解答つき母性看護・産科看護ワークシート

Which sign is often the earliest sign of sepsis in a newborn?

1. AUnstable temperature and poor feeding
2. BA bulging anterior fontanelle at birth
3. CA loud, vigorous cry
4. DA high fever above 40 °C (104 °F) on the first day

子癇前症とは、妊娠 20 週以降に新たに発症した高血圧に、次のどれを伴うものですか？

1. Aヘモグロビンの上昇
2. B低血糖
3. C低置胎盤による無痛性の腟出血
4. D蛋白尿または臓器機能障害の徴候

When is the best time to teach a new mother about baby care, according to Rubin's phases?

1. AIn the taking-in phase
2. BIn the letting-go phase
3. CIn the first hour after birth
4. DIn the taking-hold phase

Why is mild anaemia common in the second trimester even in healthy women?

1. AThe fetus breaks down maternal red blood cells
2. BIron is lost in the urine because kidney filtration rises
3. CPlasma volume rises more than red cell mass
4. DThe bone marrow stops producing red cells during pregnancy

Which nursing measure is used during phototherapy?

1. AKeep the baby fully clothed under the lights
2. BTurn the baby often and monitor hydration
3. CLimit feeds to reduce stooling
4. DRemove the eye shields while the lights are on

Which factors help start the newborn's first breath?

1. AChemical, thermal, mechanical and sensory cues
2. BOnly the pressure from the obstetrician's hand
3. COnly the cutting of the umbilical cord
4. DOnly the baby's first cry from hunger

Monochorionic twins at 22 weeks show one twin with polyhydramnios and a large bladder and the other with almost no fluid. What condition is suspected?

1. APlacenta praevia
2. BGestational diabetes in one twin
3. CTwin-to-twin transfusion syndrome
4. DRh isoimmunisation

子宮底マッサージのあとも子宮が柔らかいままで、出血が多量です。優先すべき次の行動はどれですか？

1. A女性をファウラー位に起こす
2. B応援を呼び、プロトコルに従ってオキシトシンなど指示された子宮収縮薬を投与する
3. C経口で水分を勧め、1 時間後にもう一度確認する
4. Dチームを呼ぶ前に、自分で 30 分間、子宮底を強くマッサージし続ける