1.やさしい
A second-degree perineal tear involves:
- AThe rectal mucosa and anal sphincter
- BThe skin, vaginal mucosa and perineal muscles
- COnly the perineal skin and vaginal mucosa
- DThe anal sphincter muscle complex
2.やさしい
A woman lists her symptoms. Which one is a presumptive (subjective) sign of pregnancy?
- AA positive pregnancy test
- BBallottement of the fetus
- CAmenorrhoea
- DFetal heart tones heard by Doppler
3.やさしい
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AThe last month of pregnancy
- BThe first 3 days after conception
- CAbout weeks 20 to 28 after conception
- DAbout weeks 3 to 8 after conception
4.ふつう
A woman at 16 weeks has an amniocentesis. Which instruction after the procedure is correct?
- ANo follow-up is needed for any symptoms
- BDrink no fluids for 24 hours
- CBed rest is required for 2 weeks
- DReport fever, leaking fluid or bleeding
5.ふつう
Which reflex causes the newborn's toes to fan out when the sole is stroked from heel to toe?
- AMoro reflex
- BPlantar grasp reflex
- CStepping reflex
- DBabinski reflex
6.ふつう
マタニティブルーズではなく産後うつ病を示す所見はどれですか?
- A赤ちゃんが泣いた夜のあとの疲労感
- B3 日目の泣きじゃくりや気分の波で、治療しなくても数日でおさまるもの
- C訪問者が帰ったときに感情的になること
- D2 週間を超えて続き、日常生活に支障をきたす気分の落ち込みと興味の喪失
7.むずかしい
Which finding is a sign that the placenta is separating in the third stage of labour?
- AImmediate fall in maternal blood pressure
- BSudden severe abdominal pain
- CA gush of blood and lengthening of the cord
- DThe uterus becomes soft and wide
8.むずかしい
A newborn's cord stump has redness spreading onto the abdominal skin and a foul discharge. What is the priority?
- ATeach the parents to pull the stump off
- BReport it as possible omphalitis
- CCover the cord with a tight dressing
- DApply talc and recheck in a week
解答
- 1. B · The skin, vaginal mucosa and perineal muscles
- 2. C · Amenorrhoea
- 3. D · About weeks 3 to 8 after conception
- 4. D · Report fever, leaking fluid or bleeding
- 5. D · Babinski reflex
- 6. D · 2 週間を超えて続き、日常生活に支障をきたす気分の落ち込みと興味の喪失
- 7. C · A gush of blood and lengthening of the cord
- 8. B · Report it as possible omphalitis
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