1.简单
A newborn is "small for gestational age" when its birth weight is:
- ABelow the 10th percentile for its gestational age
- BAbove the 90th percentile for its gestational age
- CBelow the 50th percentile for its gestational age
- DBelow 2500 g, whatever the gestational age
2.简单
What advice helps reduce heartburn in pregnancy?
- ADrink a large glass of milk just before going to bed
- BEat the main meal just before sleeping
- CEat large meals and lie down afterwards
- DEat small meals and stay upright after eating
3.简单
What is "moulding" of the fetal head?
- ASwelling of the scalp from pressure on the cervix
- BOverlapping of the skull bones in the birth canal
- CBleeding under the outer layer of a skull bone
- DEarly closure of the fontanelles before birth
4.中等
A woman with epilepsy is planning a pregnancy. Which advice is most appropriate?
- AStop all antiepileptic drugs before trying to conceive
- BReview her medicines with her doctor before conception
- CAvoid folic acid because it lowers drug levels
- DBreastfeeding will never be possible
5.中等
The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?
- ABelow the umbilicus on the mother's left side
- BAbove the umbilicus on the mother's left side
- CDirectly over the fundus
- DAbove the umbilicus on the mother's right side
6.中等
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt is injected under the skin; report unusual bleeding
- BIt is a tablet taken with meals
- CIt is given into the muscle of the thigh
- DIt must be stopped if she chooses to breastfeed her baby
7.困难
A preterm baby is being prepared for discharge. Which statement by the parents shows understanding of kangaroo (skin-to-skin) care?
- A"Skin-to-skin is only for full-term babies."
- B"Skin-to-skin increases her risk of getting cold."
- C"She should be fully dressed and wrapped before I hold her."
- D"Holding her on my bare chest keeps her warm."
8.困难
At 4 hours, a newborn's temperature is 37.9 °C (100.2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?
- AStart antibiotics without further assessment
- BGive an antipyretic medicine immediately
- CPlace him in a cold bath
- DRemove extra layers and recheck
答案
- 1. A · Below the 10th percentile for its gestational age
- 2. D · Eat small meals and stay upright after eating
- 3. B · Overlapping of the skull bones in the birth canal
- 4. B · Review her medicines with her doctor before conception
- 5. A · Below the umbilicus on the mother's left side
- 6. A · It is injected under the skin; report unusual bleeding
- 7. D · "Holding her on my bare chest keeps her warm."
- 8. D · Remove extra layers and recheck
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