1.简单
The Ballard (New Ballard) score is used to assess a newborn's:
- ABlood glucose
- BHearing
- CBreathing effort at 1 minute
- DGestational age
2.简单
Which scale is commonly used to screen for postnatal depression?
- AEdinburgh Postnatal Depression Scale
- BGlasgow Coma Scale
- CApgar score
- DBishop score
3.简单
How far does the fundus normally descend each day after birth?
- AIt stays at the umbilicus for 2 weeks
- BAbout 5 cm per day
- CAbout 1 cm per day
- DAbout 1 cm per week
4.中等
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 sleeps for 8 hours without feeding
- BThe baby feeds for exactly 5 minutes each side
- CAt least 6 wet nappies a day and yellow stools
- DHer breasts never feel full
5.中等
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AUse gestures and simple English only
- BUse a professional interpreter
- CAsk her 10-year-old child to interpret
- DAsk her partner to sign for her
6.中等
A woman at 28 weeks asks why her heart rate is higher than before pregnancy. Which response is accurate?
- AA rise of about 10 to 15 beats per minute is normal in pregnancy
- BHeart rate normally falls in pregnancy, so this needs urgent review
- CA higher heart rate in pregnancy always points to heart disease
- DThe heart rate rises because blood pressure is much higher in pregnancy
7.困难
A woman at 32 weeks with type 1 diabetes has nausea, vomiting, abdominal pain, rapid breathing and a glucose of 16 mmol/L (about 290 mg/dL). Which complication should be suspected?
- ANormal pregnancy nausea
- BHyperemesis gravidarum
- CDiabetic ketoacidosis
- DHypoglycaemia
8.困难
A woman at 34 weeks with type 1 diabetes has a blood glucose of 2.8 mmol/L (50 mg/dL), is sweating and shaky but is alert. What should the nurse do first?
- ACheck the fetal heart rate before any treatment
- BGive fast-acting glucose by mouth and recheck
- CGive her usual insulin dose
- DWait until her next meal
答案
- 1. D · Gestational age
- 2. A · Edinburgh Postnatal Depression Scale
- 3. C · About 1 cm per day
- 4. C · At least 6 wet nappies a day and yellow stools
- 5. B · Use a professional interpreter
- 6. A · A rise of about 10 to 15 beats per minute is normal in pregnancy
- 7. C · Diabetic ketoacidosis
- 8. B · Give fast-acting glucose by mouth and recheck
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