1.やさしい
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BA missing X chromosome in a girl
- CAn extra copy of chromosome 21 (trisomy 21)
- DInfection with rubella in early pregnancy
2.やさしい
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe brachial artery
- BThe temporal artery
- CThe radial artery
- DThe carotid artery
3.やさしい
エリクソンによると、幼児期初期(約 1~3 歳)の主な発達課題はどれですか?
- A自主性(積極性)対 罪悪感
- B勤勉性 対 劣等感
- C基本的信頼 対 不信
- D自律性 対 恥・疑惑
4.ふつう
Which finding is an early sign of shock in a child?
- ASlow, deep breathing with a normal heart rate
- BA warm, flushed child with a strong, bounding pulse
- CLow blood pressure with a slow heart rate and pauses in breathing
- DA fast heart rate with a prolonged capillary refill
5.ふつう
Which finding may suggest that a school-age child is being bullied?
- AWanting to collect trading cards and play team games with classmates
- BEnjoying school clubs and inviting friends home
- CArguing with a sibling about the TV remote
- DNot wanting to go to school, lost belongings and frequent stomach aches
6.ふつう
看護師は 15 歳との健康面接にどう臨むべきですか?
- A診察の一部を青年と 2 人だけで過ごし、守秘の範囲を説明する
- B支えとして、友人を同席させて面接する
- C親に情報を伝えるため、話したことはすべて親に共有すると青年に伝える
- D親にだけ話す
7.むずかしい
脳室腹腔シャントのある子どもの所見のうち、直ちにフォローアップが必要なものはどれですか?
- Aシャントの走行に沿った治癒した傷跡
- B食欲と遊びが正常
- C頭痛、繰り返す嘔吐、増していく傾眠
- D弁の上の小さく柔らかい、変化のないふくらみ
8.むずかしい
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
- ANormal adjustment with no distress
- BDespair
- CDetachment
- DProtest
解答
- 1. C · An extra copy of chromosome 21 (trisomy 21)
- 2. A · The brachial artery
- 3. D · 自律性 対 恥・疑惑
- 4. D · A fast heart rate with a prolonged capillary refill
- 5. D · Not wanting to go to school, lost belongings and frequent stomach aches
- 6. A · 診察の一部を青年と 2 人だけで過ごし、守秘の範囲を説明する
- 7. C · 頭痛、繰り返す嘔吐、増していく傾眠
- 8. C · Detachment
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