1.やさしい
Which sign is often the earliest sign of sepsis in a newborn?
- AA high fever above 40 °C (104 °F) on the first day
- BA loud, vigorous cry
- CA bulging anterior fontanelle at birth
- DUnstable temperature and poor feeding
2.やさしい
初乳とは何ですか?
- A産後数日間に新生児へ与える人工乳
- B抗体に富む、濃い黄色がかった最初の母乳
- C乳房の感染のサイン
- D離乳後に作られる乳汁
3.やさしい
Which drug class is used to treat uterine atony?
- AAnticoagulants
- BTocolytics
- CUterotonics
- DAntihypertensives
4.ふつう
Why is mild anaemia common in the second trimester even in healthy women?
- APlasma volume rises more than red cell mass
- BIron is lost in the urine because kidney filtration rises
- CThe fetus breaks down maternal red blood cells
- DThe bone marrow stops producing red cells during pregnancy
5.ふつう
A woman at 32 weeks has varicose veins in her legs. Which advice is most appropriate?
- AWear tight elastic bands around the top of the thighs
- BSit with her legs crossed to support the veins
- CAvoid walking until after the birth
- DRaise the legs when resting and avoid long standing
6.ふつう
A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?
- AAdvise her to switch to tobacco instead
- BRefuse to continue her care until she stops
- CTell her that cannabis is a natural remedy and safe in pregnancy
- DExplain the risks without judgement and offer safer treatments
7.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光線療法中、アイシールドで赤ちゃんの目を覆う
- Bライトを消した授乳中に、アイシールドを外す
- Cライトを点ける前に、皮膚にベビーオイルを塗る
- D赤ちゃんの体温と水分状態を定期的に確認する
8.むずかしい
A breastfeeding mother asks whether she can have a progestin-only implant before discharge. Which reply is best?
- AImplants contain oestrogen, which is safe in breastfeeding
- BProgestin-only methods are compatible with breastfeeding
- CShe should wait until she stops breastfeeding before using any method
- DAny hormonal contraception will stop her milk supply
解答
- 1. D · Unstable temperature and poor feeding
- 2. B · 抗体に富む、濃い黄色がかった最初の母乳
- 3. C · Uterotonics
- 4. A · Plasma volume rises more than red cell mass
- 5. D · Raise the legs when resting and avoid long standing
- 6. D · Explain the risks without judgement and offer safer treatments
- 7. C · ライトを点ける前に、皮膚にベビーオイルを塗る
- 8. B · Progestin-only methods are compatible with breastfeeding
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