1.やさしい
What does "effacement" of the cervix mean?
- ASoftening of the cervix in early pregnancy
- BThinning and shortening of the cervix
- CDescent of the presenting part into the pelvis
- DOpening of the external cervical os
2.やさしい
The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:
- ALinea nigra
- BChloasma
- CStriae gravidarum
- DSpider naevi
3.やさしい
Eclampsia is pre-eclampsia complicated by:
- AProteinuria
- BLow platelets
- CSeizures
- DAnkle oedema
4.ふつう
A woman with pre-existing type 1 diabetes is pregnant. How do her insulin needs usually change?
- AThey rise in the first trimester and fall in the third
- BThey stay the same throughout pregnancy
- CInsulin is stopped during pregnancy and restarted after birth
- DThey often fall early on and then rise later in pregnancy
5.ふつう
Why is congenital hypothyroidism included in newborn screening?
- AIt causes hip dysplasia
- BEarly treatment prevents brain damage
- CIt can only be treated before birth
- DIt causes jaundice that cannot be treated
6.ふつう
After a circumcision, which finding should be reported?
- AFussiness at the first nappy change
- BActive bleeding that soaks a nappy
- CMild swelling of the glans
- DA yellowish film over the glans on day 2
7.むずかしい
A woman says she was told her non-invasive prenatal test (cell-free DNA) is "high chance" for trisomy 21. Which statement by the nurse is accurate?
- AThe result is diagnostic and the baby definitely has trisomy 21
- BThe test analyses fetal cells from the amniotic fluid
- CIt is a screening test, so a diagnostic test is offered to confirm it
- DA high-chance result means the test should simply be repeated at birth
8.むずかしい
A woman with a fourth-degree tear is being discharged. Which instruction is appropriate?
- ATake rectal temperatures twice daily
- BUse stool softeners and avoid suppositories and enemas
- CUse rectal suppositories each day to prevent constipation
- DDo strong straining exercises to strengthen the muscles
解答
- 1. B · Thinning and shortening of the cervix
- 2. A · Linea nigra
- 3. C · Seizures
- 4. D · They often fall early on and then rise later in pregnancy
- 5. B · Early treatment prevents brain damage
- 6. B · Active bleeding that soaks a nappy
- 7. C · It is a screening test, so a diagnostic test is offered to confirm it
- 8. B · Use stool softeners and avoid suppositories and enemas
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