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Nama: ____________________ Tanggal: ____________
1.Mudah
Which is the most common congenital heart defect?
ATetralogy of Fallot
BCoarctation of the aorta
CVentricular septal defect
DTransposition of the great arteries
2.Mudah
Pada tahap Piaget yang mana permanensi objek berkembang?
ATahap operasional konkret
BTahap praoperasional
CTahap sensorimotor
DTahap operasional formal
3.Mudah
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
AProjectile vomiting that starts at 4 weeks
BA strong suck and rapid weight gain
CSleeping through feeds and passing pale stools
DCoughing, choking and cyanosis
4.Sedang
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
A1500 mL per day
B1000 mL per day
C750 mL per day
D1250 mL per day
5.Sedang
A child has impetigo. Which advice helps to stop it spreading?
APick the crusts off daily so the skin heals faster
BUse separate towels, wash hands often and keep nails short
CShare flannels and towels so the whole family is treated
DCover the crusts with a thick layer of petroleum jelly and leave them
6.Sedang
Which instruction about preparing powdered infant formula is correct?
AWarm bottles in the microwave, as long as they are shaken first
BFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
CAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
DAdd extra water in hot weather so the baby gets more fluid
7.Sulit
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
ATreat the wounds, stay calm and non-judgemental, and refer for assessment
BAccept that she is not at risk because she says she does not want to die
CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
DPromise not to tell anyone so that she keeps talking
8.Sulit
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
AWithout early treatment it can cause lasting learning disability and poor growth
BThe baby will develop diabetes if the thyroid is not treated now
CThe baby could pass the condition to other children in the family
DTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
Kunci jawaban
1. C · Ventricular septal defect
2. C · Tahap sensorimotor
3. D · Coughing, choking and cyanosis
4. D · 1250 mL per day
5. B · Use separate towels, wash hands often and keep nails short
6. B · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
7. A · Treat the wounds, stay calm and non-judgemental, and refer for assessment
8. A · Without early treatment it can cause lasting learning disability and poor growth
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