1.やさしい
What is lanugo?
- APeeling skin on the hands and feet
- BA white coating on the skin
- CFine, downy hair on the body
- DA birthmark on the face
2.やさしい
Which teratogenic effect is linked with maternal rubella infection in early pregnancy?
- ADeafness, cataracts and heart defects
- BCleft lip, cleft palate and club foot
- CLimb reduction defects and missing fingers
- DNeural tube defects
3.やさしい
Which of these is one of the "5 Ps" of labour?
- APressure
- BPulse
- CPassageway
- DPlacenta praevia
4.ふつう
A woman 1 day after birth has a blood pressure of 150/96 mmHg and a headache. She had normal blood pressures in pregnancy. What should the nurse do?
- AReassure her that this is normal after birth
- BEncourage her to walk to lower her blood pressure
- CReport it and assess for postpartum pre-eclampsia
- DGive paracetamol (acetaminophen) and ignore the blood pressure
5.ふつう
A woman with pre-existing type 1 diabetes is pregnant. How do her insulin needs usually change?
- AThey stay the same throughout pregnancy
- BThey rise in the first trimester and fall in the third
- CThey often fall early on and then rise later in pregnancy
- DInsulin is stopped during pregnancy and restarted after birth
6.ふつう
A woman who has had a caesarean asks when she can drive again. Which answer is most accurate?
- AWhen she can brake hard without pain
- BThe same day she is discharged
- CNever before 6 months
- DOnly after her stitches are removed by a doctor
7.むずかしい
At 18 weeks, a woman's maternal serum alpha-fetoprotein is well above the normal range for her dates. Which condition does this result most suggest?
- AGestational diabetes
- BAn open neural tube defect
- CDown syndrome (trisomy 21)
- DPre-eclampsia
8.むずかしい
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
- ATo speed up fetal lung maturation
- BTo reduce the baby's risk of cerebral palsy
- CTo prevent eclamptic seizures
- DTo treat a urinary tract infection
解答
- 1. C · Fine, downy hair on the body
- 2. A · Deafness, cataracts and heart defects
- 3. C · Passageway
- 4. C · Report it and assess for postpartum pre-eclampsia
- 5. C · They often fall early on and then rise later in pregnancy
- 6. A · When she can brake hard without pain
- 7. B · An open neural tube defect
- 8. B · To reduce the baby's risk of cerebral palsy
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