1.やさしい
Which postnatal warning sign should a woman report straight away after discharge?
- ATiredness in the first week
- BMild afterpains during feeds
- CBleeding that soaks a pad in an hour
- DLochia that slowly changes colour
2.やさしい
An ultrasound report says "oligohydramnios". What does this mean?
- AToo little amniotic fluid
- BToo much amniotic fluid
- CInfection of the amniotic fluid
- DBlood in the amniotic fluid
3.やさしい
What are milia?
- APinkish marks on the back of the neck
- BFlat bluish-grey patches on the lower back
- CRed blotches with small yellow centres
- DTiny white spots on the nose and chin
4.ふつう
A newborn's anterior fontanelle is sunken. What should the nurse suspect?
- AHydrocephalus
- BRaised intracranial pressure
- CDehydration
- DNormal crying
5.ふつう
A woman at 28 weeks asks why her heart rate is higher than before pregnancy. Which response is accurate?
- AA rise of about 10 to 15 beats per minute is normal in pregnancy
- BA higher heart rate in pregnancy always points to heart disease
- CThe heart rate rises because blood pressure is much higher in pregnancy
- DHeart rate normally falls in pregnancy, so this needs urgent review
6.ふつう
How does breast milk jaundice usually differ from early breastfeeding jaundice?
- AIt is caused by too little milk intake
- BIt appears later, after the first week, in a thriving baby
- CIt appears in the first 24 hours in a sick baby
- DIt always needs the baby to stop breastfeeding permanently
7.むずかしい
A woman has cytomegalovirus (CMV) infection in pregnancy. Which outcome in the baby is a major concern?
- AOpen neural tube defects such as spina bifida
- BClubfoot only
- CHearing loss and developmental delay
- DPhenylketonuria
8.むずかしい
A woman with known mitral stenosis is pregnant. When is she at greatest risk of heart failure?
- AOnly in the first trimester, when nausea is worst
- BOnly during the first stage of labour
- CRisk is the same at every point in pregnancy
- DWhen blood volume peaks in late pregnancy and in the hours after birth
解答
- 1. C · Bleeding that soaks a pad in an hour
- 2. A · Too little amniotic fluid
- 3. D · Tiny white spots on the nose and chin
- 4. C · Dehydration
- 5. A · A rise of about 10 to 15 beats per minute is normal in pregnancy
- 6. B · It appears later, after the first week, in a thriving baby
- 7. C · Hearing loss and developmental delay
- 8. D · When blood volume peaks in late pregnancy and in the hours after birth
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