1.やさしい
エリクソンによると、乳児期(出生から約 1 歳)の発達課題はどれですか?
- Aアイデンティティ(同一性)対 役割混乱
- B基本的信頼 対 不信
- C親密性 対 孤立
- D自律性 対 恥・疑惑
2.やさしい
Which signs suggest a urinary tract infection in an infant?
- AA clear runny nose and a mild cough
- BClear complaints of burning and stinging when passing urine
- CPain in the lower back that the baby points to
- DFever, poor feeding, vomiting and irritability
3.やさしい
What does the HbA1c blood test show in a child with diabetes?
- AThe blood glucose at the exact moment of the test
- BWhether ketones are present in the blood right now
- CThe average blood glucose over about the past 2–3 months
- DThe amount of insulin the pancreas is making on the day of the test
4.ふつう
Which advice is first-line for a school-age child with functional constipation?
- ADaily enemas given at home by the parents for several months, without other changes
- BAvoiding the toilet at school until the problem has settled
- CMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- DCutting out all fruit and vegetables to soften the stools
5.ふつう
Which finding suggests repeated self-induced vomiting?
- ASwelling of the ankles and puffy eyes
- BYellow skin, itching and dark urine
- CA butterfly rash on the cheeks and patchy hair loss
- DCalluses on the knuckles and loss of tooth enamel
6.ふつう
Which signs in a 2-day-old baby suggest sepsis?
- AUnstable temperature, poor feeding, lethargy and breathing difficulty
- BSmall white spots on the nose and a pink face
- CHiccups after feeds with a strong, lusty cry between feeds
- DRegular feeding with six wet nappies a day
7.むずかしい
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
- AAbout 25 mL per hour
- BAbout 104 mL per hour
- CAbout 67 mL per hour
- DAbout 50 mL per hour
8.むずかしい
A 3-year-old was pulled from a pool after a brief submersion. She is now awake and coughs now and then. What should the nurse advise?
- AOnly seek care if she develops a fever in the next week
- BTake her straight home, because she is awake, talking and only coughing now and then
- CObserve her in hospital for several hours, as breathing problems can develop later
- DGive her a warm drink and put her to bed for a long sleep
解答
- 1. B · 基本的信頼 対 不信
- 2. D · Fever, poor feeding, vomiting and irritability
- 3. C · The average blood glucose over about the past 2–3 months
- 4. C · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- 5. D · Calluses on the knuckles and loss of tooth enamel
- 6. A · Unstable temperature, poor feeding, lethargy and breathing difficulty
- 7. C · About 67 mL per hour
- 8. C · Observe her in hospital for several hours, as breathing problems can develop later
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