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Nama: ____________________ Tanggal: ____________
1.Mudah
Which teething remedy is generally recommended for infants?
AA clean, chilled (not frozen) teething ring
BAn amber teething necklace worn day and night
CA gel containing the local anaesthetic benzocaine
DRubbing honey on the gums before sleep
2.Mudah
Why must a toddler never be left alone in the bath, even for a moment?
AA toddler left alone gets bored, cries and tries to climb out of the bath
BSoap left on the skin irritates a toddler's skin
CA young child can drown silently in a few centimetres of water
DThe bath water cools quickly and causes hypothermia
3.Mudah
What is the usual normal range for the platelet count?
AAbout 4 to 11 × 109/L
BAbout 15 to 40 × 109/L
CAbout 150 to 400 × 109/L
DAbout 1,500 to 4,000 × 109/L
4.Sedang
Which nursing action is correct for a newborn receiving phototherapy?
ACover the eyes, expose as much skin as possible and monitor temperature and hydration
BApply a moisturising lotion to the skin before each session to prevent drying under the lights
CKeep the baby fully dressed under the lights to prevent heat loss
DStop feeds during phototherapy so that bilirubin falls faster
5.Sedang
Which defect classically causes a continuous "machinery" murmur?
APatent ductus arteriosus
BTetralogy of Fallot
CAtrial septal defect
DIsolated pulmonary stenosis with an intact ventricular septum
6.Sedang
Which early sign may tell a child with haemophilia that a joint bleed is starting?
AAn itchy feeling on the skin over the elbow
BTingling or warmth in the joint
CA sudden fever with a rash
DA cold, pale hand or foot
7.Sulit
Which IV fluid is usually used for a fluid bolus in a child with shock?
A0,18% sodium chloride with 4% glucose, given quickly
B10% glucose solution
C5% glucose in water, given as fast as possible
DAn isotonic crystalloid such as 0,9% sodium chloride
8.Sulit
A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?
AIt is only effective if given in the first year of secondary school, before exams start
BChildren of this age are already likely to have the virus, so it treats the infection
CIt works best before any exposure to the virus, and young adolescents respond strongly
DIt is given at this age because it prevents chickenpox in adolescence
Kunci jawaban
1. A · A clean, chilled (not frozen) teething ring
2. C · A young child can drown silently in a few centimetres of water
3. C · About 150 to 400 × 109/L
4. A · Cover the eyes, expose as much skin as possible and monitor temperature and hydration
5. A · Patent ductus arteriosus
6. B · Tingling or warmth in the joint
7. D · An isotonic crystalloid such as 0,9% sodium chloride
8. C · It works best before any exposure to the virus, and young adolescents respond strongly
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