1.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
- B幻覚や混乱が産後数週間のうちに突然始まる
- C赤ちゃんを傷つけるという考えが数か月続く
- D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
2.やさしい
What is "moulding" of the fetal head?
- ASwelling of the scalp from pressure on the cervix
- BBleeding under the outer layer of a skull bone
- CEarly closure of the fontanelles before birth
- DOverlapping of the skull bones in the birth canal
3.やさしい
妊娠後期の「ライトニング(胎児下降感)」とは何ですか?
- A最初の胎動
- B粘液栓の脱落
- C胎児が骨盤内に下降すること
- D痛みを伴わない予行練習の収縮
4.ふつう
After a circumcision, which finding should be reported?
- AA yellowish film over the glans on day 2
- BMild swelling of the glans
- CFussiness at the first nappy change
- DActive bleeding that soaks a nappy
5.ふつう
What should parents be taught about the water for a newborn's bath?
- ACheck that it is warm, not hot, before the baby goes in
- BUse very hot water so that germs on the skin are killed
- CLeave the baby briefly if the water is only shallow
- DAdd adult bubble bath to soften the baby's skin
6.ふつう
子宮底がぶよぶよと柔らかく、臍より上にあり、右に偏位しています。最も考えられる原因はどれですか?
- A膀胱の充満
- B産後 1 日目の正常な所見
- C左側に胎盤組織が遺残していること
- D会陰の裂傷
7.むずかしい
At 18 weeks, a woman's maternal serum alpha-fetoprotein is well above the normal range for her dates. Which condition does this result most suggest?
- APre-eclampsia
- BAn open neural tube defect
- CGestational diabetes
- DDown syndrome (trisomy 21)
8.むずかしい
Which statement by a pregnant woman with gestational diabetes shows she understands her care?
- A"My baby's growth will not need monitoring."
- B"Insulin will harm my baby, so I will refuse it."
- C"I will check my glucose as shown and record it."
- D"I can skip meals if my glucose is high in the morning."
解答
- 1. A · 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
- 2. D · Overlapping of the skull bones in the birth canal
- 3. C · 胎児が骨盤内に下降すること
- 4. D · Active bleeding that soaks a nappy
- 5. A · Check that it is warm, not hot, before the baby goes in
- 6. A · 膀胱の充満
- 7. B · An open neural tube defect
- 8. C · "I will check my glucose as shown and record it."
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