1.やさしい
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA rise of 5 bpm lasting 5 seconds
- BA rise of 30 bpm lasting 2 minutes
- CA fall of 15 bpm lasting at least 15 seconds
- DA rise of at least 15 bpm lasting at least 15 seconds
2.やさしい
What is vernix caseosa?
- ASmall white spots on the nose
- BA white, cheesy coating on the skin
- CBluish patches over the lower back
- DFine, soft hair on the shoulders and back
3.やさしい
What are milia?
- APinkish marks on the back of the neck
- BTiny white spots on the nose and chin
- CFlat bluish-grey patches on the lower back
- DRed blotches with small yellow centres
4.ふつう
A breastfed baby has jaundice in the first week with poor feeding and few wet nappies. What is the most likely cause?
- ABreast milk jaundice
- BSuboptimal intake jaundice
- CBiliary atresia with obstruction
- DABO incompatibility
5.ふつう
A baby has prolonged jaundice at 3 weeks with pale, chalky stools and dark urine. What should the nurse suspect?
- ABiliary atresia
- BErythema toxicum
- CPhysiological jaundice
- DBreast milk jaundice
6.ふつう
A woman 2 hours after birth has a temperature of 37.8 °C (100.0 °F), a firm fundus and normal lochia. What is the most likely cause?
- ADehydration after labour
- BMastitis
- CEndometritis
- DPulmonary embolism
7.むずかしい
An ultrasound at 30 weeks shows polyhydramnios and no visible fetal stomach bubble. Which fetal condition should be considered?
- AOesophageal atresia
- BFetal growth from maternal diabetes only
- CPost-term pregnancy
- DRenal agenesis
8.むずかしい
A woman with gestational diabetes asks if she will have diabetes after the baby is born. Which reply is accurate?
- AIt never returns, so no further glucose testing is needed after birth
- BIt usually resolves, but her risk of type 2 diabetes stays higher
- CIt always becomes type 1 diabetes after birth
- DIt will continue unless she stops breastfeeding
解答
- 1. D · A rise of at least 15 bpm lasting at least 15 seconds
- 2. B · A white, cheesy coating on the skin
- 3. B · Tiny white spots on the nose and chin
- 4. B · Suboptimal intake jaundice
- 5. A · Biliary atresia
- 6. A · Dehydration after labour
- 7. A · Oesophageal atresia
- 8. B · It usually resolves, but her risk of type 2 diabetes stays higher
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