1.やさしい
産後のアセスメント BUBBLE-HE で、最初の「B」は何を表しますか?
- A乳房(Breasts)
- B血圧(Blood pressure)
- C腸蠕動音(Bowel sounds)
- D絆形成(Bonding)
2.やさしい
What advice helps reduce heartburn in pregnancy?
- ADrink a large glass of milk just before going to bed
- BEat the main meal just before sleeping
- CEat small meals and stay upright after eating
- DEat large meals and lie down afterwards
3.やさしい
What is a uterine inversion?
- AThe placenta implants low in the uterus
- BThe uterus turns inside out after birth
- CThe uterus tears along an old caesarean scar
- DThe uterus tilts backwards towards the spine
4.ふつう
Why is mild anaemia common in the second trimester even in healthy women?
- AThe fetus breaks down maternal red blood cells
- BPlasma volume rises more than red cell mass
- CIron is lost in the urine because kidney filtration rises
- DThe bone marrow stops producing red cells during pregnancy
5.ふつう
A newborn at 42 weeks has dry, cracked, peeling skin, long nails and little vernix. How is this baby best described?
- ALarge for gestational age
- BSmall for gestational age only
- CPost-term (postmature)
- DPreterm
6.ふつう
What should parents be taught about the water for a newborn's bath?
- AAdd adult bubble bath to soften the baby's skin
- BCheck that it is warm, not hot, before the baby goes in
- CLeave the baby briefly if the water is only shallow
- DUse very hot water so that germs on the skin are killed
7.むずかしい
硫酸マグネシウムを点滴中の女性の呼吸数が 10 回/分で、膝蓋腱反射が消失しています。看護師が最初にすべきことは何ですか?
- Aこれらの徴候は子癇前症が悪化している証拠なので、点滴の速度を上げる
- B点滴を止めて医療者に緊急連絡し、グルコン酸カルシウムを準備する
- Cナロキソンを 1 回投与する
- D2 時間後に反射をもう一度確認する
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
- BFurther testing, such as a biophysical profile
- CSend her home and repeat the test in a month
- DImmediately start oxytocin to induce labour
解答
- 1. A · 乳房(Breasts)
- 2. C · Eat small meals and stay upright after eating
- 3. B · The uterus turns inside out after birth
- 4. B · Plasma volume rises more than red cell mass
- 5. C · Post-term (postmature)
- 6. B · Check that it is warm, not hot, before the baby goes in
- 7. B · 点滴を止めて医療者に緊急連絡し、グルコン酸カルシウムを準備する
- 8. B · Further testing, such as a biophysical profile
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