1.やさしい
What is placenta accreta?
- AA placenta attached too deeply into the wall
- BA placenta that separates from the wall before birth
- CA placenta with an extra small lobe
- DA placenta that implants over the cervix
2.やさしい
Which drug class is used to treat uterine atony?
- AUterotonics
- BAntihypertensives
- CTocolytics
- DAnticoagulants
3.やさしい
Which of these is one of the "5 Ps" of labour?
- APulse
- BPassageway
- CPressure
- DPlacenta praevia
4.ふつう
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
- AApply warm showers to the breasts several times a day
- BExpress milk often to relieve fullness
- CWear a supportive bra and use cold packs
- DMassage the breasts to stimulate milk flow
5.ふつう
A woman is 5 days after birth. She cries often, sleeps poorly when the baby sleeps and feels she is a bad mother. What should the nurse do?
- AAdvise her to stop breastfeeding to rest
- BTell her partner to take over all baby care
- CScreen further for depression and self-harm
- DTell her this is the baby blues and will pass
6.ふつう
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AUse a professional interpreter
- BUse gestures and simple English only
- CAsk her 10-year-old child to interpret
- DAsk her partner to sign for her
7.むずかしい
A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?
- AOnly the newborn's blood glucose
- BThe mother's ability to walk alone
- CUterine tone, bleeding and newborn injury
- DOnly the mother's temperature
8.むずかしい
A woman has hyperthyroidism in pregnancy. Which finding in the fetus should be monitored?
- AFetal polycythaemia only
- BA fetal heart rate below 100 bpm
- CFetal tachycardia and poor growth
- DFetal macrosomia
解答
- 1. A · A placenta attached too deeply into the wall
- 2. A · Uterotonics
- 3. B · Passageway
- 4. C · Wear a supportive bra and use cold packs
- 5. C · Screen further for depression and self-harm
- 6. A · Use a professional interpreter
- 7. C · Uterine tone, bleeding and newborn injury
- 8. C · Fetal tachycardia and poor growth
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