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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the most common cause of Down syndrome?
AInfection with rubella in early pregnancy
BAn extra copy of chromosome 21 (trisomy 21)
CA single gene inherited from both carrier parents
DA missing X chromosome in a girl
2.Mudah
What is the recommended chest compression rate during CPR on a child or infant?
A140 to 160 per minute
B100 to 120 per minute
C60 to 80 per minute
D30 to 40 per minute
3.Mudah
Which symptom is typical of threadworm (pinworm) infection in a child?
AA red, ring-shaped rash on the scalp
BA high fever with bloody diarrhoea
CVomiting after every meal for a week, with weight loss
DItching around the anus, especially at night
4.Sedang
Which finding may suggest that a school-age child is being bullied?
AWanting to collect trading cards and play team games with classmates
BEnjoying school clubs and inviting friends home
CNot wanting to go to school, lost belongings and frequent stomach aches
DArguing with a sibling about the TV remote
5.Sedang
Sebelum pembedahan mielomeningokel, bagaimana kantong pada bayi baru lahir harus dilindungi?
AMemasang perban kering yang ketat
BMembaringkan bayi telentang dengan cincin lembut di sekeliling kantong untuk menyangganya di kasur
CMembiarkannya terbuka agar kering
DMenutupnya dengan balutan steril, lembap, dan tidak lengket, serta memosisikan bayi tengkurap
6.Sedang
Which stool pattern is typical of Hirschsprung disease in an older child?
APale, bulky, fatty stools that float and are hard to flush, with a large appetite
BNormal stools with occasional itching around the anus at night
CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
DFrequent bloody diarrhoea with fever after eating chicken
7.Sulit
A 10-year-old with cystic fibrosis is going to play football on a hot day. What should the nurse teach?
ASkip the pancreatic enzymes on sports days to avoid stomach cramps
BAvoid all exercise, because it damages the lungs
CDrink more and add extra salt, because more salt is lost in sweat
DRestrict fluids to prevent extra mucus
8.Sulit
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
AArm floats whenever the child is near the pool
BA four-sided fence with a self-closing, self-latching gate, plus constant supervision
CExplaining to the child that the pool is dangerous
DSwimming lessons from age 2, so that close supervision is no longer needed
Kunci jawaban
1. B · An extra copy of chromosome 21 (trisomy 21)
2. B · 100 to 120 per minute
3. D · Itching around the anus, especially at night
4. C · Not wanting to go to school, lost belongings and frequent stomach aches
5. D · Menutupnya dengan balutan steril, lembap, dan tidak lengket, serta memosisikan bayi tengkurap
6. C · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
7. C · Drink more and add extra salt, because more salt is lost in sweat
8. B · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
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