1.やさしい
子癇前症とは、妊娠 20 週以降に新たに発症した高血圧に、次のどれを伴うものですか?
- Aヘモグロビンの上昇
- B低血糖
- C蛋白尿または臓器機能障害の徴候
- D低置胎盤による無痛性の腟出血
2.やさしい
Which is a main function of the placenta?
- AProduction of fetal antibodies
- BProduction of fetal bile
- CExchange of gases and nutrients
- DProduction of insulin for the fetus
3.やさしい
What is the normal axillary temperature range for a newborn?
- A35.0 to 36.0 °C (95.0 to 96.8 °F)
- B34.5 to 35.5 °C (94.1 to 95.9 °F)
- C36.5 to 37.5 °C (97.7 to 99.5 °F)
- D37.8 to 38.5 °C (100.0 to 101.3 °F)
4.ふつう
略語 HELLP は何の頭字語ですか?
- A高血圧、脂質の上昇、蛋白の低下
- B出血、子癇、低血圧
- C高血糖、乳酸の上昇、カリウムの低下
- D溶血、肝酵素の上昇、血小板の減少
5.ふつう
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- ABruising that suggests birth trauma or abuse
- BA port-wine stain that will need laser treatment
- CHarmless dermal melanocytosis, to be documented
- DA sign of a serious blood clotting disorder
6.ふつう
A woman in preterm labour receives nifedipine. Which side effect should the nurse watch for?
- ARespiratory depression and absent reflexes
- BHigh blood glucose and tremor
- CBradycardia and bronchospasm
- DLow blood pressure and headache
7.むずかしい
A newborn born after a shoulder dystocia holds one arm limp at the side, internally rotated, with the wrist flexed. What is most likely?
- AFacial nerve palsy
- BDevelopmental hip dysplasia
- CErb's palsy
- DClubfoot
8.むずかしい
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AStopping iron and waiting until after birth
- BA routine blood transfusion
- CIntravenous iron
- DDoubling her caffeine intake
解答
- 1. C · 蛋白尿または臓器機能障害の徴候
- 2. C · Exchange of gases and nutrients
- 3. C · 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 4. D · 溶血、肝酵素の上昇、血小板の減少
- 5. C · Harmless dermal melanocytosis, to be documented
- 6. D · Low blood pressure and headache
- 7. C · Erb's palsy
- 8. C · Intravenous iron
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