1.やさしい
During which period of development is the embryo most vulnerable to teratogens causing major structural defects?
- AThe last month of pregnancy
- BAbout weeks 20 to 28 after conception
- CThe first 3 days after conception
- DAbout weeks 3 to 8 after conception
2.やさしい
What is the normal axillary temperature range for a newborn?
- A36.5 to 37.5 °C (97.7 to 99.5 °F)
- B34.5 to 35.5 °C (94.1 to 95.9 °F)
- C37.8 to 38.5 °C (100.0 to 101.3 °F)
- D35.0 to 36.0 °C (95.0 to 96.8 °F)
3.やさしい
Which drug class is used to ripen an unfavourable cervix before induction?
- AProstaglandins
- BTocolytics
- CCorticosteroids
- DBeta blockers
4.ふつう
Why are pregnant women at increased risk of urinary tract infection and pyelonephritis?
- AThe bladder empties more completely in pregnancy
- BPregnancy greatly reduces the production of urine
- CProgesterone dilates the ureters and slows the flow of urine
- DThe urine becomes more acidic in pregnancy
5.ふつう
頭血腫と産瘤はどのように見分けますか?
- A頭血腫は頭皮の皮膚だけの柔らかい腫れである
- B頭血腫は出生時にあり、数日で消える
- C頭血腫は縫合線を越えない
- D頭血腫は頭蓋骨の正中線を越える
6.ふつう
A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?
- ACow's milk protein allergy
- BHirschsprung disease
- CInfantile pyloric stenosis
- DNecrotising enterocolitis
7.むずかしい
A pregnant woman with chronic hypertension takes lisinopril. Why should the nurse alert the prescriber?
- ALisinopril will cause her blood pressure to rise in pregnancy
- BLisinopril is the first-choice antihypertensive in pregnancy
- CACE inhibitors cause neural tube defects only in the third trimester
- DACE inhibitors can harm fetal kidney development and are avoided in pregnancy
8.むずかしい
A woman at 37 weeks has severe itching of the palms and soles, worse at night, without a rash. Which condition should be considered?
- APre-eclampsia only
- BNormal stretching of the abdominal skin
- CAn allergy to washing detergents
- DIntrahepatic cholestasis of pregnancy
解答
- 1. D · About weeks 3 to 8 after conception
- 2. A · 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 3. A · Prostaglandins
- 4. C · Progesterone dilates the ureters and slows the flow of urine
- 5. C · 頭血腫は縫合線を越えない
- 6. D · Necrotising enterocolitis
- 7. D · ACE inhibitors can harm fetal kidney development and are avoided in pregnancy
- 8. D · Intrahepatic cholestasis of pregnancy
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