1.やさしい
胎児下降度(station)0 は何を意味しますか?
- A先進部が腟口にある
- B先進部が骨盤の上に浮いている
- C児頭などの先進部が坐骨棘の高さにある
- D子宮口が全開大である
2.やさしい
What is the main aim of tocolytic drugs such as nifedipine in preterm labour?
- AMaturing the fetal lungs
- BRipening the cervix
- CPreventing maternal seizures
- DSuppressing uterine contractions
3.やさしい
In a healthy term newborn, when does physiological jaundice usually reach its peak?
- AAround days 3 to 5
- BAt about 6 to 8 weeks
- CWithin the first 12 hours
- DAt about 3 weeks
4.ふつう
Which finding is a contraindication to a fetal scalp electrode?
- AMaternal HIV infection
- BA cephalic presentation
- CMembranes that have ruptured
- DCervical dilation of 4 cm
5.ふつう
On day 1 after birth, a woman's white cell count is mildly raised and she has no symptoms. How should this be interpreted?
- AIt can be normal soon after birth
- BIt shows she is dehydrated
- CIt proves she has an infection
- DIt means she has leukaemia
6.ふつう
A pregnant woman takes an iron supplement. Which instruction improves its absorption?
- ATake it with an antacid to protect the stomach
- BTake it with coffee to reduce nausea
- CTake it with orange juice rather than with tea
- DTake it together with milk or a calcium tablet
7.むずかしい
破水後、看護師は臍帯が腟から出ているのを見つけました。最初の行動は何ですか?
- A次の陣痛でいきむように女性に伝える
- B応援を呼び、手袋をした手で先進部を臍帯から持ち上げる
- C臍帯をそっと腟内に押し戻す
- D臍帯を乾いたタオルで覆い、仰向けのままにして医師を待つ
8.むずかしい
A baby was born through thick meconium-stained fluid. At birth the baby is crying, has good tone and a heart rate above 100/min. What is the appropriate care?
- ARoutine care with the mother, with observation
- BSeparation from the mother for 24 hours
- CDeep suctioning of the stomach before the first breath
- DImmediate tracheal intubation and suction
解答
- 1. C · 児頭などの先進部が坐骨棘の高さにある
- 2. D · Suppressing uterine contractions
- 3. A · Around days 3 to 5
- 4. A · Maternal HIV infection
- 5. A · It can be normal soon after birth
- 6. C · Take it with orange juice rather than with tea
- 7. B · 応援を呼び、手袋をした手で先進部を臍帯から持ち上げる
- 8. A · Routine care with the mother, with observation
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