1.やさしい
Which component is part of the APGAR score?
- AMuscle tone
- BBlood glucose
- CBody temperature
- DBirth weight
2.やさしい
What does "effacement" of the cervix mean?
- AThinning and shortening of the cervix
- BOpening of the external cervical os
- CDescent of the presenting part into the pelvis
- DSoftening of the cervix in early pregnancy
3.やさしい
What is a nuchal cord?
- AA cord with only two vessels
- BA cord that is unusually short
- CA cord wrapped around the baby's neck
- DA cord that comes out before the baby
4.ふつう
A woman with pre-eclampsia is on magnesium sulfate. Which task can be delegated to a healthcare assistant (unlicensed assistive personnel)?
- AMeasuring and recording urine output
- BEvaluating her for signs of toxicity
- CAdjusting the magnesium infusion rate
- DAssessing her deep tendon reflexes
5.ふつう
Why is it important that the uterus relaxes fully between contractions?
- AIt allows the cervix to close again between contractions
- BBlood flow to the placenta is restored between contractions
- CIt prevents the membranes from rupturing
- DIt reduces the mother's need for fluids
6.ふつう
バイオフィジカルプロファイルの構成要素を挙げた組み合わせはどれですか?
- A胎児心拍数パターン、母体の血圧、血糖、体重、尿蛋白
- B子宮底長、胎位、station、展退、開大
- Cアプガースコア、臍帯血ガス、出生体重、身長、頭囲
- Dノンストレステスト、胎児の呼吸様運動、胎動、胎児の筋緊張、羊水量
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?
- AAsk her partner to consent instead
- BStop caring for her because she refused advice
- 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
Which finding in a newborn at 6 hours requires the most urgent action?
- AMild moulding of the head
- BAcrocyanosis of the hands and feet
- CSmall white milia on the nose and chin
- DCentral cyanosis, fast breathing and grunting
解答
- 1. A · Muscle tone
- 2. A · Thinning and shortening of the cervix
- 3. C · A cord wrapped around the baby's neck
- 4. A · Measuring and recording urine output
- 5. B · Blood flow to the placenta is restored between contractions
- 6. D · ノンストレステスト、胎児の呼吸様運動、胎動、胎児の筋緊張、羊水量
- 7. C · Respect her decision, document it and inform the team
- 8. D · Central cyanosis, fast breathing and grunting
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