1.やさしい
「胎動初覚(クイックニング)」とは何ですか?
- A妊婦が初めて感じる胎児の動き
- Bドップラーで初めて聞こえる胎児の心拍
- C妊娠後期に胎児が骨盤内に下降すること
- D規則的な陣痛の開始
2.やさしい
前置胎盤に典型的な徴候はどれですか?
- A痛みのない鮮紅色の腟出血
- B高熱と悪臭のあるおりもの
- C常に暗赤色で凝血を伴う出血
- D硬い子宮を伴う強い腹痛
3.やさしい
What is "moulding" of the fetal head?
- AOverlapping of the skull bones in the birth canal
- BSwelling of the scalp from pressure on the cervix
- CBleeding under the outer layer of a skull bone
- DEarly closure of the fontanelles before birth
4.ふつう
After birth of the baby, the placenta has not been delivered after a long time despite active management. What is this called?
- APlacenta praevia
- BPlacental abruption
- CUterine inversion
- DRetained placenta
5.ふつう
ある女性の最終月経の初日は 3 月 10 日でした。ネーゲレ概算法を用いると、分娩予定日はいつですか?
- A12 月 3 日
- B6 月 17 日
- C1 月 10 日
- D12 月 17 日
6.ふつう
分娩の最初の回旋(分娩機転)の正しい順序はどれですか?
- A内回旋、進入、下降、伸展、屈曲
- B進入、下降、屈曲、内回旋、伸展
- C屈曲、進入、伸展、下降、内回旋
- D下降、伸展、進入、屈曲、内回旋
7.むずかしい
A non-stress test at 36 weeks shows no accelerations in 40 minutes. What is the most appropriate next step?
- ASend her home and repeat the test in a month
- BImmediately start oxytocin to induce labour
- CRecord the result as reactive and reassuring
- DFurther testing, such as a biophysical profile
8.むずかしい
The triage nurse receives four phone calls from pregnant women. Who should be told to come in immediately?
- AAt 25 weeks with mild backache after standing
- BAt 30 weeks with heartburn after large meals
- CAt 36 weeks with constant pain and a hard uterus
- DAt 12 weeks with mild nausea in the mornings
解答
- 1. A · 妊婦が初めて感じる胎児の動き
- 2. A · 痛みのない鮮紅色の腟出血
- 3. A · Overlapping of the skull bones in the birth canal
- 4. D · Retained placenta
- 5. D · 12 月 17 日
- 6. B · 進入、下降、屈曲、内回旋、伸展
- 7. D · Further testing, such as a biophysical profile
- 8. C · At 36 weeks with constant pain and a hard uterus
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