1.やさしい
Which component is part of the APGAR score?
- ABirth weight
- BBlood glucose
- CMuscle tone
- DBody temperature
2.やさしい
Why are women often very sweaty in the first days after birth?
- AThe body is shedding extra pregnancy fluid
- BIt is a sign of infection
- CIt is caused by low blood glucose
- DIt shows that the breast milk is starting to come in
3.やさしい
Why is eye ointment such as erythromycin given to newborns in some countries?
- ATo prevent jaundice
- BTo prevent retinopathy of prematurity
- CTo prevent gonococcal eye infection
- DTo improve eyesight
4.ふつう
A preterm baby at 30 weeks has repeated pauses in breathing of more than 20 seconds. Which drug is commonly used?
- AAtropine sulfate
- BPhenobarbital
- CCaffeine citrate
- DNaloxone hydrochloride
5.ふつう
Which statement describes the "4 Ts" causes of postpartum haemorrhage?
- ATemperature, tachycardia, tears and time
- BTone, tachycardia, transfusion and tissue
- CTone, trauma, tissue and thrombin
- DTrauma, tension, temperature and thrombosis
6.ふつう
Why is tight glucose control before conception important in women with pre-existing diabetes?
- AIt prevents the need for any monitoring during pregnancy
- BEarly hyperglycaemia raises the risk of birth defects
- CIt guarantees that the baby will be born at term
- DIt prevents the mother from developing pre-eclampsia
7.むずかしい
A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?
- AWithholding feeds until the symptoms settle
- BGiving naloxone to reverse the opioids
- CBright lights and frequent handling to keep the baby awake
- DA quiet, dim room, swaddling and small, frequent feeds
8.むずかしい
妊娠 26 週の女性が、妊娠糖尿病と診断されたばかりです。管理の通常の第一歩は何ですか?
- A栄養指導、身体活動、血糖モニタリングを行い、目標に届かなければ薬物療法を行う
- Bすべての炭水化物を断つ
- C血糖値にかかわらず、全員にただちにインスリンまたは経口スルホニル尿素薬を開始する
- D出産後までフォローアップは不要である
解答
- 1. C · Muscle tone
- 2. A · The body is shedding extra pregnancy fluid
- 3. C · To prevent gonococcal eye infection
- 4. C · Caffeine citrate
- 5. C · Tone, trauma, tissue and thrombin
- 6. B · Early hyperglycaemia raises the risk of birth defects
- 7. D · A quiet, dim room, swaddling and small, frequent feeds
- 8. A · 栄養指導、身体活動、血糖モニタリングを行い、目標に届かなければ薬物療法を行う
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