1.やさしい
検者が見つける子宮下部の軟化であるヘガール徴候は、どれに分類されますか?
- A妊娠の推定徴候
- B妊娠の確実徴候
- C妊娠の蓋然徴候
- D妊娠中の危険徴候
2.やさしい
Which hormone is detected by a standard pregnancy test?
- AHuman placental lactogen (hPL)
- BLuteinising hormone (LH)
- CHuman chorionic gonadotrophin (hCG)
- DFollicle-stimulating hormone (FSH)
3.やさしい
Which blood test on the mother detects antibodies against Rh-positive red cells?
- ADirect Coombs test on the mother's red cells
- BHaemoglobin electrophoresis
- CIndirect Coombs test (antibody screen)
- DProthrombin time
4.ふつう
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- AA port-wine stain that will need laser treatment
- BBruising that suggests birth trauma or abuse
- CA sign of a serious blood clotting disorder
- DHarmless dermal melanocytosis, to be documented
5.ふつう
A woman in late pregnancy has numbness and tingling in her thumb and first fingers, worse at night. What is the most likely cause?
- AA stroke caused by pre-eclampsia
- BVitamin K deficiency
- CCarpal tunnel syndrome
- DLow blood calcium
6.ふつう
経腟分娩の約 12 時間後、子宮底は通常どこにありますか?
- A硬く、正中線上で、臍の高さくらい
- B硬く、左側の端に偏位している
- C恥骨結合より下にあり、触れない
- D柔らかく、剣状突起の 2 横指上
7.むずかしい
A woman has been breastfeeding for 3 weeks. Her baby has gained little weight, feeds briefly and falls asleep at the breast. What is the most appropriate first action?
- AObserve a full feed to assess latch and milk transfer
- BReassure her that slow weight gain is normal
- CAdvise her to stop breastfeeding and use formula only
- DTell her to feed only every 6 hours to build hunger
8.むずかしい
A newborn has a deep dimple with a tuft of hair over the lower spine. What is the significance?
- AIt is a sign of congenital heart disease
- BIt means the baby will have hip dysplasia
- CIt is an expected birthmark with no meaning
- DIt may be a sign of an underlying spinal defect
解答
- 1. C · 妊娠の蓋然徴候
- 2. C · Human chorionic gonadotrophin (hCG)
- 3. C · Indirect Coombs test (antibody screen)
- 4. D · Harmless dermal melanocytosis, to be documented
- 5. C · Carpal tunnel syndrome
- 6. A · 硬く、正中線上で、臍の高さくらい
- 7. A · Observe a full feed to assess latch and milk transfer
- 8. D · It may be a sign of an underlying spinal defect
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