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नाम: ____________________ दिनांक: ____________
1.आसान
What happens in the rooting reflex of a newborn?
AWhen the palm is touched, the baby grasps the finger tightly and holds on
BWhen the sole is stroked, the toes fan out
CWhen the baby is startled, the arms fling outwards and then come together
DWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
2.आसान
How is congenital clubfoot (talipes equinovarus) usually treated first?
ASpecial shoes worn only at night from age 5
BMassage alone, with no casts or braces
CGentle manipulation and serial casting (the Ponseti method)
DWaiting until school age and then operating on the bones of the foot
3.आसान
Why are breastfed infants often given a vitamin D supplement?
AVitamin D prevents iron-deficiency anaemia
BVitamin D prevents newborn jaundice
CBreast milk contains little vitamin D
DBreast milk contains too little protein for growth
4.मध्यम
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
AA drop in the platelet count
BA sudden rise in blood glucose
CWorsening mood or new suicidal thoughts
DWeight gain of more than 10 kg in the first month
5.मध्यम
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
AUrine colour, because the swelling causes kidney damage
BHead circumference twice daily, because it signals hydrocephalus
CJaundice, because the breakdown of the trapped blood adds to bilirubin
DBlood pressure, because the swelling causes hypertension
6.मध्यम
कावासाकी रोग में एस्पिरिन क्यों प्रयोग की जाती है, जबकि बच्चों में उससे आमतौर पर बचा जाता है?
Aइसका उपयोग केवल दाने और जोड़ों के दर्द की दर्दनाशक के रूप में होता है, और बुखार उतरने पर बंद कर दी जाती है
Bयह उस संक्रमण को ठीक करती है जो रोग का कारण है
Cयह विशेषज्ञ की निगरानी में सूजन और कोरोनरी धमनी में थक्कों का जोखिम घटाती है
Dयह रे सिंड्रोम को रोकती है
7.कठिन
A large baby born to a mother with diabetes becomes jittery at 1 hour of age. What should the nurse check first?
AThe baby's serum bilirubin
BThe baby's haemoglobin
CThe baby's blood group
DThe baby's blood glucose
8.कठिन
A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?
ANo action is needed, because head bleeds are rare in haemophilia
BGive aspirin for the pain and apply ice to the bump
CSeek urgent care, as factor replacement may be needed before symptoms appear
DWatch him at home for a week and bring him in only if he vomits or has a headache
उत्तर कुंजी
1. D · When the cheek is stroked, the baby turns towards the touch and opens the mouth
2. C · Gentle manipulation and serial casting (the Ponseti method)
3. C · Breast milk contains little vitamin D
4. C · Worsening mood or new suicidal thoughts
5. C · Jaundice, because the breakdown of the trapped blood adds to bilirubin
6. C · यह विशेषज्ञ की निगरानी में सूजन और कोरोनरी धमनी में थक्कों का जोखिम घटाती है
7. D · The baby's blood glucose
8. C · Seek urgent care, as factor replacement may be needed before symptoms appear
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