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Nama: ____________________ Tanggal: ____________
1.Mudah
Which chromosome pattern causes Turner syndrome?
AAn extra copy of chromosome 21
BAn extra X chromosome (47,XXY) in a boy
CAn extra copy of chromosome 18
DA single X chromosome (45,X) in a girl
2.Mudah
Why is vitamin K given to newborns shortly after birth?
ATo prevent jaundice in the first week of life
BTo prevent vitamin K deficiency bleeding
CTo prevent bacterial eye infection after birth
DTo protect against hepatitis B infection
3.Mudah
Which measure is a mainstay of daily eczema care?
AApplying emollients only when the skin is very inflamed
BTaking long, hot baths with bubble bath every evening
CApplying emollients generously and often, even when the skin looks clear
DUsing perfumed soap twice a day to remove bacteria from the skin surface
4.Sedang
Which finding is expected in a healthy 4-month-old?
AHolds the head steady when held upright, with little or no head lag
BPulls to stand while holding on to furniture
CSits steadily without support for several minutes while playing with toys
DSays two or three clear words with meaning
5.Sedang
Seorang anak dijadwalkan menerima beberapa vaksin berbeda pada kunjungan yang sama. Apa prinsip umumnya?
AAnak harus diberi setengah dosis setiap vaksin, tersebar selama beberapa minggu
BVaksin dapat diberikan pada kunjungan yang sama, di lokasi suntikan yang terpisah
CSemua vaksin harus dicampur dalam satu semprit
DHanya satu vaksin yang boleh diberikan per bulan
6.Sedang
Which signs suggest digoxin toxicity in a child?
AFast heart rate with high blood pressure
BIncreased appetite, extra energy and rapid weight gain over a few days
CHigh fever with a spreading red rash
DNausea, vomiting, poor feeding and a slow heart rate
7.Sulit
Which child on the renal ward should the nurse assess first?
AA 2-year-old after hypospadias repair with clear urine in the catheter bag
BA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
CA 7-year-old with glomerulonephritis who has a severe headache and blurred vision
DA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours
8.Sulit
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
AThis is the temporary "honeymoon" phase; insulin is still needed
BThe diagnosis was probably wrong, and insulin can be stopped
CThe child has become insulin resistant and now needs tablets instead of injections
DThe diabetes has turned into type 2 diabetes
Kunci jawaban
1. D · A single X chromosome (45,X) in a girl
2. B · To prevent vitamin K deficiency bleeding
3. C · Applying emollients generously and often, even when the skin looks clear
4. A · Holds the head steady when held upright, with little or no head lag
5. B · Vaksin dapat diberikan pada kunjungan yang sama, di lokasi suntikan yang terpisah
6. D · Nausea, vomiting, poor feeding and a slow heart rate
7. C · A 7-year-old with glomerulonephritis who has a severe headache and blurred vision
8. A · This is the temporary "honeymoon" phase; insulin is still needed
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