1.やさしい
What is the "bloody show"?
- AHeavy bright red bleeding before labour
- BBlood-tinged mucus as the cervix starts to change
- CGreen fluid leaking from the vagina
- DDark red bleeding with constant abdominal pain
2.やさしい
When should a healthy newborn normally pass urine for the first time?
- AWithin the first 24 hours
- BWithin the first 72 hours
- CWithin the first hour only
- DAfter the first week
3.やさしい
What is vasa praevia?
- AThe placenta separates early from the wall
- BThe cord prolapses in front of the head
- CFetal vessels run across the membranes over the cervix
- DThe placenta covers the cervix completely
4.ふつう
During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?
- AClubfoot affecting the same side
- BA normal finding in all newborns
- CDevelopmental dysplasia of the hip
- DA fractured femur from the birth
5.ふつう
Contractions start at 10:00, 10:04 and 10:08, and each lasts 60 seconds. How should the nurse describe them?
- AEvery 4 minutes, lasting 60 seconds
- BEvery 4 minutes, lasting 240 seconds
- CEvery 3 minutes, lasting 60 seconds
- DEvery 5 minutes, lasting 60 seconds
6.ふつう
When performing the first Leopold manoeuvre, what is the nurse trying to identify?
- AWhich side the fetal back lies on
- BWhether the head has entered the pelvis
- CThe amount of amniotic fluid
- DWhich fetal part lies in the fundus
7.むずかしい
A woman in her first antenatal visit discloses that her partner hits her. What is the most appropriate nursing action?
- AAdvise her that the violence will probably stop now that she is pregnant
- BTalk with her alone, assess her safety and offer support
- CRecord it but avoid discussing it further to protect her privacy
- DAsk her partner to join the conversation to hear both sides
8.むずかしい
A woman in labour has a breech presentation and her membranes rupture. What should the nurse check first?
- AThe colour of her urine
- BThe fetal heart rate and for cord prolapse
- CHer blood glucose level
- DThe baby's sex on ultrasound
解答
- 1. B · Blood-tinged mucus as the cervix starts to change
- 2. A · Within the first 24 hours
- 3. C · Fetal vessels run across the membranes over the cervix
- 4. C · Developmental dysplasia of the hip
- 5. A · Every 4 minutes, lasting 60 seconds
- 6. D · Which fetal part lies in the fundus
- 7. B · Talk with her alone, assess her safety and offer support
- 8. B · The fetal heart rate and for cord prolapse
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