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Nama: ____________________ Tanggal: ____________
1.Mudah
At about what age do most children start combining two words, such as "more milk"?
AAbout 2 years
BAbout 4 years
CAbout 12 months
DAbout 9 months
2.Mudah
Which finding on examination is typical of pyloric stenosis?
AA tender mass in the left lower abdomen
BA swollen abdomen with no bowel sounds at all
CA soft bulge at the belly button when crying
DAn olive-shaped mass in the upper abdomen
3.Mudah
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
ABy touching the forehead with a hand
BOral, under the tongue
CAxillary, with an electronic thermometer
DRectal, with a glass mercury thermometer
4.Sedang
A 20-month-old drinks about 1,5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?
ASickle cell disease
BIron-deficiency anaemia
CLactose intolerance
DVitamin B12 deficiency
5.Sedang
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
AStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
BGive nothing by mouth for 24 hours
CContinue breastfeeding, and give oral rehydration solution as advised
DGive diluted fruit juice instead of breast milk
6.Sedang
Which signs suggest meningitis in a young infant?
AA sunken fontanelle with heavy wet nappies
BNeck stiffness and a positive Kernig's sign, as in older children and adults
CA bulging fontanelle, a high-pitched cry, poor feeding and irritability
DA clear runny nose, a mild cough and normal feeding
7.Sulit
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
ADespair
BProtest
CDetachment
DNormal adjustment with no distress
8.Sulit
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
AAsk them to leave, because their presence always harms the team's work
BAllow them to stay only if they help with the compressions
CTell them to wait outside in the corridor until the resuscitation is over
DAllow them to stay if they wish, with a staff member to support and explain
Kunci jawaban
1. A · About 2 years
2. D · An olive-shaped mass in the upper abdomen
3. C · Axillary, with an electronic thermometer
4. B · Iron-deficiency anaemia
5. C · Continue breastfeeding, and give oral rehydration solution as advised
6. C · A bulging fontanelle, a high-pitched cry, poor feeding and irritability
7. C · Detachment
8. D · Allow them to stay if they wish, with a staff member to support and explain
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