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
Transient tachypnoea of the newborn is caused by:
- ALack of surfactant in preterm babies
- BBacterial infection of the lungs
- CBlockage of the nasal passages
- DSlow clearance of fetal lung fluid
3.やさしい
Which reflex is tested by stroking the newborn's cheek, causing the baby to turn towards the touch?
- ABabinski reflex
- BMoro reflex
- CTonic neck reflex
- DRooting reflex
4.ふつう
Which measure helps prevent infant abduction from a maternity unit?
- ALeaving babies in the nursery overnight
- BChecking staff ID before handing over a baby
- CPosting the baby's name and room on the door
- DLetting any visitor carry the baby in the corridor
5.ふつう
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- AStraining hard to open the bowels
- BSitting on a hard surface for long periods
- CAvoiding all fluids to prevent loose stools
- DSitz baths, cold pads and stool softeners
6.ふつう
When the Moro reflex is tested, the baby moves only one arm. What could this suggest?
- AHearing loss in the ear on that side
- BLow blood glucose only
- CA normal finding in all term babies
- DA clavicle fracture or nerve injury
7.むずかしい
Which newborn finding should prompt checks for kidney and other anomalies?
- AA single umbilical artery
- BMilia on the nose
- CMild moulding of the head
- DAcrocyanosis in the first hours
8.むずかしい
A newborn born after a shoulder dystocia holds one arm limp at the side, internally rotated, with the wrist flexed. What is most likely?
- AClubfoot
- BErb's palsy
- CDevelopmental hip dysplasia
- DFacial nerve palsy
解答
- 1. A · 妊婦が初めて感じる胎児の動き
- 2. D · Slow clearance of fetal lung fluid
- 3. D · Rooting reflex
- 4. B · Checking staff ID before handing over a baby
- 5. D · Sitz baths, cold pads and stool softeners
- 6. D · A clavicle fracture or nerve injury
- 7. A · A single umbilical artery
- 8. B · Erb's palsy
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