1.やさしい
A newborn is placed on a cold scale without a cover. Which type of heat loss is this?
- AEvaporation
- BRadiation
- CConvection
- DConduction
2.やさしい
Which contraceptive method is usually avoided in the first weeks after birth in a breastfeeding mother?
- AA copper intrauterine device
- BCombined oestrogen-progestin pills
- CCondoms
- DProgestin-only pills
3.やさしい
A pregnant teenager is at increased risk of which complication?
- APreterm birth and low birth weight
- BMacrosomia and shoulder dystocia
- CPost-term pregnancy beyond 42 weeks
- DMultiple pregnancy
4.ふつう
Which position of the fetal head presents the smallest diameter to the pelvis?
- AA neutral position with no flexion
- BFull flexion, with the chin on the chest
- CPartial extension, with the brow presenting
- DFull extension, with the face presenting
5.ふつう
バイオフィジカルプロファイルの構成要素を挙げた組み合わせはどれですか?
- A子宮底長、胎位、station、展退、開大
- Bノンストレステスト、胎児の呼吸様運動、胎動、胎児の筋緊張、羊水量
- C胎児心拍数パターン、母体の血圧、血糖、体重、尿蛋白
- Dアプガースコア、臍帯血ガス、出生体重、身長、頭囲
6.ふつう
A woman on day 3 after a caesarean has calf pain, swelling and warmth in one leg. What should the nurse do?
- AEncourage her to do vigorous leg exercises
- BReport it promptly and avoid massaging the leg
- CApply a heating pad and reassess tomorrow
- DMassage the calf to relieve the cramp
7.むずかしい
Over the last hour, a labour tracing shows variable decelerations that are becoming deeper and longer, a baseline rising from 135 to 165 bpm and falling variability. How should the nurse interpret this?
- AA sign of fetal well-being; no action is needed
- BA normal fetal sleep cycle; recheck in an hour
- CBenign head compression; continue routine monitoring
- DEvolving fetal hypoxia; escalate for urgent obstetric review
8.むずかしい
A woman at 26 weeks receiving terbutaline for preterm contractions has a heart rate of 132/min and chest tightness. What should the nurse do?
- AIncrease her IV fluids rapidly to lower her heart rate
- BReassure her that this is expected and continue
- CWithhold the next dose and report the findings
- DGive the next dose early to stop contractions
解答
- 1. D · Conduction
- 2. B · Combined oestrogen-progestin pills
- 3. A · Preterm birth and low birth weight
- 4. B · Full flexion, with the chin on the chest
- 5. B · ノンストレステスト、胎児の呼吸様運動、胎動、胎児の筋緊張、羊水量
- 6. B · Report it promptly and avoid massaging the leg
- 7. D · Evolving fetal hypoxia; escalate for urgent obstetric review
- 8. C · Withhold the next dose and report the findings
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