解答つき母性看護・産科看護ワークシート

分娩の「第 4 期」とは何を指しますか？

1. A規則的な陣痛の開始から全開大までの時間
2. B産後最初の 6 週間
3. C胎盤娩出後の最初の 1～2 時間
4. D怒責（いきみ）の期間

What advice helps reduce heartburn in pregnancy?

1. AEat large meals and lie down afterwards
2. BDrink a large glass of milk just before going to bed
3. CEat the main meal just before sleeping
4. DEat small meals and stay upright after eating

What is the main role of a support person such as a doula in labour?

1. APerforming vaginal examinations
2. BContinuous emotional and physical support
3. CInterpreting the fetal heart rate tracing
4. DGiving pain medication

On day 1 after birth, a woman's white cell count is mildly raised and she has no symptoms. How should this be interpreted?

1. AIt proves she has an infection
2. BIt means she has leukaemia
3. CIt can be normal soon after birth
4. DIt shows she is dehydrated

A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?

1. AReport it at once because it is a sign of a clotting disorder
2. BAvoid all dental visits until after the baby is born
3. CUse a soft brush and keep up routine dental care
4. DStop brushing until the bleeding has settled after birth

Which substance in amniotic fluid is used to judge fetal lung maturity?

1. AAlpha-fetoprotein, assessed by its level
2. BBilirubin, assessed by its colour
3. CSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
4. DGlucose, assessed by its concentration

胎児心拍数のトレースで、基線細変動の消失と反復する遅発一過性徐脈がみられます。これはどのように分類され、何が必要ですか？

1. Aカテゴリー II：判定不能のトレースで、通常の観察と記録を続けるだけでよい
2. B胎児の睡眠中の正常なパターン
3. Cカテゴリー III：異常なトレースで、速やかな介入と急速遂娩への準備が必要
4. Dカテゴリー I：正常で、通常のケア

Why does the foramen ovale close soon after birth?

1. ALeft atrial pressure rises above right atrial pressure
2. BProstaglandin levels rise in the newborn's blood
3. CBlood flow to the lungs decreases after birth
4. DThe umbilical vein carries more blood to the heart