During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
AAbout weeks 20 to 28 after conception
BAbout weeks 3 to 8 after conception
CThe first 3 days after conception
DThe last month of pregnancy
3.やさしい
妊娠悪阻(ハイパーエメシス・グラビダルム)とは何ですか?
A妊娠初期の軽い吐き気と時折の嘔吐で、自然におさまるもの
B妊娠中に重度の嘔吐が続き、脱水や体重減少をきたすもの
C分娩中の嘔吐
D妊娠後期の胸やけ
4.ふつう
A woman with epilepsy is planning a pregnancy. Which advice is most appropriate?
AAvoid folic acid because it lowers drug levels
BBreastfeeding will never be possible
CReview her medicines with her doctor before conception
DStop all antiepileptic drugs before trying to conceive
5.ふつう
Why is an indwelling catheter placed before a caesarean birth?
ATo collect a urine sample for culture
BTo measure the baby's fluid balance
CTo prevent postpartum haemorrhage
DTo keep the bladder empty during surgery
6.ふつう
A woman at 32 weeks has varicose veins in her legs. Which advice is most appropriate?
AAvoid walking until after the birth
BSit with her legs crossed to support the veins
CWear tight elastic bands around the top of the thighs
DRaise the legs when resting and avoid long standing
7.むずかしい
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?
APhysiological jaundice
BRh isoimmunisation
CABO incompatibility
DBreast milk jaundice
8.むずかしい
A woman is 10 cm dilated with an urge to push. The fetal head is at station 0 and the tracing is normal. Which approach is supported by current practice?
AInsist she lies flat on her back and holds her breath for long periods
BAsk her to push continuously from 7 cm onwards
CLet her push with her urge in a position she prefers
DTell her not to push until the head is visible
解答
1. D · 胎児の頭部の圧迫
2. B · About weeks 3 to 8 after conception
3. B · 妊娠中に重度の嘔吐が続き、脱水や体重減少をきたすもの
4. C · Review her medicines with her doctor before conception
5. D · To keep the bladder empty during surgery
6. D · Raise the legs when resting and avoid long standing
7. C · ABO incompatibility
8. C · Let her push with her urge in a position she prefers