1.やさしい
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AAbout weeks 20 to 28 after conception
- BThe first 3 days after conception
- CAbout weeks 3 to 8 after conception
- DThe last month of pregnancy
2.やさしい
What is the main benefit of delaying cord clamping in a healthy term baby?
- AFaster delivery of the placenta
- BLower risk of jaundice in all babies
- CBetter iron stores in the baby
- DReduced maternal blood loss
3.やさしい
Which pregnancy risk increases with maternal age over 35?
- ANeural tube defects caused only by age
- BRh isoimmunisation
- CTrisomies such as trisomy 21
- DPhysiological anaemia
4.ふつう
On day 2, a newborn has red blotches with small yellow-white centres on the trunk. The baby is well. What is most likely?
- AErythema toxicum
- BNeonatal sepsis
- CPort-wine stain
- DHerpes simplex infection
5.ふつう
Why are pregnant women at increased risk of urinary tract infection and pyelonephritis?
- AProgesterone dilates the ureters and slows the flow of urine
- BThe urine becomes more acidic in pregnancy
- CThe bladder empties more completely in pregnancy
- DPregnancy greatly reduces the production of urine
6.ふつう
Which drug is a known teratogen that must be stopped before a planned pregnancy?
- AParacetamol (acetaminophen)
- BLevothyroxine
- CFolic acid
- DIsotretinoin
7.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?
- ANormal newborn reflexes
- BAcute bilirubin encephalopathy
- CMild breast milk jaundice
- DA normal reaction to phototherapy
8.むずかしい
A baby was born through thick meconium-stained fluid. At birth the baby is crying, has good tone and a heart rate above 100/min. What is the appropriate care?
- ASeparation from the mother for 24 hours
- BRoutine care with the mother, with observation
- CDeep suctioning of the stomach before the first breath
- DImmediate tracheal intubation and suction
解答
- 1. C · About weeks 3 to 8 after conception
- 2. C · Better iron stores in the baby
- 3. C · Trisomies such as trisomy 21
- 4. A · Erythema toxicum
- 5. A · Progesterone dilates the ureters and slows the flow of urine
- 6. D · Isotretinoin
- 7. B · Acute bilirubin encephalopathy
- 8. B · Routine care with the mother, with observation
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。