1.やさしい
What is vernix caseosa?
- AFine, soft hair on the shoulders and back
- BBluish patches over the lower back
- CA white, cheesy coating on the skin
- DSmall white spots on the nose
2.やさしい
What is a nuchal cord?
- AA cord with only two vessels
- BA cord wrapped around the baby's neck
- CA cord that is unusually short
- DA cord that comes out before the baby
3.やさしい
Which postnatal warning sign should a woman report straight away after discharge?
- ATiredness in the first week
- BLochia that slowly changes colour
- CMild afterpains during feeds
- DBleeding that soaks a pad in an hour
4.ふつう
A woman at 32 weeks has varicose veins in her legs. Which advice is most appropriate?
- AWear tight elastic bands around the top of the thighs
- BRaise the legs when resting and avoid long standing
- CSit with her legs crossed to support the veins
- DAvoid walking until after the birth
5.ふつう
新生児が生後 18 時間で黄疸を呈しています。何を示唆しますか?
- Aビタミン K の正常な作用
- B早急なアセスメントが必要な病的黄疸
- C母乳性黄疸
- Dそれ以上の対応が不要な、正常な生理的黄疸
6.ふつう
Which position of the fetal head presents the smallest diameter to the pelvis?
- AA neutral position with no flexion
- BFull flexion, with the chin on the chest
- CFull extension, with the face presenting
- DPartial extension, with the brow presenting
7.むずかしい
胎児心拍数のトレースで、基線細変動の消失と反復する遅発一過性徐脈がみられます。これはどのように分類され、何が必要ですか?
- Aカテゴリー III:異常なトレースで、速やかな介入と急速遂娩への準備が必要
- B胎児の睡眠中の正常なパターン
- Cカテゴリー II:判定不能のトレースで、通常の観察と記録を続けるだけでよい
- Dカテゴリー I:正常で、通常のケア
8.むずかしい
Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?
- AAmniotic fluid embolism
- BUterine inversion
- CUterine atony
- DCervical laceration
解答
- 1. C · A white, cheesy coating on the skin
- 2. B · A cord wrapped around the baby's neck
- 3. D · Bleeding that soaks a pad in an hour
- 4. B · Raise the legs when resting and avoid long standing
- 5. B · 早急なアセスメントが必要な病的黄疸
- 6. B · Full flexion, with the chin on the chest
- 7. A · カテゴリー III:異常なトレースで、速やかな介入と急速遂娩への準備が必要
- 8. B · Uterine inversion
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