1.やさしい
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA rise of at least 15 bpm lasting at least 15 seconds
- BA fall of 15 bpm lasting at least 15 seconds
- CA rise of 5 bpm lasting 5 seconds
- DA rise of 30 bpm lasting 2 minutes
2.やさしい
What is a nuchal cord?
- AA cord wrapped around the baby's neck
- BA cord that is unusually short
- CA cord that comes out before the baby
- DA cord with only two vessels
3.やさしい
How should a postnatal woman clean her perineum after using the toilet?
- AAvoid washing the area for a week
- BWipe from back to front with dry paper
- CUse a scented douche each time she voids
- DRinse with water and wipe front to back
4.ふつう
A woman 4 hours after birth has severe perineal pain and pressure. Her fundus is firm, lochia is normal, and her heart rate is rising. What should the nurse suspect?
- AA urinary tract infection
- BNormal afterpains
- CUterine atony
- DA vulvar or vaginal haematoma
5.ふつう
Which finding in a term newborn's first hours is normal?
- AA respiratory rate of 80 at rest with retractions
- BPauses in breathing of 30 seconds with bradycardia
- CShort breathing pauses with no colour change
- DCentral cyanosis of the lips and tongue
6.ふつう
A woman 2 hours after birth has a temperature of 37.8 °C (100.0 °F), a firm fundus and normal lochia. What is the most likely cause?
- APulmonary embolism
- BEndometritis
- CDehydration after labour
- DMastitis
7.むずかしい
A woman with an epidural in labour now has a temperature of 38.0 °C (100.4 °F). Which statement is most accurate?
- AThe epidural may cause it, but infection must be ruled out
- BFever with an epidural is always caused by the epidural
- CFever in labour can be ignored if the baby is moving
- DFever with an epidural always means the catheter is infected
8.むずかしい
A labouring woman feels intense rectal pressure and says "the baby is coming". She was 7 cm 20 minutes ago. What should the nurse do first?
- ACheck whether the head is visible and stay with her
- BTell her it is too early and to stop pushing
- CLeave her to get the birth equipment from the store
- DGive her an opioid for the pain
解答
- 1. A · A rise of at least 15 bpm lasting at least 15 seconds
- 2. A · A cord wrapped around the baby's neck
- 3. D · Rinse with water and wipe front to back
- 4. D · A vulvar or vaginal haematoma
- 5. C · Short breathing pauses with no colour change
- 6. C · Dehydration after labour
- 7. A · The epidural may cause it, but infection must be ruled out
- 8. A · Check whether the head is visible and stay with her
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