1.简单
Both parents carry one gene for an autosomal recessive condition such as cystic fibrosis. What is the chance that each child is affected?
- A50%
- B25%
- C75%
- D100%
2.简单
A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?
- APolycythaemia
- BMacrosomia of the baby
- CHyperthyroidism
- DPainful sickle crises
3.简单
When is the best time to teach a new mother about baby care, according to Rubin's phases?
- AIn the taking-hold phase
- BIn the taking-in phase
- CIn the letting-go phase
- DIn the first hour after birth
4.中等
A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?
- AGive the baby plain water by bottle
- BGive IV insulin immediately
- CFeed the baby and recheck the glucose
- DWithhold feeds and observe for 6 hours
5.中等
A woman 1 day after birth has a blood pressure of 150/96 mmHg and a headache. She had normal blood pressures in pregnancy. What should the nurse do?
- AReassure her that this is normal after birth
- BGive paracetamol (acetaminophen) and ignore the blood pressure
- CReport it and assess for postpartum pre-eclampsia
- DEncourage her to walk to lower her blood pressure
6.中等
Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?
- AIn the parents' bed, between the two adults
- BIn a separate bedroom from the first night
- CIn a separate cot or crib in the parents' room
- DOn a sofa with a parent when the baby is unsettled
7.困难
一名实习护生正在护理接受光疗的黄疸新生儿。哪项做法需要纠正?
- A光疗期间用眼罩遮盖婴儿的眼睛
- B定期检查婴儿的体温和水分状况
- C在开灯前在皮肤上涂婴儿油
- D喂奶时关灯后取下眼罩
8.困难
Which finding in a newborn at 6 hours requires the most urgent action?
- ASmall white milia on the nose and chin
- BAcrocyanosis of the hands and feet
- CCentral cyanosis, fast breathing and grunting
- DMild moulding of the head
答案
- 1. B · 25%
- 2. D · Painful sickle crises
- 3. A · In the taking-hold phase
- 4. C · Feed the baby and recheck the glucose
- 5. C · Report it and assess for postpartum pre-eclampsia
- 6. C · In a separate cot or crib in the parents' room
- 7. C · 在开灯前在皮肤上涂婴儿油
- 8. C · Central cyanosis, fast breathing and grunting
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