1.やさしい
産後 3~4 日間に見られる悪露はどれですか?
- A第 1 週の終わりまで分泌物はない
- B漿液性悪露:ピンク色から褐色の分泌物
- C白色悪露:白色または黄色がかった分泌物
- D赤色悪露:小さな凝血を伴うことのある赤い分泌物
2.やさしい
Eclampsia is pre-eclampsia complicated by:
- AAnkle oedema
- BProteinuria
- CSeizures
- DLow platelets
3.やさしい
Which fetal position is the most common and favourable for a vaginal birth?
- ARight mentum posterior (RMP)
- BLeft occiput anterior (LOA)
- CRight occiput posterior (ROP)
- DLeft sacrum anterior (LSA)
4.ふつう
Why is congenital hypothyroidism included in newborn screening?
- AEarly treatment prevents brain damage
- BIt can only be treated before birth
- CIt causes hip dysplasia
- DIt causes jaundice that cannot be treated
5.ふつう
A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?
- AThe baby sleeps for 8 hours without feeding
- BHer breasts never feel full
- CAt least 6 wet nappies a day and yellow stools
- DThe baby feeds for exactly 5 minutes each side
6.ふつう
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AAsk her partner to sign for her
- BUse gestures and simple English only
- CAsk her 10-year-old child to interpret
- DUse a professional interpreter
7.むずかしい
A labouring woman refuses a recommended caesarean for fetal distress after a full explanation. She has decision-making capacity. What should the nurse do?
- AStop caring for her because she refused advice
- BAsk her partner to consent instead
- CRespect her decision, document it and inform the team
- DPrepare her for surgery anyway because the baby is at risk
8.むずかしい
A woman has hyperthyroidism in pregnancy. Which finding in the fetus should be monitored?
- AFetal polycythaemia only
- BFetal macrosomia
- CA fetal heart rate below 100 bpm
- DFetal tachycardia and poor growth
解答
- 1. D · 赤色悪露:小さな凝血を伴うことのある赤い分泌物
- 2. C · Seizures
- 3. B · Left occiput anterior (LOA)
- 4. A · Early treatment prevents brain damage
- 5. C · At least 6 wet nappies a day and yellow stools
- 6. D · Use a professional interpreter
- 7. C · Respect her decision, document it and inform the team
- 8. D · Fetal tachycardia and poor growth
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