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नाम: ____________________ दिनांक: ____________
1.आसान
Which food is a good source of iron for a toddler?
ALean red meat or iron-fortified cereal
BLarge amounts of cow's milk
CApple juice with every meal
DPlain white rice and pasta
2.आसान
What is the main cause of type 1 diabetes in children?
AA lack of glucagon from the alpha cells of the pancreas
BToo much insulin being produced by an overactive pancreas
CAutoimmune destruction of the insulin-producing beta cells
DInsulin resistance caused mainly by obesity and inactivity
3.आसान
How is congenital clubfoot (talipes equinovarus) usually treated first?
AWaiting until school age and then operating on the bones of the foot
BMassage alone, with no casts or braces
CGentle manipulation and serial casting (the Ponseti method)
DSpecial shoes worn only at night from age 5
4.मध्यम
Why should a child with rubella avoid contact with pregnant women?
ARubella causes pregnant women to go into labour early
BThe child may catch a pregnancy-related infection
CRubella in early pregnancy can cause serious birth defects
DPregnant women always develop severe pneumonia if they catch rubella
5.मध्यम
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
ASerum bilirubin
BPlatelet count
CSerum amylase and lipase
DSerum potassium
6.मध्यम
Which finding is an early sign of shock in a child?
AA fast heart rate with a prolonged capillary refill
BLow blood pressure with a slow heart rate and pauses in breathing
CSlow, deep breathing with a normal heart rate
DA warm, flushed child with a strong, bounding pulse
7.कठिन
The safe dose range of a drug is 25–50 mg/kg per day, divided every 8 hours. A 12 kg child is prescribed 250 mg every 8 hours. What should the nurse do?
AGive the dose, because the minimum safe daily dose is 300 mg
BGive half the dose and inform the prescriber at the next round
CGive the dose, because 250 mg is within the range for a single dose
DContact the prescriber, because 750 mg a day is above the maximum of 600 mg
8.कठिन
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
ADetachment
BProtest
CNormal adjustment with no distress
DDespair
उत्तर कुंजी
1. A · Lean red meat or iron-fortified cereal
2. C · Autoimmune destruction of the insulin-producing beta cells
3. C · Gentle manipulation and serial casting (the Ponseti method)
4. C · Rubella in early pregnancy can cause serious birth defects
5. D · Serum potassium
6. A · A fast heart rate with a prolonged capillary refill
7. D · Contact the prescriber, because 750 mg a day is above the maximum of 600 mg
8. A · Detachment
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