1.やさしい
Eclampsia is pre-eclampsia complicated by:
- AAnkle oedema
- BSeizures
- CProteinuria
- DLow platelets
2.やさしい
産後のアセスメント BUBBLE-HE で、最初の「B」は何を表しますか?
- A絆形成(Bonding)
- B腸蠕動音(Bowel sounds)
- C血圧(Blood pressure)
- D乳房(Breasts)
3.やさしい
Which blood test on the mother detects antibodies against Rh-positive red cells?
- ADirect Coombs test on the mother's red cells
- BIndirect Coombs test (antibody screen)
- CHaemoglobin electrophoresis
- DProthrombin time
4.ふつう
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- AA port-wine stain that will need laser treatment
- BHarmless dermal melanocytosis, to be documented
- CA sign of a serious blood clotting disorder
- DBruising that suggests birth trauma or abuse
5.ふつう
A woman at 24 weeks reports burning on urination and urinary frequency. What is the priority action?
- AReassure her that urinary frequency is normal in pregnancy
- BCollect a urine sample for culture and inform the provider
- CAdvise cranberry juice and no further action
- DAdvise her to drink less to reduce frequency
6.ふつう
Why is congenital hypothyroidism included in newborn screening?
- AEarly treatment prevents brain damage
- BIt can only be treated before birth
- CIt causes hip dysplasia
- DIt causes jaundice that cannot be treated
7.むずかしい
前回帝王切開後の経腟分娩(VBAC)を試みている女性に、突然の激しい腹痛が起こり、胎児心拍数が急激に低下し、先進部がもう触れなくなりました。最も考えられるのはどれですか?
- A子宮破裂
- B第 2 期への正常な進行
- C前置胎盤
- D頭部の圧迫による早発一過性徐脈
8.むずかしい
A term newborn has rapid breathing at 2 hours after a caesarean without labour. Saturation is normal, there is no fever and the chest X-ray shows fluid in the fissures. What is the most likely diagnosis?
- AMeconium aspiration syndrome
- BRespiratory distress syndrome of prematurity
- CNeonatal pneumonia with sepsis
- DTransient tachypnoea of the newborn
解答
- 1. B · Seizures
- 2. D · 乳房(Breasts)
- 3. B · Indirect Coombs test (antibody screen)
- 4. B · Harmless dermal melanocytosis, to be documented
- 5. B · Collect a urine sample for culture and inform the provider
- 6. A · Early treatment prevents brain damage
- 7. A · 子宮破裂
- 8. D · Transient tachypnoea of the newborn
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。