1.やさしい
How much alcohol is considered safe during pregnancy?
- AUp to two drinks per week
- BNo amount is known to be safe
- CSmall amounts after the first trimester
- DOne glass of wine per day
2.やさしい
An ultrasound report says "oligohydramnios". What does this mean?
- ABlood in the amniotic fluid
- BToo much amniotic fluid
- CToo little amniotic fluid
- DInfection of the amniotic fluid
3.やさしい
In Rubin's "taking-in" phase after birth, the mother typically:
- AIs eager to learn how to bathe the baby
- BReturns to her usual work and roles
- CTakes full control of the baby's care
- DFocuses on her own needs and the birth
4.ふつう
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- ABruising that suggests birth trauma or abuse
- BA sign of a serious blood clotting disorder
- CHarmless dermal melanocytosis, to be documented
- DA port-wine stain that will need laser treatment
5.ふつう
切迫早産の女性にベタメタゾンなどのコルチコステロイドを投与するのはなぜですか?
- A卵膜の感染を予防するため
- B陣痛を止めるため
- C胎児の肺の成熟を促すため
- D母親の血圧を下げるため
6.ふつう
Which finding on day 4 after a caesarean suggests a wound infection?
- AMild tenderness without redness
- BA closed incision with intact edges
- CRedness, warmth and discharge
- DMild numbness of the skin near the scar
7.むずかしい
Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?
- ACervical laceration
- BUterine atony
- CUterine inversion
- DAmniotic fluid embolism
8.むずかしい
授乳中の母親が、片方の乳房に熱感、発赤、痛みのある部分があり、発熱しています。授乳をやめるべきか尋ねています。最もよい助言はどれですか?
- A乳汁の産生を減らすために水分をとるのをやめる
- B授乳を完全にやめ、熱と発赤が治まるまで搾乳して捨てる
- C1 週間は反対側の乳房からだけ授乳する
- D患側の乳房も含めて頻繁に授乳を続け、処方された治療を受ける
解答
- 1. B · No amount is known to be safe
- 2. C · Too little amniotic fluid
- 3. D · Focuses on her own needs and the birth
- 4. C · Harmless dermal melanocytosis, to be documented
- 5. C · 胎児の肺の成熟を促すため
- 6. C · Redness, warmth and discharge
- 7. C · Uterine inversion
- 8. D · 患側の乳房も含めて頻繁に授乳を続け、処方された治療を受ける
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