1.やさしい
Why must a toddler never be left alone in the bath, even for a moment?
- AA young child can drown silently in a few centimetres of water
- BSoap left on the skin irritates a toddler's skin
- CThe bath water cools quickly and causes hypothermia
- DA toddler left alone gets bored, cries and tries to climb out of the bath
2.やさしい
赤ちゃんが、見慣れた顔に反応して社会的微笑を見せ始めるのは、通常何か月ごろですか?
- A約 2 週間
- B約 2 か月
- C約 6 か月
- D約 9 か月
3.やさしい
When can a child stop using a booster seat in the car?
- AAs soon as the child can fasten the seat belt alone
- BAt 4 years of age, whatever the child's height
- CWhen the adult seat belt fits properly across the shoulder and upper thighs
- DWhen the child starts primary school and can sit still for a whole journey
4.ふつう
A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?
- AGive a full feed by bottle and observe for vomiting afterwards
- BKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
- COffer small sips of sterile water to check whether the baby can swallow
- DLay the baby flat and give the next feed slowly through a teat
5.ふつう
Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?
- AIt counts the number of blisters on the body
- BIt measures the depth of the burn rather than its area
- CIt is mainly used for small burns of the hands, feet and face in children
- DIt adjusts for the larger head and smaller legs of young children
6.ふつう
子どもでは通常アスピリンを避けるのに、川崎病でアスピリンを使うのはなぜですか?
- A専門医の管理のもとで、炎症と冠動脈の血栓のリスクを減らすため
- B病気の原因となる感染症を治すため
- Cライ症候群を予防するため
- D発疹と関節痛に対する鎮痛薬としてのみ使い、熱が下がれば中止するため
7.むずかしい
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
- AArm floats whenever the child is near the pool
- BSwimming lessons from age 2, so that close supervision is no longer needed
- CA four-sided fence with a self-closing, self-latching gate, plus constant supervision
- DExplaining to the child that the pool is dangerous
8.むずかしい
嚢胞性線維症の子どもが、かさばって脂っぽく悪臭のある便が出て、食欲は良好なのに体重が増えません。これは何を最も示唆しますか?
- A肺が改善しているサイン
- B正常な所見で、対応は不要
- C脂肪の吸収が悪い。膵酵素の用量やタイミングを見直す必要がある
- D子どもが脂肪をとりすぎているので、食事からすべての脂肪を除くべきである
解答
- 1. A · A young child can drown silently in a few centimetres of water
- 2. B · 約 2 か月
- 3. C · When the adult seat belt fits properly across the shoulder and upper thighs
- 4. B · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
- 5. D · It adjusts for the larger head and smaller legs of young children
- 6. A · 専門医の管理のもとで、炎症と冠動脈の血栓のリスクを減らすため
- 7. C · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
- 8. C · 脂肪の吸収が悪い。膵酵素の用量やタイミングを見直す必要がある
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