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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the most common cause of Down syndrome?
AAn extra copy of chromosome 21 (trisomy 21)
BA single gene inherited from both carrier parents
CA missing X chromosome in a girl
DInfection with rubella in early pregnancy
2.Mudah
How is congenital hypothyroidism treated?
AAn iodine-free diet from birth
BRemoval of the thyroid gland in infancy
CA single dose of radioactive iodine
DDaily levothyroxine, usually for life
3.Mudah
Egocentrism and magical thinking are typical of which of Piaget's stages?
APreoperational stage (about 2 to 7 years)
BConcrete operational stage (about 7 to 11 years)
CSensorimotor stage (birth to about 2 years)
DFormal operational stage (about 11 years onwards)
4.Sedang
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
A750 mL per day
B1500 mL per day
C1000 mL per day
D1250 mL per day
5.Sedang
How is a child's weight status (for example overweight) assessed?
AWaist size compared with the parents' waist size
BWeight alone, compared with the average weight of children in the same class
CBMI compared with the adult cut-off points
DBMI plotted on an age- and sex-specific centile chart
6.Sedang
Which temperature is usually taken as fever in a child?
A37,0 °C (98,6 °F) or higher
B37,5 °C (99,5 °F) or higher
C38,0 °C (100,4 °F) or higher
D39,5 °C (103,1 °F) or higher
7.Sulit
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
AMassage and physiotherapy to loosen the muscle
BBlood cultures and prompt IV antibiotics for possible osteomyelitis
CA plaster cast and discharge home the same day
DRest, ice and an elastic bandage for a sprained ankle, with review in a week
8.Sulit
Seorang orang tua menolak vaksin yang direkomendasikan untuk bayinya karena takut efek samping. Apa pendekatan keperawatan awal yang terbaik?
AMengatakan kepada orang tua bahwa anak tidak dapat lagi dirawat di klinik kecuali vaksin diberikan
BTetap memberikan vaksin saat orang tua teralihkan perhatiannya
CMenghindari topik tersebut pada kunjungan berikutnya
DMendengarkan kekhawatirannya, memberikan informasi yang jelas dan berbasis bukti, dan mendokumentasikan diskusi tersebut
Kunci jawaban
1. A · An extra copy of chromosome 21 (trisomy 21)
2. D · Daily levothyroxine, usually for life
3. A · Preoperational stage (about 2 to 7 years)
4. D · 1250 mL per day
5. D · BMI plotted on an age- and sex-specific centile chart
6. C · 38,0 °C (100,4 °F) or higher
7. B · Blood cultures and prompt IV antibiotics for possible osteomyelitis
8. D · Mendengarkan kekhawatirannya, memberikan informasi yang jelas dan berbasis bukti, dan mendokumentasikan diskusi tersebut
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