1.やさしい
A "contraction stress test" assesses how the fetus responds to:
- AA change in maternal position only
- BLoud sound applied to the abdomen
- CReduced blood flow during contractions
- DMaternal exercise on a treadmill
2.やさしい
Which food should a pregnant woman avoid because of the risk of listeriosis?
- APasteurised yoghurt
- BWell-cooked eggs
- CHard cheese such as cheddar
- DUnpasteurised soft cheese
3.やさしい
A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?
- AMassage the calf firmly with the knee bent
- BLie flat on her back and raise both legs
- CPoint the toes downwards as far as possible
- DStraighten the leg and pull the foot upwards
4.ふつう
Why are pregnant women at increased risk of urinary tract infection and pyelonephritis?
- APregnancy greatly reduces the production of urine
- BThe urine becomes more acidic in pregnancy
- CThe bladder empties more completely in pregnancy
- DProgesterone dilates the ureters and slows the flow of urine
5.ふつう
A newborn baby girl has a small amount of blood-tinged vaginal discharge on day 3. What should the nurse tell the parents?
- AIt is caused by maternal hormones
- BIt shows a urinary tract infection
- CIt is a sign of sexual abuse
- DIt means the baby has a bleeding disorder
6.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、左側の端に偏位している
- B恥骨結合より下にあり、触れない
- C硬く、正中線上で、臍の高さくらい
- D柔らかく、剣状突起の 2 横指上
7.むずかしい
An ultrasound at 30 weeks shows polyhydramnios and no visible fetal stomach bubble. Which fetal condition should be considered?
- AFetal growth from maternal diabetes only
- BOesophageal atresia
- CRenal agenesis
- DPost-term pregnancy
8.むずかしい
A woman at 30 weeks reports a sudden gush of clear fluid from the vagina without contractions. What is the priority nursing action?
- AAssess the fetal heart rate and check the fluid, and avoid a digital examination
- BReassure her that it is urine and send her home
- CAdvise a warm bath to see whether the leaking stops
- DPerform a digital vaginal examination to check dilation
解答
- 1. C · Reduced blood flow during contractions
- 2. D · Unpasteurised soft cheese
- 3. D · Straighten the leg and pull the foot upwards
- 4. D · Progesterone dilates the ureters and slows the flow of urine
- 5. A · It is caused by maternal hormones
- 6. C · 硬く、正中線上で、臍の高さくらい
- 7. B · Oesophageal atresia
- 8. A · Assess the fetal heart rate and check the fluid, and avoid a digital examination
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