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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the most common cause of Down syndrome?
AA single gene inherited from both carrier parents
BInfection with rubella in early pregnancy
CAn extra copy of chromosome 21 (trisomy 21)
DA missing X chromosome in a girl
2.Mudah
For which child is a 0 to 10 numerical pain rating scale usually suitable?
AA child of about 8 years or older
BA 2-year-old with a recent fracture
CA 3-year-old who cannot yet count
DA newborn after a heel prick
3.Mudah
Which finding is typical of impetigo?
ATiny burrows between the fingers
BA target-shaped rash with a dusky, pale centre on the palms
CHoney-coloured crusts, often around the nose and mouth
DSilvery scales on the elbows and knees
4.Sedang
Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?
AIt counts the number of blisters on the body
BIt measures the depth of the burn rather than its area
CIt is mainly used for small burns of the hands, feet and face in children
DIt adjusts for the larger head and smaller legs of young children
5.Sedang
Mengapa aspirin digunakan pada penyakit Kawasaki padahal biasanya dihindari pada anak?
AMenyembuhkan infeksi yang menyebabkan penyakit tersebut
BMencegah sindrom Reye
CDigunakan hanya sebagai pereda nyeri untuk ruam dan nyeri sendi, dan dihentikan setelah demam mereda
DMengurangi peradangan dan risiko bekuan pada arteri koroner, di bawah pengawasan spesialis
6.Sedang
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
AThey should only be given after a skin prick test in every infant
BThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
CThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
DThey should be given from 6 weeks, mixed into the baby's milk
7.Sulit
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
AUse simple English and gestures only
BAsk another patient's visitor who speaks the language
CArrange a professional interpreter
DLet the 10-year-old translate to save time
8.Sulit
Temuan mana pada bayi berusia 9 bulan yang memerlukan tindak lanjut perkembangan paling segera?
ABayi hanya menggunakan satu tangan dan mengabaikan tangan yang lain
BBayi belum dapat berjalan
CBayi belum dapat mengucapkan kata yang jelas
DBayi pemalu terhadap orang asing
Kunci jawaban
1. C · An extra copy of chromosome 21 (trisomy 21)
2. A · A child of about 8 years or older
3. C · Honey-coloured crusts, often around the nose and mouth
4. D · It adjusts for the larger head and smaller legs of young children
5. D · Mengurangi peradangan dan risiko bekuan pada arteri koroner, di bawah pengawasan spesialis
6. B · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
7. C · Arrange a professional interpreter
8. A · Bayi hanya menggunakan satu tangan dan mengabaikan tangan yang lain
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