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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the main feature of immune thrombocytopenia (ITP) in a child?
AA high red cell count with headache and flushing
BA low platelet count with bruising and petechiae
CA low white cell count with repeated infections
DA missing clotting factor with bleeding into joints
2.Mudah
At about what age can most infants sit steadily without support?
AAbout 12 to 15 months
BAbout 6 to 8 months
CAbout 18 to 24 months
DAbout 2 to 3 months
3.Mudah
What is the HEADSS (or HEEADSSS) assessment used for?
AA structured psychosocial interview with adolescents
BA pain score for children who cannot speak
CA screening test for newborn hearing before discharge
DA scale for scoring dehydration in infants
4.Sedang
Until when is a child with chickenpox usually considered infectious?
AOnly during the day before the rash appears
BUntil all the blisters have crusted over
CFor 6 weeks after the rash appears
DUntil the fever has gone for 24 hours
5.Sedang
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
AArrange prompt medical review, as infection from the birth canal is possible
BReassure the parents that sticky eyes are always harmless in the first weeks of life
CClean the eye with breast milk and review in a week
DApply an over-the-counter steroid eye ointment
6.Sedang
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
AContinue breastfeeding, and give oral rehydration solution as advised
BGive nothing by mouth for 24 hours
CGive diluted fruit juice instead of breast milk
DStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
7.Sulit
A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?
AA rare genetic disorder that needs more tests at once
BThe child is pretending to be ill to avoid school
CThe ward environment or hospital food is causing the symptoms
DFabricated or induced illness; follow safeguarding procedures
8.Sulit
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
ATo prevent new strep infections that could cause further attacks and more valve damage
BTo prevent common viral colds during the school year
CTo cure the heart valve damage that has already occurred and let the valves heal completely
DTo reduce the joint pain that continues after the illness
Kunci jawaban
1. B · A low platelet count with bruising and petechiae
2. B · About 6 to 8 months
3. A · A structured psychosocial interview with adolescents
4. B · Until all the blisters have crusted over
5. A · Arrange prompt medical review, as infection from the birth canal is possible
6. A · Continue breastfeeding, and give oral rehydration solution as advised
7. D · Fabricated or induced illness; follow safeguarding procedures
8. A · To prevent new strep infections that could cause further attacks and more valve damage
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