1.简单
When should a woman who has had a miscarriage and is Rh-negative receive anti-D immunoglobulin?
- AOnly if the father is Rh-negative
- BNever, because the pregnancy has ended
- CWithin 72 hours, when local guidelines advise it
- DOnly before her next pregnancy
2.简单
Which sign is often the earliest sign of sepsis in a newborn?
- AA high fever above 40 °C (104 °F) on the first day
- BUnstable temperature and poor feeding
- CA bulging anterior fontanelle at birth
- DA loud, vigorous cry
3.简单
Which stool pattern is typical of a breastfed baby after the first week?
- AYellow, soft and seedy stools
- BHard, pale and formed stools
- CGreen, watery stools with mucus
- DBlack, tarry and sticky stools
4.中等
What should parents be taught about the water for a newborn's bath?
- ACheck that it is warm, not hot, before the baby goes in
- BUse very hot water so that germs on the skin are killed
- CLeave the baby briefly if the water is only shallow
- DAdd adult bubble bath to soften the baby's skin
5.中等
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- ASitz baths, cold pads and stool softeners
- BStraining hard to open the bowels
- CSitting on a hard surface for long periods
- DAvoiding all fluids to prevent loose stools
6.中等
Why is an indwelling catheter placed before a caesarean birth?
- ATo prevent postpartum haemorrhage
- BTo collect a urine sample for culture
- CTo measure the baby's fluid balance
- DTo keep the bladder empty during surgery
7.困难
A newborn has a deep dimple with a tuft of hair over the lower spine. What is the significance?
- AIt is a sign of congenital heart disease
- BIt means the baby will have hip dysplasia
- CIt may be a sign of an underlying spinal defect
- DIt is an expected birthmark with no meaning
8.困难
A newborn is jaundiced at 12 hours of age. The mother is blood group O, Rh-positive and the baby is group A, Rh-positive with a positive direct Coombs test. What is the most likely cause?
- AABO incompatibility
- BPhysiological jaundice
- CRh isoimmunisation
- DBreast milk jaundice
答案
- 1. C · Within 72 hours, when local guidelines advise it
- 2. B · Unstable temperature and poor feeding
- 3. A · Yellow, soft and seedy stools
- 4. A · Check that it is warm, not hot, before the baby goes in
- 5. A · Sitz baths, cold pads and stool softeners
- 6. D · To keep the bladder empty during surgery
- 7. C · It may be a sign of an underlying spinal defect
- 8. A · ABO incompatibility
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