1.やさしい
What is vernix caseosa?
- ASmall white spots on the nose
- BA white, cheesy coating on the skin
- CBluish patches over the lower back
- DFine, soft hair on the shoulders and back
2.やさしい
Smoking in pregnancy is most strongly linked with which outcome?
- APost-term pregnancy
- BMacrosomia
- CLow birth weight
- DPolyhydramnios
3.やさしい
「胎動初覚(クイックニング)」とは何ですか?
- A規則的な陣痛の開始
- B妊婦が初めて感じる胎児の動き
- C妊娠後期に胎児が骨盤内に下降すること
- Dドップラーで初めて聞こえる胎児の心拍
4.ふつう
経腟分娩の約 12 時間後、子宮底は通常どこにありますか?
- A硬く、正中線上で、臍の高さくらい
- B恥骨結合より下にあり、触れない
- C硬く、左側の端に偏位している
- D柔らかく、剣状突起の 2 横指上
5.ふつう
A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?
- AEffective ventilation comes first; naloxone is not routine
- BFlumazenil is given to reverse the opioid
- CNo support is needed because the effect lasts only seconds
- DNaloxone is given before any ventilation is started
6.ふつう
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 given into the muscle of the thigh
- CIt is a tablet taken with meals
- DIt must be stopped if she chooses to breastfeed her baby
7.むずかしい
A woman has a painful, red breast with a fluctuant swelling that has not improved after antibiotics. What should be suspected?
- AA blocked duct needing only massage
- BA breast abscess needing drainage
- CNormal engorgement
- DAn allergic reaction to the antibiotic
8.むずかしい
A deceleration lasts 3 minutes before the baseline recovers. How is this classified?
- AA prolonged deceleration
- BAn early deceleration
- CA variable acceleration
- DA change of baseline
解答
- 1. B · A white, cheesy coating on the skin
- 2. C · Low birth weight
- 3. B · 妊婦が初めて感じる胎児の動き
- 4. A · 硬く、正中線上で、臍の高さくらい
- 5. A · Effective ventilation comes first; naloxone is not routine
- 6. A · It is injected under the skin; report unusual bleeding
- 7. B · A breast abscess needing drainage
- 8. A · A prolonged deceleration
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