1.やさしい
Kernicterus is caused by deposits of which substance in the brain?
- AUnconjugated bilirubin
- BCalcium from the mother
- CConjugated bilirubin
- DExcess glucose from feeds
2.やさしい
How should a postnatal woman clean her perineum after using the toilet?
- AUse a scented douche each time she voids
- BRinse with water and wipe front to back
- CAvoid washing the area for a week
- DWipe from back to front with dry paper
3.やさしい
妊娠前および妊娠初期の葉酸摂取が主に減らすリスクはどれですか?
- A産後出血
- B神経管閉鎖障害
- C子癇前症
- D妊娠糖尿病
4.ふつう
Misoprostol is given for postpartum haemorrhage. Which side effect is common?
- ABradycardia and hypoglycaemia
- BSevere hypertension
- CShivering and fever
- DBronchospasm in all patients
5.ふつう
子癇前症の女性が、激しい頭痛と、チカチカした光が見えると訴えています。何を示唆しますか?
- A低血糖
- B妊娠後期によくある無害な緊張型頭痛
- C硫酸マグネシウムの正常な作用
- D重症の特徴を伴う子癇前症で、子癇のリスクがある
6.ふつう
Which nursing measure is used during phototherapy?
- ARemove the eye shields while the lights are on
- BLimit feeds to reduce stooling
- CTurn the baby often and monitor hydration
- DKeep the baby fully clothed under the lights
7.むずかしい
A labouring woman has a temperature of 38.5 °C (101.3 °F), and the fetal baseline has risen from 140 to 170 bpm over the last hour. What is the most likely explanation?
- AFetal head compression
- BFetal tachycardia due to maternal fever or infection
- CFetal tachycardia due to a maternal opioid
- DReassuring fetal response to contractions
8.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臍帯をそっと腟内に押し戻す
- B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
- C次の陣痛でいきむように女性に伝える
- D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
解答
- 1. A · Unconjugated bilirubin
- 2. B · Rinse with water and wipe front to back
- 3. B · 神経管閉鎖障害
- 4. C · Shivering and fever
- 5. D · 重症の特徴を伴う子癇前症で、子癇のリスクがある
- 6. C · Turn the baby often and monitor hydration
- 7. B · Fetal tachycardia due to maternal fever or infection
- 8. D · 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
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