1.やさしい
Which stool pattern is typical of a breastfed baby after the first week?
- AYellow, soft and seedy stools
- BBlack, tarry and sticky stools
- CGreen, watery stools with mucus
- DHard, pale and formed stools
2.やさしい
What is polyhydramnios?
- AAn excess of amniotic fluid
- BToo little amniotic fluid
- CLeakage of amniotic fluid
- DGreen-stained amniotic fluid
3.やさしい
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA rise of 5 bpm lasting 5 seconds
- BA rise of 30 bpm lasting 2 minutes
- CA fall of 15 bpm lasting at least 15 seconds
- DA rise of at least 15 bpm lasting at least 15 seconds
4.ふつう
Which placental hormone causes insulin resistance in the second half of pregnancy?
- AHuman chorionic gonadotrophin (hCG)
- BHuman placental lactogen (hPL)
- COxytocin
- DRelaxin
5.ふつう
When the newborn's head is turned to one side, the arm on that side extends and the other arm flexes. Which reflex is this?
- ATonic neck reflex
- BMoro reflex
- CRooting reflex
- DPalmar grasp reflex
6.ふつう
Which feature best distinguishes true labour from false labour?
- AContractions that stop when the woman walks around
- BContractions that are felt only in the lower abdomen
- CDiscomfort that eases with a warm bath and rest
- DProgressive dilation and effacement of the cervix
7.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?
- AIncomplete miscarriage
- BMissed miscarriage
- CInevitable miscarriage
- DThreatened miscarriage
8.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?
- AStop the drug today because it causes birth defects
- BHalve the dose herself to reduce the risk to the baby
- CContinue as usual because epilepsy drugs are all safe in pregnancy
- DDo not stop it suddenly; arrange urgent specialist review
解答
- 1. A · Yellow, soft and seedy stools
- 2. A · An excess of amniotic fluid
- 3. D · A rise of at least 15 bpm lasting at least 15 seconds
- 4. B · Human placental lactogen (hPL)
- 5. A · Tonic neck reflex
- 6. D · Progressive dilation and effacement of the cervix
- 7. D · Threatened miscarriage
- 8. D · Do not stop it suddenly; arrange urgent specialist review
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