1.やさしい
How should a postnatal woman clean her perineum after using the toilet?
- ARinse with water and wipe front to back
- BWipe from back to front with dry paper
- CAvoid washing the area for a week
- DUse a scented douche each time she voids
2.やさしい
A pregnant teenager is at increased risk of which complication?
- APreterm birth and low birth weight
- BMultiple pregnancy
- CMacrosomia and shoulder dystocia
- DPost-term pregnancy beyond 42 weeks
3.やさしい
The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:
- AStriae gravidarum
- BSpider naevi
- CChloasma
- DLinea nigra
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
- BTell her to stop the iron immediately
- CAdvise her to go to the emergency department now
- DExplain that this is an expected effect of iron
5.ふつう
Which feature best distinguishes true labour from false labour?
- AProgressive dilation and effacement of the cervix
- BContractions that stop when the woman walks around
- CDiscomfort that eases with a warm bath and rest
- DContractions that are felt only in the lower abdomen
6.ふつう
Which baby is at greatest risk of early-onset group B streptococcal infection?
- AA baby of a GBS-positive mother with no antibiotics
- BA baby whose mother was GBS-negative at 36 weeks
- CA baby born by planned caesarean with intact membranes
- DA baby born at 40 weeks to a mother with no risk factors
7.むずかしい
A pregnant woman with chronic hypertension takes lisinopril. Why should the nurse alert the prescriber?
- ALisinopril is the first-choice antihypertensive in pregnancy
- BACE inhibitors cause neural tube defects only in the third trimester
- CACE inhibitors can harm fetal kidney development and are avoided in pregnancy
- DLisinopril will cause her blood pressure to rise in pregnancy
8.むずかしい
A fetal tracing shows a smooth, wave-like pattern with no variability, like a sine wave. What should the nurse suspect?
- AFetal head compression
- BA maternal urinary infection
- CA normal fetal sleep cycle
- DSevere fetal anaemia
解答
- 1. A · Rinse with water and wipe front to back
- 2. A · Preterm birth and low birth weight
- 3. D · Linea nigra
- 4. D · Explain that this is an expected effect of iron
- 5. A · Progressive dilation and effacement of the cervix
- 6. A · A baby of a GBS-positive mother with no antibiotics
- 7. C · ACE inhibitors can harm fetal kidney development and are avoided in pregnancy
- 8. D · Severe fetal anaemia
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。