a caesarean?
- ARestricting fluids
- BEarly mobilisation
- CKeeping the knees bent on pillows
- DBed rest for several days
7.ยาก
A woman in her first antenatal visit discloses that her partner hits her. What is the most appropriate nursing action?
- ATalk with her alone, assess her safety and offer support
- BAsk her partner to join the conversation to hear both sides
- CRecord it but avoid discussing it further to protect her privacy
- DAdvise her that the violence will probably stop now that she is pregnant
8.ยาก
After birth of the head, the nurse feels the umbilical cord loosely around the baby's neck. What is the appropriate action?
- AAsk the woman to stop pushing for 30 minutes
- BSlip the loop over the head or let the body deliver through it
- CClamp and cut the cord before the shoulders deliver in every case
- DPush the baby's head back into the vagina
เฉลย
- 1. C · Trisomies such as trisomy 21
- 2. B · การไหลเวียนเลือดระหว่างมดลูกกับรกไม่เพียงพอ
- 3. A · Brown fat
- 4. C · At least 6 wet nappies a day and yellow stools
- 5. A · At about 28 weeks of pregnancy
- 6. B · Early mobilisation
- 7. A · Talk with her alone, assess her safety and offer support
- 8. B · Slip the loop over the head or let the body deliver through it
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