1.やさしい
Which blood test on the mother detects antibodies against Rh-positive red cells?
- ADirect Coombs test on the mother's red cells
- BProthrombin time
- CIndirect Coombs test (antibody screen)
- DHaemoglobin electrophoresis
2.やさしい
前置胎盤に典型的な徴候はどれですか?
- A硬い子宮を伴う強い腹痛
- B痛みのない鮮紅色の腟出血
- C高熱と悪臭のあるおりもの
- D常に暗赤色で凝血を伴う出血
3.やさしい
Which hormone is mainly responsible for milk production?
- AProgesterone
- BOxytocin
- COestrogen
- DProlactin
4.ふつう
A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?
- AThe baby feeds for exactly 5 minutes each side
- BHer breasts never feel full
- CAt least 6 wet nappies a day and yellow stools
- DThe baby sleeps for 8 hours without feeding
5.ふつう
Which measure helps prevent infant abduction from a maternity unit?
- ALeaving babies in the nursery overnight
- BLetting any visitor carry the baby in the corridor
- CChecking staff ID before handing over a baby
- DPosting the baby's name and room on the door
6.ふつう
Why is it important to do newborn bloodspot screening at the recommended time rather than in the first hours?
- ASome results, such as PKU, need milk feeds first
- BThe baby's blood cannot be sampled before day 3
- CEarlier testing always gives false negatives for all conditions
- DThe heel cannot be pricked until the cord falls off
7.むずかしい
After birth of the head, the nurse feels the umbilical cord loosely around the baby's neck. What is the appropriate action?
- AClamp and cut the cord before the shoulders deliver in every case
- BPush the baby's head back into the vagina
- CSlip the loop over the head or let the body deliver through it
- DAsk the woman to stop pushing for 30 minutes
8.むずかしい
A preterm baby born at 28 weeks is at risk of intraventricular haemorrhage. Which nursing measure reduces this risk?
- AMinimal handling with the head in midline
- BKeeping the head of the cot lower than the feet
- CFrequent handling and stimulation to keep the baby alert
- DRapid fluid boluses to support blood pressure
解答
- 1. C · Indirect Coombs test (antibody screen)
- 2. B · 痛みのない鮮紅色の腟出血
- 3. D · Prolactin
- 4. C · At least 6 wet nappies a day and yellow stools
- 5. C · Checking staff ID before handing over a baby
- 6. A · Some results, such as PKU, need milk feeds first
- 7. C · Slip the loop over the head or let the body deliver through it
- 8. A · Minimal handling with the head in midline
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