1.简单
妊娠剧吐是:
- A妊娠晚期的烧心
- B分娩期间的呕吐
- C孕早期轻度恶心和偶尔呕吐,可自行缓解
- D妊娠期严重而持续的呕吐,导致脱水或体重减轻
2.简单
Which blood test on the mother detects antibodies against Rh-positive red cells?
- AIndirect Coombs test (antibody screen)
- BDirect Coombs test on the mother's red cells
- CProthrombin time
- DHaemoglobin electrophoresis
3.简单
A pregnancy that continues to 42 weeks or more is called:
- AEarly term
- BFull term
- CPost-term
- DLate preterm
4.中等
A newborn has a cleft lip and palate. Which feeding approach is most appropriate?
- AWithholding feeds until surgery
- BFeeding lying flat on the back
- CFeeding only with a spoon from birth
- DSpecial teats and an upright position
5.中等
A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?
- AWithhold feeds and observe for 6 hours
- BFeed the baby and recheck the glucose
- CGive the baby plain water by bottle
- DGive IV insulin immediately
6.中等
在 BUBBLE-HE 的腿部检查中,目前如何评估产妇有无静脉血栓栓塞?
- A仅检查脚趾的毛细血管再充盈
- B按摩小腿以触摸血栓
- C用力向上弯曲足部,依据小腿疼痛判断(Homans 征)
- D观察单侧腿部有无肿胀、发热、发红和压痛
7.困难
A woman 5 hours after birth had a large blood loss and now has a heart rate of 128/min, blood pressure of 88/50 mmHg and cold hands. Which action is most important?
- AEncourage her to breastfeed to contract the uterus
- BCall for urgent help and start fluid resuscitation
- CAsk her to walk to improve circulation
- DGive her a hot drink and recheck in an hour
8.困难
A breastfeeding mother asks whether she can have a progestin-only implant before discharge. Which reply is best?
- AShe should wait until she stops breastfeeding before using any method
- BImplants contain oestrogen, which is safe in breastfeeding
- CAny hormonal contraception will stop her milk supply
- DProgestin-only methods are compatible with breastfeeding
答案
- 1. D · 妊娠期严重而持续的呕吐,导致脱水或体重减轻
- 2. A · Indirect Coombs test (antibody screen)
- 3. C · Post-term
- 4. D · Special teats and an upright position
- 5. B · Feed the baby and recheck the glucose
- 6. D · 观察单侧腿部有无肿胀、发热、发红和压痛
- 7. B · Call for urgent help and start fluid resuscitation
- 8. D · Progestin-only methods are compatible with breastfeeding
完整分步解答:请在 examproblems.com 上练习本主题。