1.やさしい
What is a uterine inversion?
- AThe uterus tilts backwards towards the spine
- BThe uterus tears along an old caesarean scar
- CThe placenta implants low in the uterus
- DThe uterus turns inside out after birth
2.やさしい
Which is an early hunger cue in a newborn?
- AFalling into deep sleep
- BRooting and sucking on the hands
- CArching the back and screaming
- DLoud, frantic crying
3.やさしい
The anterior fontanelle of a newborn is:
- ARound, at the base of the skull
- BClosed at birth in a term baby
- CTriangular, where the parietal and occipital bones meet
- DDiamond-shaped, where the frontal and parietal bones meet
4.ふつう
Which newborn finding is linked to a vacuum-assisted birth?
- AClubfoot (talipes)
- BA chignon or cephalhaematoma
- CCleft lip and palate
- DA harmless erythema toxicum rash
5.ふつう
A pregnant woman taking iron says her stools have turned black. What is the best response?
- ATell her to stop the iron immediately
- BAdvise her to go to the emergency department now
- CExplain that this is an expected effect of iron
- DTell her to double the dose of the tablets
6.ふつう
前置胎盤と診断されている妊娠 32 週の女性が、出血のため入院しました。避けなければならない処置はどれですか?
- A胎児心拍の連続モニタリング
- B内診(指による腟診)
- C静脈ラインの確保
- D血圧測定
7.むずかしい
A newborn born after a shoulder dystocia holds one arm limp at the side, internally rotated, with the wrist flexed. What is most likely?
- AClubfoot
- BFacial nerve palsy
- CDevelopmental hip dysplasia
- DErb's palsy
8.むずかしい
A woman with gestational diabetes asks if she will have diabetes after the baby is born. Which reply is accurate?
- AIt never returns, so no further glucose testing is needed after birth
- BIt will continue unless she stops breastfeeding
- CIt always becomes type 1 diabetes after birth
- DIt usually resolves, but her risk of type 2 diabetes stays higher
解答
- 1. D · The uterus turns inside out after birth
- 2. B · Rooting and sucking on the hands
- 3. D · Diamond-shaped, where the frontal and parietal bones meet
- 4. B · A chignon or cephalhaematoma
- 5. C · Explain that this is an expected effect of iron
- 6. B · 内診(指による腟診)
- 7. D · Erb's palsy
- 8. D · It usually resolves, but her risk of type 2 diabetes stays higher
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