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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is kangaroo care?
AWrapping the baby tightly in a blanket for sleep
BCarrying the baby in a front sling or carrier while doing the housework each day
CSkin-to-skin contact between a parent and a baby, often a preterm baby
DA special incubator that copies the mother's heartbeat
2.سهلة
Which symptom is typical of scabies?
ADry, flaky scalp with dandruff but no itching
BIntense itching, worse at night, with burrows between the fingers
CPainless red patches that slowly spread outward over months
DLarge blisters on the soles of the feet after walking
3.سهلة
What is Gowers' sign?
AA sudden startle with the arms flung outwards
BFlexing the hips and knees when the neck is bent forward by the examiner
CUsing the hands to "walk up" the legs to stand up from the floor
DFanning of the toes when the sole of the foot is stroked
4.متوسطة
عند طفل مصاب بصدمة نقص الحجم، أي علامة تُعدّ عادةً علامة متأخرة؟
Aإطالة زمن ملء الشعيرات
Bانخفاض ضغط الدم
Cتسرع القلب
Dبرودة الأطراف
5.متوسطة
When is the best time to tell a 2-year-old about an upcoming procedure?
AThe day before, with a detailed explanation
BAbout a week before, so there is time to get used to it
CNot at all, to avoid upsetting the child beforehand
DJust before it happens, in simple, concrete words
6.متوسطة
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
APutting a heat pad on the abdomen
BKeeping the child nil by mouth
CGiving IV fluids as prescribed
DRegular pain assessment
7.صعبة
A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?
AMMR should be given early, because IVIG weakens the immune system
BLive vaccines are usually delayed for several months after IVIG
CMMR can be given safely the same day as the next IVIG dose
DIVIG makes vaccines unnecessary, so MMR can be skipped
8.صعبة
A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?
AReport them straight away to the safeguarding team as suspected physical abuse
BApply cold packs several times a day to reduce the discoloration
CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
DDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
مفتاح الإجابات
1. C · Skin-to-skin contact between a parent and a baby, often a preterm baby
2. B · Intense itching, worse at night, with burrows between the fingers
3. C · Using the hands to "walk up" the legs to stand up from the floor
4. B · انخفاض ضغط الدم
5. D · Just before it happens, in simple, concrete words
6. A · Putting a heat pad on the abdomen
7. B · Live vaccines are usually delayed for several months after IVIG
8. D · Document them with size and location as congenital dermal melanocytosis (Mongolian spots)
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