1.やさしい
How should the nurse count a term newborn's heart rate at rest?
- AListen at the apex with a stethoscope for a full minute
- BFeel the radial pulse for 15 seconds and multiply by 4
- CFeel the carotid pulse for 30 seconds and multiply by 2
- DRead a finger pulse oximeter for 5 seconds
2.やさしい
How much alcohol is considered safe during pregnancy?
- ANo amount is known to be safe
- BUp to two drinks per week
- COne glass of wine per day
- DSmall amounts after the first trimester
3.やさしい
What does "multipara" mean?
- AA woman who has given birth two or more times
- BA woman who is pregnant with twins
- CA woman who is pregnant for the first time
- DA woman who has never given birth
4.ふつう
A woman with a normal pre-pregnancy BMI asks how much weight she should gain. Which range do the widely used US Institute of Medicine guidelines recommend?
- AAbout 2 to 4 kg
- BAbout 5 to 9 kg
- CAbout 18 to 23 kg
- DAbout 11.5 to 16 kg
5.ふつう
During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?
- AA normal finding in all newborns
- BDevelopmental dysplasia of the hip
- CA fractured femur from the birth
- DClubfoot affecting the same side
6.ふつう
A newborn's anterior fontanelle is sunken. What should the nurse suspect?
- ARaised intracranial pressure
- BNormal crying
- CHydrocephalus
- DDehydration
7.むずかしい
子癇前症のある妊娠 36 週の女性が、右の肋骨の下に新しい痛みと悪心を訴えています。看護師はどう対応すべきですか?
- A制酸薬を渡し、妊娠後期には胸やけがよくあると安心させる
- B翌朝の病棟回診のためにメモしておく
- C不快感をやわらげるために歩くよう勧める
- D肝臓の関与や HELLP 症候群の可能性があるサインとして、緊急に報告する
8.むずかしい
A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?
- AMassage the groin daily to push it down
- BArrange emergency surgery on the testis today
- CTell the parents it will never descend
- DRecord it and arrange follow-up; many descend later
解答
- 1. A · Listen at the apex with a stethoscope for a full minute
- 2. A · No amount is known to be safe
- 3. A · A woman who has given birth two or more times
- 4. D · About 11.5 to 16 kg
- 5. B · Developmental dysplasia of the hip
- 6. D · Dehydration
- 7. D · 肝臓の関与や HELLP 症候群の可能性があるサインとして、緊急に報告する
- 8. D · Record it and arrange follow-up; many descend later
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