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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the most common cause of Down syndrome?
AInfection with rubella in early pregnancy
BA missing X chromosome in a girl
CA single gene inherited from both carrier parents
DAn extra copy of chromosome 21 (trisomy 21)
2.Mudah
What causes scarlet fever?
AStaphylococcus epidermidis
BVaricella-zoster virus
CGroup A streptococcus
DHuman herpesvirus 6
3.Mudah
Where does neuroblastoma most often start?
AIn the adrenal gland
BIn the lining of the bladder
CIn the white matter of the brain
DIn the bone marrow of the pelvis
4.Sedang
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
AMeasuring and recording the vital signs of a stable child
BAssessing pain after surgery and choosing the analgesia
CCarrying out the admission assessment of a new patient
DTeaching a parent how to give insulin injections
5.Sedang
How should an infant with heart failure be fed?
ALying flat on the back so the baby does not need to hold the head up
BStop the feed when the baby tires and wait until the next scheduled feed
CLarge feeds every 6 hours so the baby can rest in between
DSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
6.Sedang
Which instruction about giving oral liquid iron to a child is correct?
AStop the iron straight away if the stools turn dark green or black, as this means bleeding
BGive it with a syringe or straw towards the back of the mouth; dark stools are expected
CGive it together with an antacid to protect the stomach
DGive it mixed in a full bottle of milk to reduce stomach upset
7.Sulit
Which finding in a teenager with anorexia nervosa most clearly suggests the need for hospital admission?
AWeighing 2 kg less than at last month's clinic visit
BMissing one menstrual period after starting a new diet
CWanting to exercise every day
DFainting episodes with a very slow heart rate and low potassium
8.Sulit
In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?
AThe nurse must inform her parents and her school straight away
BShe may consent herself if judged competent (Gillick and Fraser)
CContraception may only be given once she reaches the age of 18
DShe can never receive contraception without written consent from a parent
Kunci jawaban
1. D · An extra copy of chromosome 21 (trisomy 21)
2. C · Group A streptococcus
3. A · In the adrenal gland
4. A · Measuring and recording the vital signs of a stable child
5. D · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
6. B · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
7. D · Fainting episodes with a very slow heart rate and low potassium
8. B · She may consent herself if judged competent (Gillick and Fraser)
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