1.やさしい
妊娠後期の「ライトニング(胎児下降感)」とは何ですか?
- A痛みを伴わない予行練習の収縮
- B粘液栓の脱落
- C胎児が骨盤内に下降すること
- D最初の胎動
2.やさしい
How should a postnatal woman clean her perineum after using the toilet?
- AWipe from back to front with dry paper
- BAvoid washing the area for a week
- CRinse with water and wipe front to back
- DUse a scented douche each time she voids
3.やさしい
Which stool pattern is typical of a breastfed baby after the first week?
- ABlack, tarry and sticky stools
- BYellow, soft and seedy stools
- CHard, pale and formed stools
- DGreen, watery stools with mucus
4.ふつう
Which newborn finding is linked to a vacuum-assisted birth?
- ACleft lip and palate
- BA harmless erythema toxicum rash
- CA chignon or cephalhaematoma
- DClubfoot (talipes)
5.ふつう
A woman at 28 weeks is Rh-negative and has a positive antibody screen for anti-D. What does this mean?
- AThe result is normal and needs no further action
- BShe needs a double dose of anti-D immunoglobulin
- CShe is sensitised; the fetus is watched for anaemia
- DHer baby is definitely Rh-negative
6.ふつう
Which factors help start the newborn's first breath?
- AOnly the pressure from the obstetrician's hand
- BOnly the baby's first cry from hunger
- CChemical, thermal, mechanical and sensory cues
- DOnly the cutting of the umbilical cord
7.むずかしい
A pregnant woman involved in a car crash asks how to wear a seat belt. Which instruction is correct?
- APut the lap belt across the top of the bump, above the uterus
- BLap belt under the bump, shoulder belt between the breasts
- CWear only the shoulder part of the belt
- DDo not wear a seat belt in pregnancy
8.むずかしい
A healthy newborn is jittery. Which finding helps tell jitteriness from a seizure?
- ASeizures are always triggered by loud sounds
- BSeizures stop when the limb is held
- CJitteriness stops when the limb is gently held
- DJitteriness comes with eye deviation and apnoea
解答
- 1. C · 胎児が骨盤内に下降すること
- 2. C · Rinse with water and wipe front to back
- 3. B · Yellow, soft and seedy stools
- 4. C · A chignon or cephalhaematoma
- 5. C · She is sensitised; the fetus is watched for anaemia
- 6. C · Chemical, thermal, mechanical and sensory cues
- 7. B · Lap belt under the bump, shoulder belt between the breasts
- 8. C · Jitteriness stops when the limb is gently held
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