1.やさしい
Which uterine incision allows a woman to be considered for a vaginal birth after caesarean (VBAC)?
- AA T-shaped incision
- BA classical vertical incision
- CAn incision through the upper segment
- DA low transverse incision
2.やさしい
"Fetal lie" describes:
- AHow much the fetal head is flexed on the chest
- BThe relation of the fetal long axis to the mother's long axis
- CThe level of the presenting part relative to the ischial spines
- DThe part of the fetus that enters the pelvis first
3.やさしい
Which condition is included in routine newborn bloodspot screening?
- AAsthma
- BCoeliac disease
- CType 2 diabetes
- DPhenylketonuria
4.ふつう
How does a port-wine stain differ from a "stork bite" (salmon patch)?
- AA port-wine stain always disappears within a year
- BA port-wine stain does not fade with time
- CA stork bite only occurs in preterm babies
- DA stork bite is a raised tumour that grows quickly
5.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
- CThe urine becomes more acidic in pregnancy
- DProgesterone dilates the ureters and slows the flow of urine
6.ふつう
What should parents be taught about the water for a newborn's bath?
- AUse very hot water so that germs on the skin are killed
- BLeave the baby briefly if the water is only shallow
- CCheck that it is warm, not hot, before the baby goes in
- DAdd adult bubble bath to soften the baby's skin
7.むずかしい
A woman at 31 weeks with contractions has a negative fetal fibronectin test. What does this result mean?
- ABirth will certainly occur within 48 hours
- BThe membranes have ruptured
- CThe fetus has an infection
- DBirth within the next 1 to 2 weeks is unlikely
8.むずかしい
A woman at 12 weeks has light bleeding and mild cramping. The cervix is closed and fetal heart activity is seen on ultrasound. How is this classified?
- AThreatened miscarriage
- BMissed miscarriage
- CInevitable miscarriage
- DIncomplete miscarriage
解答
- 1. D · A low transverse incision
- 2. B · The relation of the fetal long axis to the mother's long axis
- 3. D · Phenylketonuria
- 4. B · A port-wine stain does not fade with time
- 5. D · Progesterone dilates the ureters and slows the flow of urine
- 6. C · Check that it is warm, not hot, before the baby goes in
- 7. D · Birth within the next 1 to 2 weeks is unlikely
- 8. A · Threatened miscarriage
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