1.やさしい
What does "effacement" of the cervix mean?
- AThinning and shortening of the cervix
- BDescent of the presenting part into the pelvis
- CSoftening of the cervix in early pregnancy
- DOpening of the external cervical os
2.やさしい
Respiratory distress syndrome in preterm babies is mainly caused by:
- AAspiration of meconium
- BToo much amniotic fluid in the lungs
- CSurfactant deficiency
- DA heart defect
3.やさしい
What is lochia alba?
- AGreen, foul-smelling discharge
- BPink to brown discharge from about day 4 to day 10
- CWhite-yellow discharge in the later weeks
- DBright red discharge in the first days
4.ふつう
出生後の最初の数時間に、低血糖のリスクが最も高い新生児はどれですか?
- A5 分後のアプガースコアが 9 の赤ちゃん
- B糖尿病の母親から生まれた大きな赤ちゃん
- C平均的な体重で、よく母乳を飲んでいる正期産児
- D健康な母親から予定帝王切開で生まれた赤ちゃん
5.ふつう
Which substance in amniotic fluid is used to judge fetal lung maturity?
- ABilirubin, assessed by its colour
- BGlucose, assessed by its concentration
- CAlpha-fetoprotein, assessed by its level
- DSurfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
6.ふつう
A woman with epilepsy is planning a pregnancy. Which advice is most appropriate?
- AStop all antiepileptic drugs before trying to conceive
- BBreastfeeding will never be possible
- CReview her medicines with her doctor before conception
- DAvoid folic acid because it lowers drug levels
7.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?
- AReassure her that this is expected and continue
- BIncrease her IV fluids rapidly to lower her heart rate
- CGive the next dose early to stop contractions
- DWithhold the next dose and report the findings
8.むずかしい
妊娠 10 週の女性が数日間嘔吐を続けており、尿中ケトンが陽性で、体重が 6 % 減少し、立ち上がるとめまいがします。優先すべきことは何ですか?
- A減量のための食事療法を始める
- B処方に従い、輸液と電解質で脱水を補正する
- C妊娠初期を過ぎれば自然に治るので、フォローアップは不要だと伝える
- D1 日 3 回たっぷり食べるよう助言する
解答
- 1. A · Thinning and shortening of the cervix
- 2. C · Surfactant deficiency
- 3. C · White-yellow discharge in the later weeks
- 4. B · 糖尿病の母親から生まれた大きな赤ちゃん
- 5. D · Surfactant, assessed by the lecithin/sphingomyelin (L/S) ratio
- 6. C · Review her medicines with her doctor before conception
- 7. D · Withhold the next dose and report the findings
- 8. B · 処方に従い、輸液と電解質で脱水を補正する
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