1.やさしい
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AAbout weeks 20 to 28 after conception
- BThe first 3 days after conception
- CThe last month of pregnancy
- DAbout weeks 3 to 8 after conception
2.やさしい
Both parents carry one gene for an autosomal recessive condition such as cystic fibrosis. What is the chance that each child is affected?
- A75%
- B50%
- C100%
- D25%
3.やさしい
When should a woman who has had a miscarriage and is Rh-negative receive anti-D immunoglobulin?
- ANever, because the pregnancy has ended
- BOnly before her next pregnancy
- COnly if the father is Rh-negative
- DWithin 72 hours, when local guidelines advise it
4.ふつう
A woman is about to get out of bed for the first time after birth. What should the nurse do?
- AHelp her sit, then stand slowly with support
- BWait until day 3 before letting her stand
- CAsk her to stand quickly to reduce dizziness
- DLet her walk alone so she feels independent
5.ふつう
略語 HELLP は何の頭字語ですか?
- A溶血、肝酵素の上昇、血小板の減少
- B高血糖、乳酸の上昇、カリウムの低下
- C高血圧、脂質の上昇、蛋白の低下
- D出血、子癇、低血圧
6.ふつう
A woman at 18 weeks asks about safe exercise. Which advice is correct?
- AExercise lying flat on her back is best after 20 weeks
- BExercise should be stopped completely during pregnancy
- CModerate exercise like walking or swimming is encouraged
- DContact sports and scuba diving are safe if she did them before
7.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
- CApply talc and recheck in a week
- DCover the cord with a tight dressing
8.むずかしい
A newborn is cold-stressed. Which complications should the nurse anticipate?
- AHypoglycaemia, hypoxia and metabolic acidosis
- BHypercalcaemia and seizures only
- CHyperglycaemia, polycythaemia and hypertension
- DFever, diarrhoea and dehydration
解答
- 1. D · About weeks 3 to 8 after conception
- 2. D · 25%
- 3. D · Within 72 hours, when local guidelines advise it
- 4. A · Help her sit, then stand slowly with support
- 5. A · 溶血、肝酵素の上昇、血小板の減少
- 6. C · Moderate exercise like walking or swimming is encouraged
- 7. B · Report it as possible omphalitis
- 8. A · Hypoglycaemia, hypoxia and metabolic acidosis
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