1.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?
- A25%
- B75%
- C50%
- D100%
2.やさしい
The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:
- ASpider naevi
- BStriae gravidarum
- CLinea nigra
- DChloasma
3.やさしい
What is ballottement in pregnancy?
- AThe first fetal movements felt by the mother
- BContractions that do not dilate the cervix
- CThe fetus rebounds when pushed by the examiner
- DBluish colour of the cervix
4.ふつう
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AIt protects her from pre-eclampsia
- BIt is a live vaccine that gives the baby lifelong immunity to whooping cough
- CHer antibodies cross the placenta and protect the newborn
- DIt prevents the baby from developing rubella
5.ふつう
A newborn at 42 weeks has dry, cracked, peeling skin, long nails and little vernix. How is this baby best described?
- ALarge for gestational age
- BPost-term (postmature)
- CSmall for gestational age only
- DPreterm
6.ふつう
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt is a tablet taken with meals
- BIt is injected under the skin; report unusual bleeding
- CIt must be stopped if she chooses to breastfeed her baby
- DIt is given into the muscle of the thigh
7.むずかしい
A preterm baby is being prepared for discharge. Which statement by the parents shows understanding of kangaroo (skin-to-skin) care?
- A"Skin-to-skin increases her risk of getting cold."
- B"She should be fully dressed and wrapped before I hold her."
- C"Skin-to-skin is only for full-term babies."
- D"Holding her on my bare chest keeps her warm."
8.むずかしい
A woman at 20 weeks presents with painless cervical dilation and bulging membranes, without contractions. She lost a previous pregnancy in the same way. What is the likely diagnosis?
- ACervical insufficiency
- BPreterm labour caused by infection
- CPlacenta praevia
- DPlacental abruption
解答
- 1. A · 25%
- 2. C · Linea nigra
- 3. C · The fetus rebounds when pushed by the examiner
- 4. C · Her antibodies cross the placenta and protect the newborn
- 5. B · Post-term (postmature)
- 6. B · It is injected under the skin; report unusual bleeding
- 7. D · "Holding her on my bare chest keeps her warm."
- 8. A · Cervical insufficiency
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