1.やさしい
授乳中の母親の乳房緊満をやわらげる最もよい方法はどれですか?
- A頻繁に授乳し、乳房をよく空にする
- B水分を控える
- C片方の乳房だけで授乳する
- D乳房を休ませるために 2 日間授乳をやめる
2.やさしい
Which food should a pregnant woman avoid because of the risk of listeriosis?
- AWell-cooked eggs
- BUnpasteurised soft cheese
- CPasteurised yoghurt
- DHard cheese such as cheddar
3.やさしい
How should the nurse count a term newborn's heart rate at rest?
- AListen at the apex with a stethoscope for a full minute
- BFeel the radial pulse for 15 seconds and multiply by 4
- CRead a finger pulse oximeter for 5 seconds
- DFeel the carotid pulse for 30 seconds and multiply by 2
4.ふつう
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- AA port-wine stain that will need laser treatment
- BA sign of a serious blood clotting disorder
- CBruising that suggests birth trauma or abuse
- DHarmless dermal melanocytosis, to be documented
5.ふつう
B 群溶血性レンサ球菌(GBS)の 全例スクリーニングが行われている地域では、腟・直腸の擦過検体は通常いつ採取しますか?
- A妊娠 20 週ごろ
- B分娩中の破水後
- C妊娠 36~37 週ごろ
- D初回の妊婦健診
6.ふつう
Why are afterpains often stronger in multiparous women?
- AThey produce no oxytocin after birth
- BThey have a smaller uterus than first-time mothers
- CTheir uterus is always infected
- DTheir uterus contracts and relaxes more irregularly
7.むずかしい
A term newborn has rapid breathing at 2 hours after a caesarean without labour. Saturation is normal, there is no fever and the chest X-ray shows fluid in the fissures. What is the most likely diagnosis?
- ARespiratory distress syndrome of prematurity
- BNeonatal pneumonia with sepsis
- CMeconium aspiration syndrome
- DTransient tachypnoea of the newborn
8.むずかしい
Why does the ductus arteriosus normally close after birth?
- APressure in the pulmonary artery rises
- BThe cord is cut, which closes it directly
- CRising prostaglandins and falling oxygen levels
- DRising oxygen levels and falling prostaglandins
解答
- 1. A · 頻繁に授乳し、乳房をよく空にする
- 2. B · Unpasteurised soft cheese
- 3. A · Listen at the apex with a stethoscope for a full minute
- 4. D · Harmless dermal melanocytosis, to be documented
- 5. C · 妊娠 36~37 週ごろ
- 6. D · Their uterus contracts and relaxes more irregularly
- 7. D · Transient tachypnoea of the newborn
- 8. D · Rising oxygen levels and falling prostaglandins
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