1.やさしい
What does "effacement" of the cervix mean?
- AThinning and shortening of the cervix
- BDescent of the presenting part into the pelvis
- COpening of the external cervical os
- DSoftening of the cervix in early pregnancy
2.やさしい
Which haemoglobin level is commonly used to define anaemia in the first trimester of pregnancy?
- ABelow 130 g/L (13 g/dL)
- BBelow 140 g/L (14 g/dL)
- CBelow 110 g/L (11 g/dL)
- DBelow 80 g/L (8 g/dL)
3.やさしい
産後の「マタニティブルーズ」に当てはまる説明はどれですか?
- A抑うつ気分、興味の喪失、睡眠不良が 2 週間以上続き、日常生活に支障をきたす
- B赤ちゃんを傷つけるという考えが数か月続く
- C幻覚や混乱が産後数週間のうちに突然始まる
- D涙もろさや気分の波が数日以内に始まり、約 2 週間以内におさまる
4.ふつう
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- AStraining hard to open the bowels
- BSitz baths, cold pads and stool softeners
- CSitting on a hard surface for long periods
- DAvoiding all fluids to prevent loose stools
5.ふつう
Which set of findings is consistent with hypovolaemia after a postpartum haemorrhage?
- AIncreased urine output and flushed skin
- BRising pulse, falling blood pressure, low urine output
- CSlow heart rate, high blood pressure and warm, dry skin
- DSlow breathing and a rising blood pressure
6.ふつう
When performing the first Leopold manoeuvre, what is the nurse trying to identify?
- AWhich side the fetal back lies on
- BWhich fetal part lies in the fundus
- CThe amount of amniotic fluid
- DWhether the head has entered the pelvis
7.むずかしい
Women with pre-eclampsia can develop complications after birth. Which statement in discharge teaching is correct?
- ABlood pressure always returns to normal within 1 hour of birth
- BIt can still develop after birth, so report headache or visual changes
- CSeizures cannot happen after the baby and placenta are born
- DAll risk ends once the placenta has been delivered
8.むずかしい
直ちにフォローアップが必要な新生児の所見はどれですか?
- A正期産の経腟分娩後の頭の形の変形(応形機能)
- B鼻の小さな白い斑点(稗粒腫)
- C生後 2 時間の末梢チアノーゼ
- D生後 1 時間のうめき声、鼻翼呼吸、胸部の陥没呼吸
解答
- 1. A · Thinning and shortening of the cervix
- 2. C · Below 110 g/L (11 g/dL)
- 3. D · 涙もろさや気分の波が数日以内に始まり、約 2 週間以内におさまる
- 4. B · Sitz baths, cold pads and stool softeners
- 5. B · Rising pulse, falling blood pressure, low urine output
- 6. B · Which fetal part lies in the fundus
- 7. B · It can still develop after birth, so report headache or visual changes
- 8. D · 生後 1 時間のうめき声、鼻翼呼吸、胸部の陥没呼吸
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