1.やさしい
Gestational hypertension is defined as new hypertension after 20 weeks:
- AThat occurs only during labour
- BThat was already present before pregnancy
- CWith proteinuria and a seizure
- DWithout proteinuria or organ damage
2.やさしい
初乳とは何ですか?
- A乳房の感染のサイン
- B産後数日間に新生児へ与える人工乳
- C抗体に富む、濃い黄色がかった最初の母乳
- D離乳後に作られる乳汁
3.やさしい
Which nutrient is needed in much greater amounts in pregnancy to support the increase in red blood cell production?
- ASodium
- BIron
- CVitamin A
- DVitamin E
4.ふつう
Why are afterpains often stronger in multiparous women?
- ATheir uterus is always infected
- BThey produce no oxytocin after birth
- CThey have a smaller uterus than first-time mothers
- DTheir uterus contracts and relaxes more irregularly
5.ふつう
A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?
- ANaloxone is given before any ventilation is started
- BFlumazenil is given to reverse the opioid
- CNo support is needed because the effect lasts only seconds
- DEffective ventilation comes first; naloxone is not routine
6.ふつう
Which antihypertensive is commonly used in pregnancy but should be avoided in a woman with asthma?
- ANifedipine
- BLabetalol
- CMethyldopa
- DHydralazine
7.むずかしい
A labouring woman feels intense rectal pressure and says "the baby is coming". She was 7 cm 20 minutes ago. What should the nurse do first?
- ATell her it is too early and to stop pushing
- BLeave her to get the birth equipment from the store
- CGive her an opioid for the pain
- DCheck whether the head is visible and stay with her
8.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?
- ARecord the result as reactive and reassuring
- BImmediately start oxytocin to induce labour
- CFurther testing, such as a biophysical profile
- DSend her home and repeat the test in a month
解答
- 1. D · Without proteinuria or organ damage
- 2. C · 抗体に富む、濃い黄色がかった最初の母乳
- 3. B · Iron
- 4. D · Their uterus contracts and relaxes more irregularly
- 5. D · Effective ventilation comes first; naloxone is not routine
- 6. B · Labetalol
- 7. D · Check whether the head is visible and stay with her
- 8. C · Further testing, such as a biophysical profile
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