1.やさしい
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- AGreen stools after starting iron drops
- BBright yellow, seedy stools
- CPale, clay-coloured stools and dark urine
- DPale, watery urine and frequent wet nappies
2.やさしい
Why are children with spina bifida often cared for with latex-free equipment?
- AThey have a high risk of latex allergy
- BLatex damages the skin over the spine
- CLatex particles can block the shunt in the brain
- DLatex causes neural tube defects
3.やさしい
Which teething remedy is generally recommended for infants?
- AAn amber teething necklace worn day and night
- BA clean, chilled (not frozen) teething ring
- CRubbing honey on the gums before sleep
- DA gel containing the local anaesthetic benzocaine
4.ふつう
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- BGive nothing by mouth for 24 hours
- CGive diluted fruit juice instead of breast milk
- DContinue breastfeeding, and give oral rehydration solution as advised
5.ふつう
A family has a 2-year-old. Which advice about medicines at home is best?
- AKeep daily medicines in a handbag so they are always at hand
- BLock all medicines away, out of reach and sight, in child-resistant containers
- CRely on child-resistant caps alone, since toddlers are not strong enough to open them
- DCall medicines "sweets" so the child is happy to take them
6.ふつう
10 か月児の成長曲線の所見のうち、さらなる評価が最も必要なものはどれですか?
- A頭囲が 75 パーセンタイル曲線に沿っている
- B前回までの健診から、体重が 2 本の主要なパーセンタイル線を横切って下がった
- C身長が 50 パーセンタイル、体重が 40 パーセンタイル
- D出生時から体重が 10 パーセンタイルにとどまっている
7.むずかしい
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
- AChlamydia always causes severe pain, so testing is only a formality
- BTesting is required by law before any young person can see a nurse or doctor for any reason
- CChlamydia can only be caught from shared towels and toilet seats
- DChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
8.むずかしい
A 4-year-old chokes on a sweet but is coughing forcefully and can speak. What should the nurse do?
- AGive back blows straight away to dislodge the sweet
- BEncourage her to keep coughing and stay with her, watching closely
- CDo a finger sweep of the mouth to find the sweet
- DGive her a large drink of water to try to wash the sweet down
解答
- 1. C · Pale, clay-coloured stools and dark urine
- 2. A · They have a high risk of latex allergy
- 3. B · A clean, chilled (not frozen) teething ring
- 4. D · Continue breastfeeding, and give oral rehydration solution as advised
- 5. B · Lock all medicines away, out of reach and sight, in child-resistant containers
- 6. B · 前回までの健診から、体重が 2 本の主要なパーセンタイル線を横切って下がった
- 7. D · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
- 8. B · Encourage her to keep coughing and stay with her, watching closely
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。