1.やさしい
What does "gravida" mean in an obstetric history?
- AThe number of births after 20 weeks
- BThe total number of pregnancies, including the current one
- CThe number of babies born at term
- DThe number of children now living
2.やさしい
What is the main aim of tocolytic drugs such as nifedipine in preterm labour?
- APreventing maternal seizures
- BRipening the cervix
- CMaturing the fetal lungs
- DSuppressing uterine contractions
3.やさしい
What is polyhydramnios?
- ALeakage of amniotic fluid
- BAn excess of amniotic fluid
- CGreen-stained amniotic fluid
- DToo little amniotic fluid
4.ふつう
The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?
- ABelow the umbilicus on the mother's left side
- BDirectly over the fundus
- CAbove the umbilicus on the mother's left side
- DAbove the umbilicus on the mother's right side
5.ふつう
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
- AApply warm showers to the breasts several times a day
- BExpress milk often to relieve fullness
- CWear a supportive bra and use cold packs
- DMassage the breasts to stimulate milk flow
6.ふつう
On abdominal palpation at 39 weeks, only 2/5 of the fetal head can be felt above the pelvic brim. How is this interpreted?
- AThe head is free above the pelvic brim
- BThe fetus is in a breech presentation
- CThe head is crowning at the vulva
- DThe head is engaged in the pelvis
7.むずかしい
Why does the ductus arteriosus normally close after birth?
- AThe cord is cut, which closes it directly
- BPressure in the pulmonary artery rises
- CRising prostaglandins and falling oxygen levels
- DRising oxygen levels and falling prostaglandins
8.むずかしい
On abdominal palpation, the nurse feels a hard, round, movable mass in the fundus, and the fetal heart is heard above the umbilicus. What does this suggest?
- AA breech presentation
- BAn occiput posterior position
- CA transverse lie with the head in the pelvis
- DA cephalic presentation
解答
- 1. B · The total number of pregnancies, including the current one
- 2. D · Suppressing uterine contractions
- 3. B · An excess of amniotic fluid
- 4. A · Below the umbilicus on the mother's left side
- 5. C · Wear a supportive bra and use cold packs
- 6. D · The head is engaged in the pelvis
- 7. D · Rising oxygen levels and falling prostaglandins
- 8. A · A breech presentation
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