1.やさしい
Which drug class is used to ripen an unfavourable cervix before induction?
- AProstaglandins
- BTocolytics
- CCorticosteroids
- DBeta blockers
2.やさしい
Which is a main function of the placenta?
- AProduction of insulin for the fetus
- BExchange of gases and nutrients
- CProduction of fetal bile
- DProduction of fetal antibodies
3.やさしい
Kernicterus is caused by deposits of which substance in the brain?
- AConjugated bilirubin
- BExcess glucose from feeds
- CCalcium from the mother
- DUnconjugated bilirubin
4.ふつう
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
- AExpress milk often to relieve fullness
- BMassage the breasts to stimulate milk flow
- CApply warm showers to the breasts several times a day
- DWear a supportive bra and use cold packs
5.ふつう
Why is indomethacin generally not used as a tocolytic after about 32 weeks?
- AIt causes severe maternal hypertension
- BIt triggers maternal hypoglycaemia
- CIt stimulates stronger contractions late in pregnancy
- DIt can close the fetal ductus arteriosus too early
6.ふつう
A woman at 16 weeks has an amniocentesis. Which instruction after the procedure is correct?
- AReport fever, leaking fluid or bleeding
- BDrink no fluids for 24 hours
- CBed rest is required for 2 weeks
- DNo follow-up is needed for any symptoms
7.むずかしい
妊娠 30 週の女性に、子宮頸部の変化を伴う規則的で痛みのある陣痛が 5 分ごとにあります。出産になった場合に赤ちゃんの肺を守ると期待される治療はどれですか?
- Aオキシトシン
- B出生前コルチコステロイド
- C抗 D 免疫グロブリン
- Dメチルエルゴメトリン
8.むずかしい
子癇前症の女性の血圧が、15 分間隔で繰り返し 168/112 mmHg です。適切な対応はどれですか?
- A左側臥位で静かに休ませ、報告する前に 4 時間後に血圧を再測定する
- B降圧治療を遅滞なく開始できるよう、速やかに医療者に報告する
- C仰向けに横になって休むよう勧める
- D水を多めに飲ませる
解答
- 1. A · Prostaglandins
- 2. B · Exchange of gases and nutrients
- 3. D · Unconjugated bilirubin
- 4. D · Wear a supportive bra and use cold packs
- 5. D · It can close the fetal ductus arteriosus too early
- 6. A · Report fever, leaking fluid or bleeding
- 7. B · 出生前コルチコステロイド
- 8. B · 降圧治療を遅滞なく開始できるよう、速やかに医療者に報告する
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