1.やさしい
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA fall of 15 bpm lasting at least 15 seconds
- BA rise of at least 15 bpm lasting at least 15 seconds
- CA rise of 5 bpm lasting 5 seconds
- DA rise of 30 bpm lasting 2 minutes
2.やさしい
What is a nuchal cord?
- AA cord wrapped around the baby's neck
- BA cord with only two vessels
- CA cord that is unusually short
- DA cord that comes out before the baby
3.やさしい
An ultrasound report says "oligohydramnios". What does this mean?
- AToo much amniotic fluid
- BInfection of the amniotic fluid
- CToo little amniotic fluid
- DBlood in the amniotic fluid
4.ふつう
After an amniotomy, why is the time of rupture of the membranes recorded?
- AInfection risk rises the longer the membranes are ruptured
- BIt predicts exactly when the placenta will deliver
- CIt is used to work out the baby's gestational age
- DIt is needed to calculate the woman's Bishop score
5.ふつう
A woman with hyperemesis gravidarum has been vomiting for weeks. Which vitamin is given before glucose-containing fluids to prevent Wernicke encephalopathy?
- AThiamine (vitamin B1)
- BAscorbic acid (vitamin C)
- CVitamin D
- DPhytomenadione (vitamin K)
6.ふつう
Which newborn complication is particularly linked to a forceps birth?
- AUmbilical hernia
- BHip dysplasia
- CFacial nerve palsy
- DNeonatal jaundice from ABO incompatibility
7.むずかしい
A labouring woman refuses a recommended caesarean for fetal distress after a full explanation. She has decision-making capacity. What should the nurse do?
- AAsk her partner to consent instead
- BRespect her decision, document it and inform the team
- CPrepare her for surgery anyway because the baby is at risk
- DStop caring for her because she refused advice
8.むずかしい
看護学生が、黄疸で光線療法を受けている新生児のケアをしています。是正が必要な行動はどれですか?
- Aライトを点ける前に、皮膚にベビーオイルを塗る
- B光線療法中、アイシールドで赤ちゃんの目を覆う
- Cライトを消した授乳中に、アイシールドを外す
- D赤ちゃんの体温と水分状態を定期的に確認する
解答
- 1. B · A rise of at least 15 bpm lasting at least 15 seconds
- 2. A · A cord wrapped around the baby's neck
- 3. C · Too little amniotic fluid
- 4. A · Infection risk rises the longer the membranes are ruptured
- 5. A · Thiamine (vitamin B1)
- 6. C · Facial nerve palsy
- 7. B · Respect her decision, document it and inform the team
- 8. A · ライトを点ける前に、皮膚にベビーオイルを塗る
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