1.やさしい
産後のアセスメント BUBBLE-HE で、最初の「B」は何を表しますか?
- A血圧(Blood pressure)
- B絆形成(Bonding)
- C腸蠕動音(Bowel sounds)
- D乳房(Breasts)
2.やさしい
In a frank breech presentation, what is the position of the fetal legs?
- ALegs crossed under the fetal chin
- BHips and knees both flexed, feet beside the buttocks
- COne or both feet presenting below the buttocks
- DHips flexed, knees extended, feet near the head
3.やさしい
How should a postnatal woman clean her perineum after using the toilet?
- AUse a scented douche each time she voids
- BWipe from back to front with dry paper
- CAvoid washing the area for a week
- DRinse with water and wipe front to back
4.ふつう
A newborn has a cleft lip and palate. Which feeding approach is most appropriate?
- AFeeding only with a spoon from birth
- BSpecial teats and an upright position
- CWithholding feeds until surgery
- DFeeding lying flat on the back
5.ふつう
When the Moro reflex is tested, the baby moves only one arm. What could this suggest?
- AA normal finding in all term babies
- BLow blood glucose only
- CHearing loss in the ear on that side
- DA clavicle fracture or nerve injury
6.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?
- AAscorbic acid (vitamin C)
- BPhytomenadione (vitamin K)
- CThiamine (vitamin B1)
- DVitamin D
7.むずかしい
硬膜外麻酔を開始した直後に、分娩中の女性の血圧が 86/50 mmHg に低下し、胎児心拍数が下がりました。看護師が最初にすべきことは何ですか?
- A子宮が太い血管から離れるように、横向きにする
- B硬膜外の注入速度を上げる
- C呼吸を楽にするため、ベッドの頭側を高く起こす
- D部屋の中を歩くように促す
8.むずかしい
A woman is 10 cm dilated with an urge to push. The fetal head is at station 0 and the tracing is normal. Which approach is supported by current practice?
- ALet her push with her urge in a position she prefers
- BInsist she lies flat on her back and holds her breath for long periods
- CTell her not to push until the head is visible
- DAsk her to push continuously from 7 cm onwards
解答
- 1. D · 乳房(Breasts)
- 2. D · Hips flexed, knees extended, feet near the head
- 3. D · Rinse with water and wipe front to back
- 4. B · Special teats and an upright position
- 5. D · A clavicle fracture or nerve injury
- 6. C · Thiamine (vitamin B1)
- 7. A · 子宮が太い血管から離れるように、横向きにする
- 8. A · Let her push with her urge in a position she prefers
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