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Nama: ____________________ Tanggal: ____________
1.Mudah
Pada tahap Piaget yang mana permanensi objek berkembang?
ATahap operasional formal
BTahap praoperasional
CTahap sensorimotor
DTahap operasional konkret
2.Mudah
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
3.Mudah
Rentang frekuensi napas mana yang khas untuk balita sehat (sekitar 1 sampai 3 tahun) saat istirahat?
ASekitar 6 sampai 10 napas per menit
BSekitar 24 sampai 40 napas per menit
CSekitar 60 sampai 80 napas per menit
DSekitar 12 sampai 16 napas per menit
4.Sedang
Which finding suggests repeated self-induced vomiting?
AA butterfly rash on the cheeks and patchy hair loss
BSwelling of the ankles and puffy eyes
CCalluses on the knuckles and loss of tooth enamel
DYellow skin, itching and dark urine
5.Sedang
Seorang bayi berusia 9 bulan mengalami episode menangis hebat dengan lutut ditekuk ke atas dan mengeluarkan feses yang tampak seperti selai kismis merah. Apa penyebab yang mungkin?
APenyakit seliak
BKonstipasi
CStenosis pilorus
DIntususepsi
6.Sedang
Which advice is first-line for a school-age child with functional constipation?
ADaily enemas given at home by the parents for several months, without other changes
BCutting out all fruit and vegetables to soften the stools
CAvoiding the toilet at school until the problem has settled
DMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
7.Sulit
A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?
AMMR can be given safely the same day as the next IVIG dose
BIVIG makes vaccines unnecessary, so MMR can be skipped
CLive vaccines are usually delayed for several months after IVIG
DMMR should be given early, because IVIG weakens the immune system
8.Sulit
A 2-week-old suddenly starts vomiting bright green fluid. What should the nurse do?
AReassure the parents that this is normal reflux
BChange to a lactose-free formula
CAdvise smaller, more frequent feeds and review the baby in a week
DTreat it as a surgical emergency and get urgent medical review
Kunci jawaban
1. C · Tahap sensorimotor
2. C · Gentle manipulation and serial casting (the Ponseti method)
3. B · Sekitar 24 sampai 40 napas per menit
4. C · Calluses on the knuckles and loss of tooth enamel
5. D · Intususepsi
6. D · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
7. C · Live vaccines are usually delayed for several months after IVIG
8. D · Treat it as a surgical emergency and get urgent medical review
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