1.やさしい
What is the typical head circumference of a term newborn?
- AAbout 20 to 23 cm
- BAbout 25 to 28 cm
- CAbout 33 to 35 cm
- DAbout 40 to 43 cm
2.やさしい
What is the main purpose of an ultrasound scan in the first trimester?
- ATo measure fetal lung maturity
- BTo find out the baby's blood group
- CTo date the pregnancy and count fetuses
- DTo diagnose gestational diabetes
3.やさしい
Using US (ACOG) definitions, preterm labour is labour that begins:
- AAfter 42 weeks of pregnancy
- BBetween 20 and 37 weeks
- CAt any time before the due date at 40 weeks
- DBefore 20 weeks of pregnancy
4.ふつう
A pregnant woman taking iron says her stools have turned black. What is the best response?
- ATell her to double the dose of the tablets
- BAdvise her to go to the emergency department now
- CTell her to stop the iron immediately
- DExplain that this is an expected effect of iron
5.ふつう
硫酸マグネシウム中毒を示唆する所見はどれですか?
- A呼吸数 18 回/分
- B深部腱反射の消失
- C尿量 60 mL/時
- Dクローヌスを伴う腱反射の亢進
6.ふつう
BUBBLE-HE の下肢の観察で、現在、産後の女性の静脈血栓塞栓症はどのようにアセスメントしますか?
- A足を強く背屈させ、ふくらはぎの痛みを手がかりにする(ホーマンズ徴候)
- Bつま先の毛細血管再充満時間だけを調べる
- C下肢の片側の腫脹、熱感、発赤、圧痛を調べる
- Dふくらはぎをマッサージして血栓を触れてみる
7.むずかしい
Why is weighing blood-soaked pads better than visual estimation of postpartum blood loss?
- AWeighing tells you the cause of the bleeding
- BVisual estimates underestimate large losses
- CVisual estimates always overestimate blood loss
- DWeighing is faster than looking
8.むずかしい
A woman who had a placenta praevia and two previous caesareans is scheduled for a caesarean. The team plans for possible hysterectomy and blood products. Why?
- AShe is at high risk of pre-eclampsia only
- BShe is at high risk of placenta accreta spectrum
- CShe is at high risk of gestational diabetes
- DShe is at high risk of a post-term birth
解答
- 1. C · About 33 to 35 cm
- 2. C · To date the pregnancy and count fetuses
- 3. B · Between 20 and 37 weeks
- 4. D · Explain that this is an expected effect of iron
- 5. B · 深部腱反射の消失
- 6. C · 下肢の片側の腫脹、熱感、発赤、圧痛を調べる
- 7. B · Visual estimates underestimate large losses
- 8. B · She is at high risk of placenta accreta spectrum
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