1.やさしい
On which part of the foot is a newborn heel-prick blood sample taken?
- AThe tip of the big toe
- BThe outer or inner side of the heel
- CThe ball of the foot
- DThe centre of the back of the heel
2.やさしい
What is the normal axillary temperature range for a newborn?
- A37.8 to 38.5 °C (100.0 to 101.3 °F)
- B34.5 to 35.5 °C (94.1 to 95.9 °F)
- C35.0 to 36.0 °C (95.0 to 96.8 °F)
- D36.5 to 37.5 °C (97.7 to 99.5 °F)
3.やさしい
A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?
- ALie flat on her back and raise both legs
- BMassage the calf firmly with the knee bent
- CPoint the toes downwards as far as possible
- DStraighten the leg and pull the foot upwards
4.ふつう
How does breast milk jaundice usually differ from early breastfeeding jaundice?
- AIt is caused by too little milk intake
- BIt always needs the baby to stop breastfeeding permanently
- CIt appears later, after the first week, in a thriving baby
- DIt appears in the first 24 hours in a sick baby
5.ふつう
A woman at 37 weeks is GBS-positive. When should she receive antibiotics?
- AOrally at 37 weeks only
- BOnly to the baby after birth
- CNot at all, because GBS is normal flora
- DIntravenously during labour
6.ふつう
Why is the hearing of newborns screened before discharge or soon after birth?
- AEarly support improves language development
- BIt is required before vitamin K can be given
- CIt detects congenital heart disease
- DHearing loss can be cured with a single injection
7.むずかしい
A woman with known mitral stenosis is pregnant. When is she at greatest risk of heart failure?
- ARisk is the same at every point in pregnancy
- BOnly during the first stage of labour
- CWhen blood volume peaks in late pregnancy and in the hours after birth
- DOnly in the first trimester, when nausea is worst
8.むずかしい
A newborn's bilirubin is rising quickly at 30 hours despite phototherapy, and the baby is lethargic with an arched back and high-pitched cry. What does this suggest?
- AMild breast milk jaundice
- BNormal newborn reflexes
- CA normal reaction to phototherapy
- DAcute bilirubin encephalopathy
解答
- 1. B · The outer or inner side of the heel
- 2. D · 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 3. D · Straighten the leg and pull the foot upwards
- 4. C · It appears later, after the first week, in a thriving baby
- 5. D · Intravenously during labour
- 6. A · Early support improves language development
- 7. C · When blood volume peaks in late pregnancy and in the hours after birth
- 8. D · Acute bilirubin encephalopathy
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