1.やさしい
産後 3~4 日間に見られる悪露はどれですか?
- A赤色悪露:小さな凝血を伴うことのある赤い分泌物
- B第 1 週の終わりまで分泌物はない
- C白色悪露:白色または黄色がかった分泌物
- D漿液性悪露:ピンク色から褐色の分泌物
2.やさしい
Which measure is most helpful for perineal pain in the first 24 hours after a vaginal birth?
- ACold packs on the perineum
- BTight underwear without a pad
- CSitting on a hard chair
- DA hot water bottle on the perineum
3.やさしい
What is the most common cause of sore, cracked nipples in the first days of breastfeeding?
- AToo much milk
- BA poor latch
- CUsing both breasts
- DFeeding too often
4.ふつう
A newborn's anterior fontanelle is sunken. What should the nurse suspect?
- ADehydration
- BNormal crying
- CRaised intracranial pressure
- DHydrocephalus
5.ふつう
Rh 陰性の女性が、Rh 陽性の赤ちゃんを出産したばかりです。抗 D 免疫グロブリンはいつ投与すべきですか?
- A赤ちゃんに黄疸が出た場合のみ
- B出産後 2 週間以内
- C次回の妊娠前のみ
- D出産後 72 時間以内
6.ふつう
Which substance in amniotic fluid is used to judge fetal lung maturity?
- AGlucose, assessed by its concentration
- BBilirubin, assessed by its colour
- CAlpha-fetoprotein, assessed by its level
- DSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
7.むずかしい
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
- ATo prevent eclamptic seizures
- BTo speed up fetal lung maturation
- CTo treat a urinary tract infection
- DTo reduce the baby's risk of cerebral palsy
8.むずかしい
A nurse teaches a first-time mother about exclusive breastfeeding. Which statement shows a need for further teaching?
- A"I should feed my baby whenever she shows hunger cues."
- B"On hot days I should give my baby extra water between feeds."
- C"Wet nappies help me check that she is getting enough."
- D"My milk supply increases the more often she feeds."
解答
- 1. A · 赤色悪露:小さな凝血を伴うことのある赤い分泌物
- 2. A · Cold packs on the perineum
- 3. B · A poor latch
- 4. A · Dehydration
- 5. D · 出産後 72 時間以内
- 6. D · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 7. D · To reduce the baby's risk of cerebral palsy
- 8. B · "On hot days I should give my baby extra water between feeds."
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