1.やさしい
Which food should a pregnant woman avoid because of the risk of listeriosis?
- AUnpasteurised soft cheese
- BWell-cooked eggs
- CHard cheese such as cheddar
- DPasteurised yoghurt
2.やさしい
What advice helps reduce heartburn in pregnancy?
- AEat the main meal just before sleeping
- BEat large meals and lie down afterwards
- CEat small meals and stay upright after eating
- DDrink a large glass of milk just before going to bed
3.やさしい
Kernicterus is caused by deposits of which substance in the brain?
- ACalcium from the mother
- BUnconjugated bilirubin
- CExcess glucose from feeds
- DConjugated bilirubin
4.ふつう
Two days after a caesarean, a woman feels bloated with gas pains. Which advice is most helpful?
- ADrink fizzy drinks to bring up the gas
- BStay in bed until the pain stops
- CUse straws to drink fluids
- DWalk around regularly
5.ふつう
A woman 2 hours after birth has a temperature of 37.8 °C (100.0 °F), a firm fundus and normal lochia. What is the most likely cause?
- APulmonary embolism
- BDehydration after labour
- CMastitis
- DEndometritis
6.ふつう
A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?
- AA raised haemoglobin level
- BA low white cell count only
- CA low fibrinogen level and low platelets
- DA high fibrinogen level and high platelets
7.むずかしい
直ちにフォローアップが必要な新生児の所見はどれですか?
- A生後 2 時間の末梢チアノーゼ
- B鼻の小さな白い斑点(稗粒腫)
- C生後 1 時間のうめき声、鼻翼呼吸、胸部の陥没呼吸
- D正期産の経腟分娩後の頭の形の変形(応形機能)
8.むずかしい
A woman says she was told her non-invasive prenatal test (cell-free DNA) is "high chance" for trisomy 21. Which statement by the nurse is accurate?
- AA high-chance result means the test should simply be repeated at birth
- BThe result is diagnostic and the baby definitely has trisomy 21
- CThe test analyses fetal cells from the amniotic fluid
- DIt is a screening test, so a diagnostic test is offered to confirm it
解答
- 1. A · Unpasteurised soft cheese
- 2. C · Eat small meals and stay upright after eating
- 3. B · Unconjugated bilirubin
- 4. D · Walk around regularly
- 5. B · Dehydration after labour
- 6. C · A low fibrinogen level and low platelets
- 7. C · 生後 1 時間のうめき声、鼻翼呼吸、胸部の陥没呼吸
- 8. D · It is a screening test, so a diagnostic test is offered to confirm it
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