1.やさしい
How should a newborn be placed in the car?
- ALying in a carrycot on the back seat without straps
- BIn a rear-facing car seat in the back seat
- COn a parent's lap in the front seat
- DIn a forward-facing seat in the front
2.やさしい
What is the normal adult platelet count?
- A150 to 400 × 109/L (150,000 to 400,000/mm³)
- B500 to 900 × 109/L (500,000 to 900,000/mm³)
- C50 to 100 × 109/L (50,000 to 100,000/mm³)
- D10 to 50 × 109/L (10,000 to 50,000/mm³)
3.やさしい
A newborn is "small for gestational age" when its birth weight is:
- ABelow 2500 g, whatever the gestational age
- BAbove the 90th percentile for its gestational age
- CBelow the 50th percentile for its gestational age
- DBelow the 10th percentile for its gestational age
4.ふつう
A woman is 5 days after birth. She cries often, sleeps poorly when the baby sleeps and feels she is a bad mother. What should the nurse do?
- AScreen further for depression and self-harm
- BAdvise her to stop breastfeeding to rest
- CTell her partner to take over all baby care
- DTell her this is the baby blues and will pass
5.ふつう
Which statement about the lactational amenorrhoea method (LAM) is correct?
- AIt becomes more reliable after the periods return
- BIt is reliable even when the baby is formula-fed at night
- CIt works for as long as the mother breastfeeds at all
- DIt needs full breastfeeding, no periods and a baby under 6 months
6.ふつう
A woman at 22 weeks describes sharp pain on one side of the lower abdomen when she stands up quickly. Her vital signs and fetal heart rate are normal. What is the most likely cause?
- ARound ligament pain
- BAppendicitis
- CPreterm labour
- DPlacental abruption
7.むずかしい
A baby was stillborn at 38 weeks. Which nursing action is most appropriate?
- AOffer the parents time to see and hold their baby
- BAvoid using the baby's name to prevent more grief
- CTell the parents they can try for another baby soon
- DRemove the baby quickly so the parents are not upset
8.むずかしい
A woman with gestational diabetes asks if she will have diabetes after the baby is born. Which reply is accurate?
- AIt always becomes type 1 diabetes after birth
- BIt never returns, so no further glucose testing is needed after birth
- CIt usually resolves, but her risk of type 2 diabetes stays higher
- DIt will continue unless she stops breastfeeding
解答
- 1. B · In a rear-facing car seat in the back seat
- 2. A · 150 to 400 × 109/L (150,000 to 400,000/mm³)
- 3. D · Below the 10th percentile for its gestational age
- 4. A · Screen further for depression and self-harm
- 5. D · It needs full breastfeeding, no periods and a baby under 6 months
- 6. A · Round ligament pain
- 7. A · Offer the parents time to see and hold their baby
- 8. C · It usually resolves, but her risk of type 2 diabetes stays higher
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