1.やさしい
What is ballottement in pregnancy?
- ABluish colour of the cervix
- BContractions that do not dilate the cervix
- CThe fetus rebounds when pushed by the examiner
- DThe first fetal movements felt by the mother
2.やさしい
A "contraction stress test" assesses how the fetus responds to:
- ALoud sound applied to the abdomen
- BMaternal exercise on a treadmill
- CReduced blood flow during contractions
- DA change in maternal position only
3.やさしい
A second-degree perineal tear involves:
- AOnly the perineal skin and vaginal mucosa
- BThe skin, vaginal mucosa and perineal muscles
- CThe rectal mucosa and anal sphincter
- DThe anal sphincter muscle complex
4.ふつう
A breastfed baby has jaundice in the first week with poor feeding and few wet nappies. What is the most likely cause?
- AABO incompatibility
- BBiliary atresia with obstruction
- CBreast milk jaundice
- DSuboptimal intake jaundice
5.ふつう
A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?
- AWater intoxication
- BSpinal headache
- CHypoglycaemia
- DMagnesium toxicity
6.ふつう
A woman at 39 weeks with a healthy pregnancy asks about walking in early labour. What is the best advice?
- AWalking and upright positions can help progress
- BUpright positions always make labour slower
- CWalking will cause the cord to prolapse
- DShe must stay in bed on her back for the whole labour
7.むずかしい
A woman with gestational diabetes on insulin asks about her baby after birth. Which statement by the nurse is accurate?
- AThe baby will be born with diabetes
- BThe baby must not be breastfed in the first week
- CThe baby will need insulin for the first days
- DThe baby's glucose will be checked for hypoglycaemia
8.むずかしい
新生児を保温し、拭き、刺激したあとも無呼吸のままです。次のステップは何ですか?
- Aすぐに胸骨圧迫を開始する
- B何かする前に、5 分後のアプガースコアを待って評価する
- Cバッグ・マスクで陽圧換気を開始する
- D赤ちゃんを逆さにして背中を叩く
解答
- 1. C · The fetus rebounds when pushed by the examiner
- 2. C · Reduced blood flow during contractions
- 3. B · The skin, vaginal mucosa and perineal muscles
- 4. D · Suboptimal intake jaundice
- 5. A · Water intoxication
- 6. A · Walking and upright positions can help progress
- 7. D · The baby's glucose will be checked for hypoglycaemia
- 8. C · バッグ・マスクで陽圧換気を開始する
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