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Nama: ____________________ Tanggal: ____________
1.Mudah
Mengapa lingkar kepala diukur pada pemeriksaan rutin di tahun-tahun pertama kehidupan?
AUntuk memperkirakan tinggi badan anak di masa depan
BUntuk memantau pertumbuhan otak dan mendeteksi pertumbuhan kepala yang abnormal sejak dini
CUntuk menghitung dosis obat
DUntuk memeriksa dehidrasi
2.Mudah
How is sickle cell disease inherited?
AX-linked recessive
BAutosomal recessive
CNot inherited; it is acquired
DAutosomal dominant
3.Mudah
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
AProstaglandin E1
BFurosemide
CDigoxin
DIntravenous indomethacin
4.Sedang
How should an infant with heart failure be fed?
ALarge feeds every 6 hours so the baby can rest in between
BLying flat on the back so the baby does not need to hold the head up
CSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
DStop the feed when the baby tires and wait until the next scheduled feed
5.Sedang
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
AThis is a sign of illness and she needs blood tests
BAppetite falls as growth slows; offer small, healthy portions without pressure
CGive extra bottles of milk to make up for the meals she refuses
DEncourage her to finish every meal, even if this takes a long time at the table
6.Sedang
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
AA topical antifungal cream alone
BShaving the head, with no medicine
CAn oral antifungal medicine
DOral antibiotics such as amoxicillin
7.Sulit
A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?
AA need for new glasses because of eye strain
BA brain tumour with raised intracranial pressure
CMigraine caused by stress at school
DViral gastroenteritis
8.Sulit
Seorang anak dirawat dengan demam, kaku kuduk, dan ruam yang tidak memucat saat ditekan. Tindakan mana yang menjadi prioritas?
AMenunggu pungsi lumbal sebelum terapi apa pun
BMenempatkan anak di ruang bersama anak-anak lain dan memeriksa ulang ruam serta suhu dalam 4 jam
CMemberikan antipiretik dan memeriksa ulang dalam 4 jam
DMemulai kewaspadaan droplet dan meminta penilaian dokter segera agar antibiotik tidak tertunda
Kunci jawaban
1. B · Untuk memantau pertumbuhan otak dan mendeteksi pertumbuhan kepala yang abnormal sejak dini
2. B · Autosomal recessive
3. A · Prostaglandin E1
4. C · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
5. B · Appetite falls as growth slows; offer small, healthy portions without pressure
6. C · An oral antifungal medicine
7. B · A brain tumour with raised intracranial pressure
8. D · Memulai kewaspadaan droplet dan meminta penilaian dokter segera agar antibiotik tidak tertunda
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