1.やさしい
ネーゲレ概算法は、最終月経(LMP)の初日から分娩予定日を推定します。どの計算を用いますか?
- A14日を足し、10か月を足す
- B7日を足し、3か月を足す
- C7日を足し、3か月を引き、1年を足す
- D7日を引き、3か月を足し、1年を足す
2.やさしい
An intrauterine pressure catheter (IUPC) measures:
- AThe strength of uterine contractions
- BThe volume of amniotic fluid
- CMaternal blood pressure
- DThe fetal heart rate from the scalp
3.やさしい
Which fetal position is the most common and favourable for a vaginal birth?
- ALeft sacrum anterior (LSA)
- BLeft occiput anterior (LOA)
- CRight occiput posterior (ROP)
- DRight mentum posterior (RMP)
4.ふつう
A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?
- ANo support is needed because the effect lasts only seconds
- BNaloxone is given before any ventilation is started
- CEffective ventilation comes first; naloxone is not routine
- DFlumazenil is given to reverse the opioid
5.ふつう
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- AAvoiding all fluids to prevent loose stools
- BSitting on a hard surface for long periods
- CStraining hard to open the bowels
- DSitz baths, cold pads and stool softeners
6.ふつう
分娩中に児頭は娩出されましたが、肩が引っかかっています。最初に行う標準的な手技はどれですか?
- A最初の手順として頭を腟の中に押し戻す
- B子宮底への強い圧迫
- C恥骨上圧迫を併用したマクロバーツ法
- D赤ちゃんの頭を強く引っ張る
7.むずかしい
On abdominal palpation, the nurse feels a hard, round, movable mass in the fundus, and the fetal heart is heard above the umbilicus. What does this suggest?
- AA breech presentation
- BAn occiput posterior position
- CA transverse lie with the head in the pelvis
- DA cephalic presentation
8.むずかしい
The triage nurse receives four phone calls from pregnant women. Who should be told to come in immediately?
- AAt 30 weeks with heartburn after large meals
- BAt 25 weeks with mild backache after standing
- CAt 12 weeks with mild nausea in the mornings
- DAt 36 weeks with constant pain and a hard uterus
解答
- 1. C · 7日を足し、3か月を引き、1年を足す
- 2. A · The strength of uterine contractions
- 3. B · Left occiput anterior (LOA)
- 4. C · Effective ventilation comes first; naloxone is not routine
- 5. D · Sitz baths, cold pads and stool softeners
- 6. C · 恥骨上圧迫を併用したマクロバーツ法
- 7. A · A breech presentation
- 8. D · At 36 weeks with constant pain and a hard uterus
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