1.やさしい
How should jaundice that first appears within the first 24 hours of life be regarded?
- AAs breast milk jaundice that is best treated by stopping breastfeeding
- BAs normal physiological jaundice that needs no follow-up
- CAs harmless as long as the baby is feeding well
- DAs pathological until proven otherwise; it needs prompt evaluation
2.やさしい
How should an infant with gastro-oesophageal reflux be placed to sleep?
- AOn the back, as for all babies
- BOn the tummy to reduce reflux
- CSitting up in a car seat all night
- DOn the left side, wedged with pillows
3.やさしい
エリクソンによると、青年期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統合 対 絶望
- C自律性 対 恥・疑惑
- D勤勉性 対 劣等感
4.ふつう
Which instruction about preparing powdered infant formula is correct?
- AAdd extra water in hot weather so the baby gets more fluid
- BWarm bottles in the microwave, as long as they are shaken first
- CAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
- DFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
5.ふつう
Which measure should be avoided in a sickle cell pain crisis?
- ACold packs on the painful area
- BGenerous fluids by mouth or IV
- CWarm packs and gentle positioning
- DRegular pain assessment and analgesia
6.ふつう
Which group of findings suggests Kawasaki disease?
- AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- BHigh fever for 3 days, then a pink rash as the fever settles
- CLow-grade fever, a barking cough and stridor that are worse at night
- DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
7.むずかしい
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
- APlace the end of the tube in water and look for bubbles
- BCheck that aspirate from the tube is acidic, using the pH limit in local policy
- CInject air and listen over the stomach for a "whoosh"
- DAsk the child whether the tube feels comfortable and check the length mark only
8.むずかしい
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
- AAbstract reasoning, typical of formal operations
- BAnimism, typical of preoperational thinking
- CConservation, typical of concrete operations
- DObject permanence, typical of the sensorimotor stage
解答
- 1. D · As pathological until proven otherwise; it needs prompt evaluation
- 2. A · On the back, as for all babies
- 3. A · アイデンティティ(同一性)対 役割混乱
- 4. D · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- 5. A · Cold packs on the painful area
- 6. A · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 7. B · Check that aspirate from the tube is acidic, using the pH limit in local policy
- 8. B · Animism, typical of preoperational thinking
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。