1.やさしい
Which is a function of amniotic fluid?
- ACushioning the fetus against injury
- BSupplying oxygen to the fetus
- CRemoving carbon dioxide from the fetus
- DProducing fetal red blood cells
2.やさしい
In a frank breech presentation, what is the position of the fetal legs?
- AOne or both feet presenting below the buttocks
- BHips and knees both flexed, feet beside the buttocks
- CHips flexed, knees extended, feet near the head
- DLegs crossed under the fetal chin
3.やさしい
Which drug is given routinely in active management of the third stage of labour?
- ANifedipine
- BOxytocin
- CTerbutaline
- DMagnesium sulfate
4.ふつう
A pregnant woman taking iron says her stools have turned black. What is the best response?
- ATell her to double the dose of the tablets
- BAdvise her to go to the emergency department now
- CTell her to stop the iron immediately
- DExplain that this is an expected effect of iron
5.ふつう
硫酸マグネシウム中毒を示唆する所見はどれですか?
- A深部腱反射の消失
- Bクローヌスを伴う腱反射の亢進
- C呼吸数 18 回/分
- D尿量 60 mL/時
6.ふつう
A baby has prolonged jaundice at 3 weeks with pale, chalky stools and dark urine. What should the nurse suspect?
- AErythema toxicum
- BPhysiological jaundice
- CBreast milk jaundice
- DBiliary atresia
7.むずかしい
A non-stress test at 36 weeks shows no accelerations in 40 minutes. What is the most appropriate next step?
- AImmediately start oxytocin to induce labour
- BFurther testing, such as a biophysical profile
- CSend her home and repeat the test in a month
- DRecord the result as reactive and reassuring
8.むずかしい
産後 6 時間たっても、女性が排尿していません。子宮底はぶよぶよと柔らかく右に偏位し、出血が増えています。これが優先事項なのはなぜですか?
- A膀胱が充満すると子宮が収縮できず、出血が増えるため
- B硬膜外麻酔がまだよく効いていることを示すため
- C尿閉は経腟分娩後ではなく、帝王切開後にだけ問題になるため
- D膀胱の充満は正常な回復のサインであるため
解答
- 1. A · Cushioning the fetus against injury
- 2. C · Hips flexed, knees extended, feet near the head
- 3. B · Oxytocin
- 4. D · Explain that this is an expected effect of iron
- 5. A · 深部腱反射の消失
- 6. D · Biliary atresia
- 7. B · Further testing, such as a biophysical profile
- 8. A · 膀胱が充満すると子宮が収縮できず、出血が増えるため
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。