1.やさしい
When is chorionic villus sampling (CVS) usually performed?
- AAt about 36 to 38 weeks
- BAt about 11 to 14 weeks
- CAt about 28 to 32 weeks
- DAt about 20 to 24 weeks
2.やさしい
変動一過性徐脈の原因として最も多いのはどれですか?
- A子宮胎盤機能不全
- B胎児の頭部の圧迫
- C臍帯の圧迫
- D胎児の正常な睡眠サイクル
3.やさしい
"Fetal lie" describes:
- AThe relation of the fetal long axis to the mother's long axis
- BHow much the fetal head is flexed on the chest
- CThe level of the presenting part relative to the ischial spines
- DThe part of the fetus that enters the pelvis first
4.ふつう
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AAsk her 10-year-old child to interpret
- BUse a professional interpreter
- CUse gestures and simple English only
- DAsk her partner to sign for her
5.ふつう
Why is mild anaemia common in the second trimester even in healthy women?
- AThe fetus breaks down maternal red blood cells
- BThe bone marrow stops producing red cells during pregnancy
- CIron is lost in the urine because kidney filtration rises
- DPlasma volume rises more than red cell mass
6.ふつう
A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?
- AWarfarin is ineffective in pregnancy
- BHeparin can be taken as a tablet once a day
- CHeparin crosses the placenta better and also protects the fetus
- DWarfarin crosses the placenta and can harm the fetus
7.むずかしい
産後 4 日目の母親が、赤ちゃんが悪い存在だと告げる声が聞こえると言います。優先すべき対応はどれですか?
- Aパートナーに一晩赤ちゃんを連れて帰ってもらい、静かな部屋で彼女を 1 人で休ませる
- Bこれはマタニティブルーズで、そのうちおさまると安心させる
- C母子だけにしないようにし、緊急の精神科的アセスメントを手配する
- Dもっと眠るよう助言し、1 週間後に再評価する
8.むずかしい
A baby was stillborn at 38 weeks. Which nursing action is most appropriate?
- AAvoid using the baby's name to prevent more grief
- BTell the parents they can try for another baby soon
- CRemove the baby quickly so the parents are not upset
- DOffer the parents time to see and hold their baby
解答
- 1. B · At about 11 to 14 weeks
- 2. C · 臍帯の圧迫
- 3. A · The relation of the fetal long axis to the mother's long axis
- 4. B · Use a professional interpreter
- 5. D · Plasma volume rises more than red cell mass
- 6. D · Warfarin crosses the placenta and can harm the fetus
- 7. C · 母子だけにしないようにし、緊急の精神科的アセスメントを手配する
- 8. D · Offer the parents time to see and hold their baby
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