1.やさしい
分娩直後に子宮底が柔らかくぶよぶよと触れます。最初の看護行為はどれですか?
- A所見を記録し、4 時間後に子宮底を再評価する
- B下部子宮を支えながら子宮底をマッサージする
- C会陰に氷嚢を当てる
- Dコップ 1 杯の水をたっぷり飲ませる
2.やさしい
Which fetal structure carries oxygen-rich blood from the placenta to the fetus?
- AThe umbilical arteries
- BThe umbilical vein
- CThe ductus arteriosus
- DThe pulmonary artery
3.やさしい
An ultrasound report says "oligohydramnios". What does this mean?
- AToo little amniotic fluid
- BInfection of the amniotic fluid
- CToo much amniotic fluid
- DBlood in the amniotic fluid
4.ふつう
Which measure helps prevent infant abduction from a maternity unit?
- ALetting any visitor carry the baby in the corridor
- BPosting the baby's name and room on the door
- CLeaving babies in the nursery overnight
- DChecking staff ID before handing over a baby
5.ふつう
Why is an indwelling catheter placed before a caesarean birth?
- ATo prevent postpartum haemorrhage
- BTo keep the bladder empty during surgery
- CTo measure the baby's fluid balance
- DTo collect a urine sample for culture
6.ふつう
A newborn has a cleft lip and palate. Which feeding approach is most appropriate?
- AFeeding lying flat on the back
- BWithholding feeds until surgery
- CFeeding only with a spoon from birth
- DSpecial teats and an upright position
7.むずかしい
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AIntravenous iron
- BDoubling her caffeine intake
- CA routine blood transfusion
- DStopping iron and waiting until after birth
8.むずかしい
A newborn whose mother had a fever and prolonged rupture of membranes is well at birth. Why does the nurse monitor this baby closely?
- AThe baby has a higher risk of hip dysplasia
- BThe baby is likely to be post-term
- CThe baby has a higher risk of early sepsis
- DThe baby will certainly develop jaundice
解答
- 1. B · 下部子宮を支えながら子宮底をマッサージする
- 2. B · The umbilical vein
- 3. A · Too little amniotic fluid
- 4. D · Checking staff ID before handing over a baby
- 5. B · To keep the bladder empty during surgery
- 6. D · Special teats and an upright position
- 7. A · Intravenous iron
- 8. C · The baby has a higher risk of early sepsis
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