1.やさしい
A pregnant teenager is at increased risk of which complication?
- AMultiple pregnancy
- BMacrosomia and shoulder dystocia
- CPreterm birth and low birth weight
- DPost-term pregnancy beyond 42 weeks
2.やさしい
By what age have nearly all healthy term babies passed their first meconium?
- ABy 48 hours
- BOnly after the first formula feed
- CAfter the umbilical cord falls off
- DWithin 5 to 7 days
3.やさしい
On which part of the foot is a newborn heel-prick blood sample taken?
- AThe tip of the big toe
- BThe centre of the back of the heel
- CThe outer or inner side of the heel
- DThe ball of the foot
4.ふつう
Which newborn finding is commonly associated with Down syndrome?
- AAbundant vernix and lanugo
- BA high-pitched cry and tremors
- CLong nails and peeling skin
- DA single palmar crease and low tone
5.ふつう
コントロール不良の妊娠糖尿病と関連する新生児の合併症はどれですか?
- Aほとんどの場合、発育不全を伴う非常に小さな赤ちゃん
- B先天性風疹
- C巨大児と分娩外傷
- D新生児の Rh 型不適合
6.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
- BAbove the umbilicus on the mother's right side
- CDirectly over the fundus
- DAbove the umbilicus on the mother's left side
7.むずかしい
A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?
- AWithholding feeds until the symptoms settle
- BGiving naloxone to reverse the opioids
- CA quiet, dim room, swaddling and small, frequent feeds
- DBright lights and frequent handling to keep the baby awake
8.むずかしい
子癇前症のある妊娠 36 週の女性が、右の肋骨の下に新しい痛みと悪心を訴えています。看護師はどう対応すべきですか?
- A不快感をやわらげるために歩くよう勧める
- B翌朝の病棟回診のためにメモしておく
- C制酸薬を渡し、妊娠後期には胸やけがよくあると安心させる
- D肝臓の関与や HELLP 症候群の可能性があるサインとして、緊急に報告する
解答
- 1. C · Preterm birth and low birth weight
- 2. A · By 48 hours
- 3. C · The outer or inner side of the heel
- 4. D · A single palmar crease and low tone
- 5. C · 巨大児と分娩外傷
- 6. A · Below the umbilicus on the mother's left side
- 7. C · A quiet, dim room, swaddling and small, frequent feeds
- 8. D · 肝臓の関与や HELLP 症候群の可能性があるサインとして、緊急に報告する
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