1.やさしい
Which fetal position is the most common and favourable for a vaginal birth?
- ARight mentum posterior (RMP)
- BLeft sacrum anterior (LSA)
- CLeft occiput anterior (LOA)
- DRight occiput posterior (ROP)
2.やさしい
What is an amniotomy?
- AA cut in the perineum to enlarge the outlet
- BArtificial rupture of the membranes
- CRemoval of amniotic fluid with a needle for testing
- DManual removal of the placenta
3.やさしい
Kernicterus is caused by deposits of which substance in the brain?
- AConjugated bilirubin
- BExcess glucose from feeds
- CUnconjugated bilirubin
- DCalcium from the mother
4.ふつう
ある女性が妊娠しています。過去に妊娠 35 週で双子(2 人とも生存)を出産し、妊娠 10 週で流産しています。この女性の GTPAL はどれですか?
- AG4 T0 P2 A1 L2
- BG3 T1 P0 A1 L2
- CG3 T0 P1 A1 L2
- DG2 T0 P1 A1 L2
5.ふつう
After an amniotomy, why is the time of rupture of the membranes recorded?
- AIt predicts exactly when the placenta will deliver
- BIt is used to work out the baby's gestational age
- CInfection risk rises the longer the membranes are ruptured
- DIt is needed to calculate the woman's Bishop score
6.ふつう
A woman at 24 weeks says she craves eating ice and clay. What should the nurse assess for?
- APre-eclampsia with severe features
- BGestational diabetes
- CIron deficiency anaemia
- DThyroid overactivity
7.むずかしい
A deceleration lasts 3 minutes before the baseline recovers. How is this classified?
- AA prolonged deceleration
- BA variable acceleration
- CA change of baseline
- DAn early deceleration
8.むずかしい
胎児心拍数のトレースで、基線細変動の消失と反復する遅発一過性徐脈がみられます。これはどのように分類され、何が必要ですか?
- Aカテゴリー I:正常で、通常のケア
- Bカテゴリー III:異常なトレースで、速やかな介入と急速遂娩への準備が必要
- Cカテゴリー II:判定不能のトレースで、通常の観察と記録を続けるだけでよい
- D胎児の睡眠中の正常なパターン
解答
- 1. C · Left occiput anterior (LOA)
- 2. B · Artificial rupture of the membranes
- 3. C · Unconjugated bilirubin
- 4. C · G3 T0 P1 A1 L2
- 5. C · Infection risk rises the longer the membranes are ruptured
- 6. C · Iron deficiency anaemia
- 7. A · A prolonged deceleration
- 8. B · カテゴリー III:異常なトレースで、速やかな介入と急速遂娩への準備が必要
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