1.ง่าย
When can most women safely resume sexual intercourse after a vaginal birth?
- AWhen bleeding has stopped and she feels ready
- BOnly after exactly 6 months
- CImmediately on the day of birth
- DOnly after she stops breastfeeding
2.ง่าย
During a vaginal examination in labour, the examiner feels the small triangular fontanelle at the front of the pelvis. What does this suggest?
- AA breech presentation
- BAn occiput anterior position
- CA face presentation
- DAn occiput posterior position
3.ง่าย
Which is a non-drug method of labour pain relief?
- AWarm water immersion
- BPethidine (meperidine) injection
- CEpidural analgesia
- DInhaled nitrous oxide
4.ปานกลาง
A woman on day 3 after a caesarean has calf pain, swelling and warmth in one leg. What should the nurse do?
- AApply a heating pad and reassess tomorrow
- BEncourage her to do vigorous leg exercises
- CMassage the calf to relieve the cramp
- DReport it promptly and avoid massaging the leg
5.ปานกลาง
A woman 4 hours after birth has severe perineal pain and pressure. Her fundus is firm, lochia is normal, and her heart rate is rising. What should the nurse suspect?
- AA vulvar or vaginal haematoma
- BA urinary tract infection
- CUterine atony
- DNormal afterpains
6.ปานกลาง
ที่อายุครรภ์ 30 สัปดาห์ ความสูงยอดมดลูกค่าใดสอดคล้องกับการเจริญเติบโตที่คาดไว้?
- A22 ซม.
- B18 ซม.
- C36 ซม.
- D29 ซม.
7.ยาก
Why does the ductus arteriosus normally close after birth?
- AThe cord is cut, which closes it directly
- BRising oxygen levels and falling prostaglandins
- CRising prostaglandins and falling oxygen levels
- DPressure in the pulmonary artery rises
8.ยาก
A woman with gestational diabetes asks if she will have diabetes after the baby is born. Which reply is accurate?
- AIt usually resolves, but her risk of type 2 diabetes stays higher
- BIt never returns, so no further glucose testing is needed after birth
- CIt always becomes type 1 diabetes after birth
- DIt will continue unless she stops breastfeeding
เฉลย
- 1. A · When bleeding has stopped and she feels ready
- 2. B · An occiput anterior position
- 3. A · Warm water immersion
- 4. D · Report it promptly and avoid massaging the leg
- 5. A · A vulvar or vaginal haematoma
- 6. D · 29 ซม.
- 7. B · Rising oxygen levels and falling prostaglandins
- 8. A · It usually resolves, but her risk of type 2 diabetes stays higher
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