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Nama: ____________________ Tanggal: ____________
1.Mudah
At about what age do most children say their first meaningful words?
AAbout 4 months
BAbout 2 years
CAbout 6 months
DAbout 12 months
2.Mudah
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
AIt is caused by the cord being cut too short
BStrapping it tightly with a binder every day makes it close faster
CMost close on their own; do not tape a coin over it
DIt needs emergency surgery within a few days
3.Mudah
What causes scarlet fever?
AGroup A streptococcus
BHuman herpesvirus 6
CStaphylococcus epidermidis
DVaricella-zoster virus
4.Sedang
How can acute rheumatic fever be prevented?
ABy routine MMR vaccination in infancy
BBy giving aspirin for every fever
CBy avoiding dairy products and cold drinks during every cold or cough
DBy prompt antibiotic treatment of streptococcal sore throat
5.Sedang
In a large ventricular septal defect, in which direction does blood mainly flow through the defect?
AThere is no flow at all, because the pressures in both ventricles are always equal
BFrom the aorta into the pulmonary veins
CFrom right to left, causing cyanosis from birth
DFrom left to right, increasing blood flow to the lungs
6.Sedang
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
AOffer a limited choice, such as the cup or the syringe
BTell him he is a bad boy for refusing
CWait until he agrees to take it, even if the dose is hours late
DAsk him whether he wants to take his medicine or not
7.Sulit
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
AAn allergy to the saline flush
BA blocked line that needs more forceful flushing
CA catheter-related bloodstream infection
DA normal reaction to the chemotherapy
8.Sulit
Which long-term problems should be monitored in a child with a repaired cleft palate?
AKidney function and blood pressure
BGrowth hormone levels and puberty timing
CMiddle ear infections, hearing, speech and teeth
DBone density and fracture risk in the teenage years
Kunci jawaban
1. D · About 12 months
2. C · Most close on their own; do not tape a coin over it
3. A · Group A streptococcus
4. D · By prompt antibiotic treatment of streptococcal sore throat
5. D · From left to right, increasing blood flow to the lungs
6. A · Offer a limited choice, such as the cup or the syringe
7. C · A catheter-related bloodstream infection
8. C · Middle ear infections, hearing, speech and teeth
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