NGY.495

G10M.254

non-reassuring fetal status(安心できない胎児の状態)は胎児機能不全という日本語訳が割り当てられている。
定義：妊娠中あるいは分娩中に胎児の状態を評価する臨床検査において"正常でない所見"が存在し、胎児の健康に問題がある、あるいは将来問題が生じるかもしれないと判断された場合。

WordNet

used to express refusal or denial or disagreement etc or especially to emphasize a negative statement; "no, you are wrong"
a negative; "his no was loud and clear"
referring to the degree to which a certain quality is present; "he was no heavier than a child" (同)no more
not in any degree or manner; not at all; "he is no better today"
quantifier; used with either mass nouns or plural count nouns for indicating a complete or almost complete lack or zero quantity of; "we have no bananas"; "no eggs left and no money to buy any"; "have you no decency?"; "did it with no help"; "Ill get you there in no time"
the relative position or standing of things or especially persons in a society; "he had the status of a minor"; "the novel attained the status of a classic"; "atheists do not enjoy a favorable position in American life" (同)position
of or relating to a fetus; "fetal development" (同)foetal
restoring confidence and relieving anxiety; "a very reassuring remark"

PrepTutorEJDIC

《名詞の前に置いて》『一つも』(『一人も,少しも』)・・・『ない』 / 《補語につけて》『決して・・・でない』 / 《省略文で》・・・なし;・・・お断り / 《話》少ししか(あまり)・・・ない / (肯定の問いに対して)『いいえ』;(否定の問いに対して)はい,ええ / 《not, norの前に挿入して》『いや』,否 / 《形容詞の前に置その形容詞を否定して》…どころではない / 《比較級の前に置いて》ちっとも…でない,…と全く同じ / 《… or no の形で》…であってもなくても / 《驚き・困惑・不信などを表して》とんでもない / 《単数形で》『拒否』,「『いいえ』」という返事 / 《複数形で》反対[投]票
〈C〉〈U〉『地位』,身分;資格 / 〈U〉高い地位, / 〈C〉『状態』,事態

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Yamada T, Yamada T, Morikawa M, Minakami H.SourceDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan. Electronic address: taka0197@med.hokudai.ac.jp.
Early human development.Early Hum Dev.2012 Nov;88(11):861-4. doi: 10.1016/j.earlhumdev.2012.06.008. Epub 2012 Jul 16.
BACKGROUND: Although abruptio placentae causes hypoxia in the infant and thus leading to cerebral palsy (CP), its incidence and clinical features at a nationwide level have not been demonstrated.AIMS: To determine the proportion of abruptio placentae among antenatal and intrapartum causative factors
PMID 22805996

Fetal heart rate patterns related to neonatal brain damage and neonatal death in placental abruption.

Takano Y, Furukawa S, Ohashi M, Michikata K, Sameshima H, Ikenoue T.SourceDepartment of Obstetrics & Gynecology, Faculty of Medicine, University of Miyazaki Department of Obstetrics & Gynecology, Miyazaki Medical Association Hospital, Miyazaki, Japan.
The journal of obstetrics and gynaecology research.J Obstet Gynaecol Res.2012 Jul 29. doi: 10.1111/j.1447-0756.2012.01945.x. [Epub ahead of print]
Aim: The aim of this study was to determine the correlation between non-reassuring fetal heart rate (NRFHR) patterns and poor neonatal outcome in placental abruption. Material and Methods: A retrospective study was performed involving 83 placental abruptions with a live fetus at one tertiary a
PMID 22845749

New evaluation of fetal oxidative stress: measurement of the umbilical cord blood dimethyl sulfate-induced ascorbyl free radical by an electron spin resonance method.

Nishida Y, Matsumoto S, Noguchi T, Narahara H.SourceDepartment of Obstetrics and Gynecology, Faculty of Medicine, Oita University , Oita , Japan.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.J Matern Fetal Neonatal Med.2012 Jul 10. [Epub ahead of print]
Objective: The aim is to evaluate intrapartum fetal oxidative stress in real-time by umbilical cord blood dimethyl sulfate (DMSO)-induced ascorbyl free radical (AFR) measured by an electron spin resonance (ESR) method. Methods: 75 mothers delivering at gestational age after 37 weeks were recruited
PMID 22725842

正期産・経腟分娩中にnon-reassuring fetal statusを呈し,急速遂娩となったFちゃん (NICU最前線観察力がものをいう! フローチャートで分かる「ちょっと心配な赤ちゃん」の観察ポイント)

30歳の1回経産婦。前回の妊娠は妊娠40週2日で3.200gの男児を自然経膣分娩した。今回の妊娠中の経過は順調であり、妊娠38週4日に陣痛が発来したので入院した。入院後も陣痛は次第に増強して子宮口も徐々に開大した。8時間後、子宮口全開大、児頭の下降度SP+2～+3cm、小泉門は9時の方向に触知した。その2時間後も所見は変わらず、坐骨棘は触知困難で、産瘤を認めない。胎児心拍数陣痛図を以下に示す。
この時点で考えられるのはどれか。

※国試ナビ4※　［101H011］←［国試_101］→［101H013］

28歳の初産婦。妊娠38週に陣痛発来で入院した。
身長160cm、体重62kg。脈拍80/分、整。血圧110/80mmHg。子宮底33cm。胎児推定体重は2,400gで羊水量は少ない。6時間後の内診所見は児頭下降度SP±0cm、子宮口開大4cmで、破水を認める。
胎児心拍数陣痛図を以下に示す。
対応で適切なのはどれか。