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Nama: ____________________ Tanggal: ____________
1.Mudah
Kapan anak dengan fibrosis kistik harus mengonsumsi kapsul enzim pankreas?
ASekali sehari sebelum tidur
BPada setiap makan dan camilan
CHanya saat feses encer
DPada perut kosong di pagi hari saja
2.Mudah
What is the main cause of type 1 diabetes in children?
AInsulin resistance caused mainly by obesity and inactivity
BAutoimmune destruction of the insulin-producing beta cells
CToo much insulin being produced by an overactive pancreas
DA lack of glucagon from the alpha cells of the pancreas
3.Mudah
Which feature is typical of whooping cough (pertussis) in an older child?
ABouts of coughing that end with a "whoop" on breathing in
BDrooling, a high fever and difficulty swallowing saliva
CA barking cough and a hoarse voice that are worse at night
DA wheeze heard only on breathing out, with a runny nose
4.Sedang
A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?
AGive a full feed by bottle and observe for vomiting afterwards
BOffer small sips of sterile water to check whether the baby can swallow
CLay the baby flat and give the next feed slowly through a teat
DKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
5.Sedang
Which advice best prevents dog bites in young children?
ATeach the child to stare into the dog's eyes to show who is in charge
BNever leave a young child alone with a dog, even the family pet
CChoose a small breed, as small dogs never bite
DLet the child hug the dog while it eats so it gets used to children
6.Sedang
Which finding is an early sign of shock in a child?
AA warm, flushed child with a strong, bounding pulse
BSlow, deep breathing with a normal heart rate
CLow blood pressure with a slow heart rate and pauses in breathing
DA fast heart rate with a prolonged capillary refill
7.Sulit
A 6-week-old is admitted with suspected pertussis. What is the main nursing concern?
AHigh blood pressure from the coughing
BConstipation from reduced feeding
CA rash spreading from the face to the trunk
DApnoea and cyanosis during or after coughing spells
8.Sulit
A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9,5 kg. How much has he lost?
A1 kg, about 10% of his body weight
B500 g, about 5% of his body weight, mostly fluid
C50 g, about 0,5% of his body weight
D500 g, about 50% of his body weight
Kunci jawaban
1. B · Pada setiap makan dan camilan
2. B · Autoimmune destruction of the insulin-producing beta cells
3. A · Bouts of coughing that end with a "whoop" on breathing in
4. D · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
5. B · Never leave a young child alone with a dog, even the family pet
6. D · A fast heart rate with a prolonged capillary refill
7. D · Apnoea and cyanosis during or after coughing spells
8. B · 500 g, about 5% of his body weight, mostly fluid
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