1.ง่าย
In a healthy term newborn, when does physiological jaundice usually reach its peak?
- AAt about 3 weeks
- BAt about 6 to 8 weeks
- CAround days 3 to 5
- DWithin the first 12 hours
2.ง่าย
Why are preterm babies at risk of retinopathy of prematurity?
- AThey have too much vitamin K in their blood
- BTheir eyelids are fused at birth
- CBright light in the nursery causes cataracts
- DTheir immature retinal vessels can grow abnormally
3.ง่าย
เฮการ์ไซน์ (Hegar's sign) ซึ่งเป็นการนุ่มลงของส่วนล่างของมดลูกที่ผู้ตรวจพบ จัดเป็นอะไร?
- Aสัญญาณอันตรายในการตั้งครรภ์
- Bอาการที่สงสัยว่าตั้งครรภ์ (presumptive sign)
- Cอาการแสดงที่ยืนยันการตั้งครรภ์แน่นอน (positive sign)
- Dอาการแสดงที่น่าจะตั้งครรภ์ (probable sign)
4.ปานกลาง
A woman in preterm labour receives nifedipine. Which side effect should the nurse watch for?
- ALow blood pressure and headache
- BHigh blood glucose and tremor
- CRespiratory depression and absent reflexes
- DBradycardia and bronchospasm
5.ปานกลาง
Obesity before pregnancy (BMI 40) most increases the risk of which pregnancy complication?
- AGestational diabetes
- BPlacenta praevia only
- CLow birth weight from overnutrition
- DHyperemesis gravidarum
6.ปานกลาง
A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?
- AThe baby feeds for exactly 5 minutes each side
- BThe baby sleeps for 8 hours without feeding
- CAt least 6 wet nappies a day and yellow stools
- DHer breasts never feel full
7.ยาก
Women with pre-eclampsia can develop complications after birth. Which statement in discharge teaching is correct?
- AIt can still develop after birth, so report headache or visual changes
- BAll risk ends once the placenta has been delivered
- CBlood pressure always returns to normal within 1 hour of birth
- DSeizures cannot happen after the baby and placenta are born
8.ยาก
A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?
- ARecord it and arrange follow-up; many descend later
- BMassage the groin daily to push it down
- CArrange emergency surgery on the testis today
- DTell the parents it will never descend
เฉลย
- 1. C · Around days 3 to 5
- 2. D · Their immature retinal vessels can grow abnormally
- 3. D · อาการแสดงที่น่าจะตั้งครรภ์ (probable sign)
- 4. A · Low blood pressure and headache
- 5. A · Gestational diabetes
- 6. C · At least 6 wet nappies a day and yellow stools
- 7. A · It can still develop after birth, so report headache or visual changes
- 8. A · Record it and arrange follow-up; many descend later
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