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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a positive Brudzinski sign?
AThe toes fan out when the sole of the foot is stroked
BThe child cannot straighten the knee when the hip is flexed
CBending the neck forward causes the hips and knees to flex
DThe pupils become unequal in size after a head injury
2.Mudah
Which feature is typical of whooping cough (pertussis) in an older child?
AA wheeze heard only on breathing out, with a runny nose
BDrooling, a high fever and difficulty swallowing saliva
CBouts of coughing that end with a "whoop" on breathing in
DA barking cough and a hoarse voice that are worse at night
3.Mudah
Pada usia berapa sebagian besar anak mulai berjalan tanpa bantuan?
ASekitar 3 tahun
BSekitar 12 bulan, dalam rentang tipikal sekitar 9 sampai 15 bulan
CSekitar 6 bulan
DSekitar 2 tahun pada sebagian besar anak, dalam rentang tipikal 18 sampai 30 bulan
4.Sedang
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
AAny amount, as long as the child is drinking
BAbout 2 mL per hour
CAbout 5 mL per hour
DAbout 20 mL per hour
5.Sedang
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
AIt increases fetal haemoglobin, which reduces sickling
BIt replaces the missing clotting factors
CIt removes extra iron after blood transfusions
DIt kills bacteria in the blood and prevents infections
6.Sedang
Tanda apa yang menunjukkan anak siap memulai latihan buang air (toilet training)?
AMengucapkan kata pertama
BMampu berjalan
CTetap kering selama sekitar 2 jam, menunjukkan minat, dan mampu mengikuti instruksi sederhana
DMencapai ulang tahun pertama dan mampu berjalan, terlepas dari apakah anak menunjukkan minat
7.Sulit
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
AChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
BChlamydia always causes severe pain, so testing is only a formality
CTesting is required by law before any young person can see a nurse or doctor for any reason
DChlamydia can only be caught from shared towels and toilet seats
8.Sulit
A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?
ABabies of this age often crawl and fall
BThigh fractures are common in young infants with soft bones
CThe explanation does not fit the baby's stage of development
DThe fracture is too small to need treatment and will heal by itself
Kunci jawaban
1. C · Bending the neck forward causes the hips and knees to flex
2. C · Bouts of coughing that end with a "whoop" on breathing in
3. B · Sekitar 12 bulan, dalam rentang tipikal sekitar 9 sampai 15 bulan
4. D · About 20 mL per hour
5. A · It increases fetal haemoglobin, which reduces sickling
6. C · Tetap kering selama sekitar 2 jam, menunjukkan minat, dan mampu mengikuti instruksi sederhana
7. A · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
8. C · The explanation does not fit the baby's stage of development
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