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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a greenstick fracture?
AA fracture in which the broken bone ends push out through the skin
BA fracture in which the bone shatters into many pieces
CA fracture that passes through a joint surface only
DAn incomplete fracture in which the bone bends and cracks on one side
2.Mudah
Which simple test is used to screen for scoliosis?
AAdams forward bend test
BRomberg test with the eyes closed
CBabinski test
DOrtolani test
3.Mudah
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
ABecause the spleen stops working
BBecause of too much iron in the diet
CTo compensate for chronic hypoxia
DBecause the heart makes red blood cells
4.Sedang
Which signs in a 2-day-old baby suggest sepsis?
ASmall white spots on the nose and a pink face
BRegular feeding with six wet nappies a day
CHiccups after feeds with a strong, lusty cry between feeds
DUnstable temperature, poor feeding, lethargy and breathing difficulty
5.Sedang
Which signs suggest digoxin toxicity in a child?
AFast heart rate with high blood pressure
BNausea, vomiting, poor feeding and a slow heart rate
CHigh fever with a spreading red rash
DIncreased appetite, extra energy and rapid weight gain over a few days
6.Sedang
Which daily monitoring is most useful for a child with nephrotic syndrome?
AWeight and urine dipstick for protein
BBlood glucose before and after every meal
CPeak flow and oxygen saturation every morning
DHead circumference and fontanelle tension
7.Sulit
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
AThe normal low muscle tone of Down syndrome getting worse with age
BGrowing pains in the legs
CA simple urinary infection causing tiredness
DAtlantoaxial instability with spinal cord compression
8.Sulit
Seorang anak usia sekolah akan menjalani operasi. Pendekatan persiapan mana yang paling sesuai dengan usia ini?
AMenjelaskan prosedur dengan diagram sederhana, mengizinkan pertanyaan, dan melibatkan anak dalam pilihan
BHanya menggunakan bahasa bayi dan mainan untuk bayi
CMembahas semuanya dengan orang tua tetapi tidak dengan anak, agar anak tidak ketakutan
DTidak menjelaskan karena hanya akan menimbulkan rasa takut
Kunci jawaban
1. D · An incomplete fracture in which the bone bends and cracks on one side
2. A · Adams forward bend test
3. C · To compensate for chronic hypoxia
4. D · Unstable temperature, poor feeding, lethargy and breathing difficulty
5. B · Nausea, vomiting, poor feeding and a slow heart rate
6. A · Weight and urine dipstick for protein
7. D · Atlantoaxial instability with spinal cord compression
8. A · Menjelaskan prosedur dengan diagram sederhana, mengizinkan pertanyaan, dan melibatkan anak dalam pilihan
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