1.やさしい
What does "multipara" mean?
- AA woman who is pregnant with twins
- BA woman who has never given birth
- CA woman who is pregnant for the first time
- DA woman who has given birth two or more times
2.やさしい
A fetal heart rate baseline above 160 bpm for 10 minutes or more is called:
- AA prolonged acceleration
- BMinimal variability
- CFetal tachycardia
- DFetal bradycardia
3.やさしい
Which fish should pregnant women avoid because of its high mercury content?
- ASardines
- BCod
- CSwordfish
- DSalmon
4.ふつう
The fetus is in the left occiput anterior position. Where is the fetal heart usually heard best?
- ADirectly over the fundus
- BBelow the umbilicus on the mother's left side
- CAbove the umbilicus on the mother's right side
- DAbove the umbilicus on the mother's left side
5.ふつう
A woman in late pregnancy has numbness and tingling in her thumb and first fingers, worse at night. What is the most likely cause?
- AA stroke caused by pre-eclampsia
- BCarpal tunnel syndrome
- CVitamin K deficiency
- DLow blood calcium
6.ふつう
A woman with hypothyroidism becomes pregnant. What usually happens to her levothyroxine needs?
- AThey stay the same, so no monitoring is needed
- BThey usually rise, so levels are checked early
- CShe switches to iodine tablets instead
- DThey decrease to zero, so she stops the drug
7.むずかしい
A woman at 8 weeks takes valproate for epilepsy. She asks whether she should stop it. Which response is best?
- AHalve the dose herself to reduce the risk to the baby
- BContinue as usual because epilepsy drugs are all safe in pregnancy
- CStop the drug today because it causes birth defects
- DDo not stop it suddenly; arrange urgent specialist review
8.むずかしい
Why is weighing blood-soaked pads better than visual estimation of postpartum blood loss?
- AVisual estimates underestimate large losses
- BWeighing tells you the cause of the bleeding
- CVisual estimates always overestimate blood loss
- DWeighing is faster than looking
解答
- 1. D · A woman who has given birth two or more times
- 2. C · Fetal tachycardia
- 3. C · Swordfish
- 4. B · Below the umbilicus on the mother's left side
- 5. B · Carpal tunnel syndrome
- 6. B · They usually rise, so levels are checked early
- 7. D · Do not stop it suddenly; arrange urgent specialist review
- 8. A · Visual estimates underestimate large losses
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