解答つき母性看護・産科看護ワークシート

Gestational hypertension is defined as new hypertension after 20 weeks:

1. AThat occurs only during labour
2. BWithout proteinuria or organ damage
3. CWith proteinuria and a seizure
4. DThat was already present before pregnancy

What is ballottement in pregnancy?

1. AThe fetus rebounds when pushed by the examiner
2. BContractions that do not dilate the cervix
3. CThe first fetal movements felt by the mother
4. DBluish colour of the cervix

A second-degree perineal tear involves:

1. AThe skin, vaginal mucosa and perineal muscles
2. BThe anal sphincter muscle complex
3. COnly the perineal skin and vaginal mucosa
4. DThe rectal mucosa and anal sphincter

A woman with pre-existing type 1 diabetes is pregnant. How do her insulin needs usually change?

1. AThey rise in the first trimester and fall in the third
2. BThey often fall early on and then rise later in pregnancy
3. CInsulin is stopped during pregnancy and restarted after birth
4. DThey stay the same throughout pregnancy

Which set of findings is consistent with hypovolaemia after a postpartum haemorrhage?

1. ASlow breathing and a rising blood pressure
2. BRising pulse, falling blood pressure, low urine output
3. CIncreased urine output and flushed skin
4. DSlow heart rate, high blood pressure and warm, dry skin

妊娠初期のスクリーニングで行う NT（後頸部透過像）の超音波検査は、通常いつ行いますか？

1. A妊娠 18～22 週ごろ
2. B妊娠 6～8 週ごろ
3. C妊娠 11～14 週ごろ
4. D妊娠 28～32 週ごろ

子宮底マッサージのあとも子宮が柔らかいままで、出血が多量です。優先すべき次の行動はどれですか？

1. Aチームを呼ぶ前に、自分で 30 分間、子宮底を強くマッサージし続ける
2. B女性をファウラー位に起こす
3. C応援を呼び、プロトコルに従ってオキシトシンなど指示された子宮収縮薬を投与する
4. D経口で水分を勧め、1 時間後にもう一度確認する

A woman 1 day after a caesarean asks how to hold her baby for breastfeeding without pressure on her wound. Which position is best?

1. AThe football (rugby) hold or side-lying
2. BThe cradle hold with the baby across the incision
3. CLying flat on her back with the baby on her abdomen
4. DStanding up while breastfeeding