1.やさしい
Where does fertilisation of the ovum normally take place?
- AIn the ampulla of the fallopian tube
- BOn the surface of the ovary
- CIn the cavity of the uterus
- DIn the cervical canal
2.やさしい
Which drug is given routinely in active management of the third stage of labour?
- AOxytocin
- BNifedipine
- CMagnesium sulfate
- DTerbutaline
3.やさしい
In a frank breech presentation, what is the position of the fetal legs?
- ALegs crossed under the fetal chin
- BHips flexed, knees extended, feet near the head
- COne or both feet presenting below the buttocks
- DHips and knees both flexed, feet beside the buttocks
4.ふつう
Which statement describes the "4 Ts" causes of postpartum haemorrhage?
- ATemperature, tachycardia, tears and time
- BTone, trauma, tissue and thrombin
- CTone, tachycardia, transfusion and tissue
- DTrauma, tension, temperature and thrombosis
5.ふつう
A woman with hypothyroidism becomes pregnant. What usually happens to her levothyroxine needs?
- AShe switches to iodine tablets instead
- BThey usually rise, so levels are checked early
- CThey decrease to zero, so she stops the drug
- DThey stay the same, so no monitoring is needed
6.ふつう
A woman in labour has severe back pain with each contraction. The fetus is in an occiput posterior position. Which measure is most likely to help?
- AHolding her breath and pushing with each contraction
- BAvoiding movement until full dilation
- CSacral counterpressure and a hands-and-knees position
- DLying flat on her back with her legs raised
7.むずかしい
A woman had a classical (vertical upper-segment) caesarean in her last pregnancy. She asks about her plan for this birth. Which answer is accurate?
- AA planned repeat caesarean before labour is advised
- BShe should try for a vaginal birth with oxytocin induction
- CShe should wait until 42 weeks and then decide
- DHer previous incision makes no difference to the plan
8.むずかしい
妊娠糖尿病の女性が、妊娠中にインスリンを使っていました。出産直後に予想されるインスリン必要量の変化はどれですか?
- A生涯インスリンが必要になる
- B急速に減少するため、血糖をモニタリングし、インスリンは中止されることが多い
- C6 週間変わらない
- D出産のストレスで 2 倍になるため、インスリン量を増やす
解答
- 1. A · In the ampulla of the fallopian tube
- 2. A · Oxytocin
- 3. B · Hips flexed, knees extended, feet near the head
- 4. B · Tone, trauma, tissue and thrombin
- 5. B · They usually rise, so levels are checked early
- 6. C · Sacral counterpressure and a hands-and-knees position
- 7. A · A planned repeat caesarean before labour is advised
- 8. B · 急速に減少するため、血糖をモニタリングし、インスリンは中止されることが多い
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