1.やさしい
What is kangaroo care?
- ASkin-to-skin contact between a parent and a baby, often a preterm baby
- BWrapping the baby tightly in a blanket for sleep
- CA special incubator that copies the mother's heartbeat
- DCarrying the baby in a front sling or carrier while doing the housework each day
2.やさしい
Where does neuroblastoma most often start?
- AIn the white matter of the brain
- BIn the adrenal gland
- CIn the bone marrow of the pelvis
- DIn the lining of the bladder
3.やさしい
How should liquid medicine be given to an infant?
- AWith a household teaspoon from the kitchen drawer
- BQuickly with a syringe aimed at the back of the throat
- CSlowly, by oral syringe, into the cheek
- DMixed into a full bottle of milk
4.ふつう
What is the main purpose of medical play with a doll and real equipment before surgery?
- ATo let the child express fears and gain a sense of control
- BTo keep the child busy so the nurse can do other work
- CTo teach the child how the surgeons will do the operation
- DTo test the child's intelligence
5.ふつう
Which signs in a 2-day-old baby suggest sepsis?
- AUnstable temperature, poor feeding, lethargy and breathing difficulty
- BHiccups after feeds with a strong, lusty cry between feeds
- CSmall white spots on the nose and a pink face
- DRegular feeding with six wet nappies a day
6.ふつう
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
- AWaiting for bladder control to develop naturally
- BRestricting fluids to reduce urine volume
- CA permanent catheter left in place for life
- DClean intermittent catheterisation
7.むずかしい
Which practice most reduces the risk of errors with high-alert medicines such as insulin or opioid infusions in children?
- AChecking the dose only when the drug is given for the first time
- BAsking the child's parent to look at the syringe and confirm that the dose looks right
- CRounding doses up to the nearest whole number to keep things simple
- DAn independent double check by a second nurse before giving the medicine
8.むずかしい
細気管支炎の生後 3 か月の乳児の所見のうち、直ちにフォローアップが必要なものはどれですか?
- A呼吸の休止(無呼吸)と酸素飽和度 88 %
- B聴診で聞こえる喘鳴
- C鼻水と軽い咳
- D哺乳量はいつもよりやや少ないが、おむつはまだ濡れている
解答
- 1. A · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 2. B · In the adrenal gland
- 3. C · Slowly, by oral syringe, into the cheek
- 4. A · To let the child express fears and gain a sense of control
- 5. A · Unstable temperature, poor feeding, lethargy and breathing difficulty
- 6. D · Clean intermittent catheterisation
- 7. D · An independent double check by a second nurse before giving the medicine
- 8. A · 呼吸の休止(無呼吸)と酸素飽和度 88 %
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