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Nama: ____________________ Tanggal: ____________
1.Mudah
Where does neuroblastoma most often start?
AIn the bone marrow of the pelvis
BIn the white matter of the brain
CIn the adrenal gland
DIn the lining of the bladder
2.Mudah
Which sign may be the first clue to retinoblastoma in a young child?
AA white pupil in photos instead of the usual red reflex
BTears running down the cheek on one side
CRed, itchy eyes with a sticky yellow discharge
DA droopy upper eyelid that appears after a cold
3.Mudah
How much fluoride toothpaste is usually advised for a child under 3 years?
ANone until all the baby teeth have come through
BA full strip along the length of the brush
CA pea-sized amount on a soft brush
DA smear about the size of a grain of rice
4.Sedang
Which instruction about giving oral liquid iron to a child is correct?
AGive it together with an antacid to protect the stomach
BGive it with a syringe or straw towards the back of the mouth; dark stools are expected
CGive it mixed in a full bottle of milk to reduce stomach upset
DStop the iron straight away if the stools turn dark green or black, as this means bleeding
5.Sedang
A child's asthma action plan shows he is in the yellow zone. What should he do?
ADouble the preventer dose and do nothing else
BUse the reliever as the plan says and contact the doctor if it does not help
CGo straight to the emergency department without using any medicine first
DStop all medicines and wait to see if the symptoms pass
6.Sedang
Why are elbow splints often used after cleft lip repair?
ATo keep the baby's arms warm and still after surgery and anaesthesia
BTo make the baby sleep for longer
CTo keep the IV cannula from being needed
DTo stop the baby touching or rubbing the suture line
7.Sulit
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
ADehydration due to sweating during feeds
BAn allergic reaction to the new high-energy formula started yesterday
CGood growth thanks to improved feeding
DWorsening heart failure with fluid retention
8.Sulit
Seorang remaja berusia 15 tahun meminta perawat merahasiakan aktivitas seksualnya dari orang tuanya. Tidak ada tanda kekerasan atau risiko bahaya serius. Apa respons yang paling tepat?
AMenghormati kerahasiaannya, memberikan informasi, dan menjelaskan kapan informasi harus dibagikan
BSegera memberi tahu orang tuanya
CMenolak membahasnya sampai orang tuanya hadir
DBerjanji bahwa tidak ada yang dikatakannya akan dibagikan kepada siapa pun, apa pun yang diungkapkannya di kemudian hari
Kunci jawaban
1. C · In the adrenal gland
2. A · A white pupil in photos instead of the usual red reflex
3. D · A smear about the size of a grain of rice
4. B · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
5. B · Use the reliever as the plan says and contact the doctor if it does not help
6. D · To stop the baby touching or rubbing the suture line
7. D · Worsening heart failure with fluid retention
8. A · Menghormati kerahasiaannya, memberikan informasi, dan menjelaskan kapan informasi harus dibagikan
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