1.简单
A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?
- AMacrosomia of the baby
- BPolycythaemia
- CHyperthyroidism
- DPainful sickle crises
2.简单
一名妊娠 34 周的女性平躺仰卧时感到头晕、快要晕厥。哪种体位最有帮助?
- A侧卧,最好是左侧卧
- B坐位并将头放在两膝之间
- C平躺并抬高双腿
- D平躺并在头下垫枕头
3.简单
产后出血最常见的原因是什么?
- A子宫内残留胎盘或胎膜碎片
- B宫颈撕裂
- C凝血功能障碍
- D子宫收缩乏力(子宫收缩不良)
4.中等
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- AA sign of a serious blood clotting disorder
- BA port-wine stain that will need laser treatment
- CBruising that suggests birth trauma or abuse
- DHarmless dermal melanocytosis, to be documented
5.中等
A woman in labour has severe back pain with each contraction. The fetus is in an occiput posterior position. Which measure is most likely to help?
- AHolding her breath and pushing with each contraction
- BSacral counterpressure and a hands-and-knees position
- CAvoiding movement until full dilation
- DLying flat on her back with her legs raised
6.中等
Which drug is a known teratogen that must be stopped before a planned pregnancy?
- ALevothyroxine
- BParacetamol (acetaminophen)
- CIsotretinoin
- DFolic acid
7.困难
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
- BArrange emergency surgery on the testis today
- CMassage the groin daily to push it down
- DTell the parents it will never descend
8.困难
一名妊娠 10 周的女性已呕吐数天,尿中有酮体,体重下降了 6%,站立时头晕。优先事项是什么?
- A按处方静脉补液和补充电解质以纠正脱水
- B告诉她孕早期之后会自行好转,无需随访
- C建议她每天吃三顿大餐
- D开始减肥饮食
答案
- 1. D · Painful sickle crises
- 2. A · 侧卧,最好是左侧卧
- 3. D · 子宫收缩乏力(子宫收缩不良)
- 4. D · Harmless dermal melanocytosis, to be documented
- 5. B · Sacral counterpressure and a hands-and-knees position
- 6. C · Isotretinoin
- 7. A · Record it and arrange follow-up; many descend later
- 8. A · 按处方静脉补液和补充电解质以纠正脱水
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