1.やさしい
Respiratory distress syndrome in preterm babies is mainly caused by:
- AAspiration of meconium
- BSurfactant deficiency
- CA heart defect
- DToo much amniotic fluid in the lungs
2.やさしい
A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?
- AStraighten the leg and pull the foot upwards
- BPoint the toes downwards as far as possible
- CLie flat on her back and raise both legs
- DMassage the calf firmly with the knee bent
3.やさしい
Which condition is a clear indication for a caesarean birth?
- AA previous labour that was fast and uncomplicated
- BA fetus in the left occiput anterior position
- CMild ankle swelling at the end of the day at term
- DA placenta praevia covering the internal cervical os
4.ふつう
Which newborn finding is linked to a vacuum-assisted birth?
- ACleft lip and palate
- BClubfoot (talipes)
- CA harmless erythema toxicum rash
- DA chignon or cephalhaematoma
5.ふつう
A woman at 28 weeks asks why her heart rate is higher than before pregnancy. Which response is accurate?
- AThe heart rate rises because blood pressure is much higher in pregnancy
- BA higher heart rate in pregnancy always points to heart disease
- CA rise of about 10 to 15 beats per minute is normal in pregnancy
- DHeart rate normally falls in pregnancy, so this needs urgent review
6.ふつう
Which antihypertensive is commonly used in pregnancy but should be avoided in a woman with asthma?
- ANifedipine
- BHydralazine
- CMethyldopa
- DLabetalol
7.むずかしい
看護師が最初にアセスメントすべき産後の女性はどれですか?
- A3 日目:乳房が張って硬く、圧痛がある
- B出産 1 時間後:心拍数 118 回/分で、子宮底がぶよぶよしている
- C2 日目:授乳中のさしこむ痛み
- D1 日目:硬貨より小さい凝血が数個ある中等量の赤色悪露
8.むずかしい
Which postpartum task can be delegated to an assistive staff member (healthcare assistant)?
- ATaking vital signs of a stable woman
- BEvaluating a woman for signs of postpartum depression
- CTeaching a first-time mother about breastfeeding
- DAssessing the fundus of a woman with heavy bleeding
解答
- 1. B · Surfactant deficiency
- 2. A · Straighten the leg and pull the foot upwards
- 3. D · A placenta praevia covering the internal cervical os
- 4. D · A chignon or cephalhaematoma
- 5. C · A rise of about 10 to 15 beats per minute is normal in pregnancy
- 6. D · Labetalol
- 7. B · 出産 1 時間後:心拍数 118 回/分で、子宮底がぶよぶよしている
- 8. A · Taking vital signs of a stable woman
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