1.やさしい
What is the most common cause of sore, cracked nipples in the first days of breastfeeding?
- AToo much milk
- BFeeding too often
- CUsing both breasts
- DA poor latch
2.やさしい
硫酸マグネシウム中毒の拮抗薬として準備しておくべき薬剤はどれですか?
- A塩化カリウム
- Bグルコン酸カルシウム
- Cナロキソン
- Dビタミン K
3.やさしい
Which measure is most helpful for perineal pain in the first 24 hours after a vaginal birth?
- AA hot water bottle on the perineum
- BCold packs on the perineum
- CTight underwear without a pad
- DSitting on a hard chair
4.ふつう
子宮頻収縮(タキシストール)を定義するパターンはどれですか?
- A60 秒間続く収縮
- B分娩初期に 5 分ごとに起こり、それぞれ 60 秒続く収縮
- C10 分間に 2 回を超える収縮
- D30 分間の平均で、10 分間に 5 回を超える収縮
5.ふつう
A woman at 10 weeks has morning sickness. Which suggestion is most likely to help?
- ASkip breakfast and eat one large meal in the evening
- BEat dry crackers before rising and eat small meals
- CDrink large amounts of fluid with each meal
- DEat spicy and fatty foods to settle the stomach
6.ふつう
A woman 1 day after birth has a blood pressure of 150/96 mmHg and a headache. She had normal blood pressures in pregnancy. What should the nurse do?
- AEncourage her to walk to lower her blood pressure
- BReport it and assess for postpartum pre-eclampsia
- CReassure her that this is normal after birth
- DGive paracetamol (acetaminophen) and ignore the blood pressure
7.むずかしい
A woman with active genital herpes lesions is admitted in early labour with intact membranes. What should the nurse expect?
- AA caesarean birth to reduce the risk of neonatal herpes
- BRupture of the membranes to speed up labour
- CA fetal scalp electrode for close monitoring
- DA vaginal birth with no special precautions
8.むずかしい
Which finding in a newborn at 6 hours requires the most urgent action?
- ACentral cyanosis, fast breathing and grunting
- BAcrocyanosis of the hands and feet
- CSmall white milia on the nose and chin
- DMild moulding of the head
解答
- 1. D · A poor latch
- 2. B · グルコン酸カルシウム
- 3. B · Cold packs on the perineum
- 4. D · 30 分間の平均で、10 分間に 5 回を超える収縮
- 5. B · Eat dry crackers before rising and eat small meals
- 6. B · Report it and assess for postpartum pre-eclampsia
- 7. A · A caesarean birth to reduce the risk of neonatal herpes
- 8. A · Central cyanosis, fast breathing and grunting
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