1.やさしい
What is the main benefit of delaying cord clamping in a healthy term baby?
- AReduced maternal blood loss
- BLower risk of jaundice in all babies
- CFaster delivery of the placenta
- DBetter iron stores in the baby
2.やさしい
Which teratogenic effect is linked with maternal rubella infection in early pregnancy?
- ACleft lip, cleft palate and club foot
- BLimb reduction defects and missing fingers
- CNeural tube defects
- DDeafness, cataracts and heart defects
3.やさしい
Where does fertilisation of the ovum normally take place?
- AIn the cavity of the uterus
- BOn the surface of the ovary
- CIn the ampulla of the fallopian tube
- DIn the cervical canal
4.ふつう
略語 HELLP は何の頭字語ですか?
- A高血糖、乳酸の上昇、カリウムの低下
- B出血、子癇、低血圧
- C溶血、肝酵素の上昇、血小板の減少
- D高血圧、脂質の上昇、蛋白の低下
5.ふつう
A woman 1 day after birth has a blood pressure of 150/96 mmHg and a headache. She had normal blood pressures in pregnancy. What should the nurse do?
- AEncourage her to walk to lower her blood pressure
- BReassure her that this is normal after birth
- CGive paracetamol (acetaminophen) and ignore the blood pressure
- DReport it and assess for postpartum pre-eclampsia
6.ふつう
A woman at 18 weeks asks about safe exercise. Which advice is correct?
- AExercise lying flat on her back is best after 20 weeks
- BModerate exercise like walking or swimming is encouraged
- CExercise should be stopped completely during pregnancy
- DContact sports and scuba diving are safe if she did them before
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
- B臍帯をそっと腟内に押し戻す
- C次の陣痛でいきむように女性に伝える
- 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
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水を多めに飲ませる
- B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
- C仰向けに横になって休むよう勧める
- D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
解答
- 1. D · Better iron stores in the baby
- 2. D · Deafness, cataracts and heart defects
- 3. C · In the ampulla of the fallopian tube
- 4. C · 溶血、肝酵素の上昇、血小板の減少
- 5. D · Report it and assess for postpartum pre-eclampsia
- 6. B · Moderate exercise like walking or swimming is encouraged
- 7. A · 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. D · 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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