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नाम: ____________________ दिनांक: ____________
1.आसान
Why are infants and young children more likely than adults to get middle ear infections (otitis media)?
ATheir ear canals are longer and narrower than those of adults
BThey make more earwax, which traps bacteria in the middle ear
CTheir Eustachian tubes are shorter, wider and more horizontal
DTheir eardrums are thicker and cannot move with pressure changes
2.आसान
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
AMost close on their own; do not tape a coin over it
BStrapping it tightly with a binder every day makes it close faster
CIt needs emergency surgery within a few days
DIt is caused by the cord being cut too short
3.आसान
Which side effects are common after a dose of salbutamol?
ATremor and a fast heart rate
BOral thrush and a hoarse voice
CDrowsiness and slow breathing
DWeight gain and high blood sugar
4.मध्यम
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
AWait another 15 minutes, because most seizures stop on their own
BHold the child's arms and legs firmly to stop the movements
CGive the prescribed rescue medicine and call for emergency help
DPut a tongue depressor between the child's teeth
5.मध्यम
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
ATo ventilate the middle ear and let fluid drain
BTo replace the damaged eardrum permanently
CTo give antibiotics directly into the inner ear
DTo widen the outer ear canal and reduce the build-up of wax
6.मध्यम
What should the nurse do before giving a dose of digoxin to an infant?
AMeasure the temperature and give the dose only if there is no fever
BCount the apical pulse for a full minute and check it against the prescribed limits
CMeasure the blood pressure and give the dose only if it is above the normal range
DCount the radial pulse for 15 seconds and multiply by four
7.कठिन
A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?
AViral gastroenteritis
BMigraine
CNormal newborn retinal changes
DAbusive head trauma
8.कठिन
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
ASunburn from playing outside in a paddling pool on a hot day
BAn accidental spill from a cup of tea
CPossible deliberate immersion; follow the safeguarding procedure
DA skin infection that looks like a burn
उत्तर कुंजी
1. C · Their Eustachian tubes are shorter, wider and more horizontal
2. A · Most close on their own; do not tape a coin over it
3. A · Tremor and a fast heart rate
4. C · Give the prescribed rescue medicine and call for emergency help
5. A · To ventilate the middle ear and let fluid drain
6. B · Count the apical pulse for a full minute and check it against the prescribed limits
7. D · Abusive head trauma
8. C · Possible deliberate immersion; follow the safeguarding procedure
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