1.やさしい
What is an amniotomy?
- AArtificial rupture of the membranes
- BManual removal of the placenta
- CRemoval of amniotic fluid with a needle for testing
- DA cut in the perineum to enlarge the outlet
2.やさしい
Rh 陰性の妊婦に抗 D 免疫グロブリンを投与するのはなぜですか?
- A免疫系が Rh 陽性の胎児の血液に対する抗体を作らないようにするため
- B風疹や B 群溶血性レンサ球菌などの感染症から赤ちゃんを守るため
- C赤ちゃんを Rh 陰性にするため
- D母親の貧血を治療するため
3.やさしい
When should a woman who has had a miscarriage and is Rh-negative receive anti-D immunoglobulin?
- ANever, because the pregnancy has ended
- BOnly if the father is Rh-negative
- CWithin 72 hours, when local guidelines advise it
- DOnly before her next pregnancy
4.ふつう
母乳栄養の健康な新生児の生後 3 日目に予想される所見はどれですか?
- A過去 24 時間でおむつの濡れがない
- B出生体重の約 6 % の体重減少
- C出生体重の約 15 % の体重減少
- D出生時から 300 g の体重増加
5.ふつう
A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?
- ANecrotising enterocolitis
- BInfantile pyloric stenosis
- CCow's milk protein allergy
- DHirschsprung disease
6.ふつう
Progesterone relaxes smooth muscle in pregnancy. Which common complaint does this help explain?
- AConstipation
- BIncreased appetite
- CNasal stuffiness
- DGum bleeding
7.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 prevent eclamptic seizures
- BTo speed up fetal lung maturation
- CTo treat a urinary tract infection
- DTo reduce the baby's risk of cerebral palsy
8.むずかしい
A woman with a history of postnatal depression is pregnant again. What is the most appropriate plan?
- AWait to see whether depression returns after birth
- BPlan early support and monitoring before and after birth
- CAdvise her that it will not happen again
- DTell her that breastfeeding will prevent it
解答
- 1. A · Artificial rupture of the membranes
- 2. A · 免疫系が Rh 陽性の胎児の血液に対する抗体を作らないようにするため
- 3. C · Within 72 hours, when local guidelines advise it
- 4. B · 出生体重の約 6 % の体重減少
- 5. A · Necrotising enterocolitis
- 6. A · Constipation
- 7. D · To reduce the baby's risk of cerebral palsy
- 8. B · Plan early support and monitoring before and after birth
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