1.やさしい
How should jaundice that first appears within the first 24 hours of life be regarded?
- AAs harmless as long as the baby is feeding well
- BAs pathological until proven otherwise; it needs prompt evaluation
- CAs normal physiological jaundice that needs no follow-up
- DAs breast milk jaundice that is best treated by stopping breastfeeding
2.やさしい
入院中の幼い子どもの分離不安の、古典的な 3 つの段階はどれですか?
- A否認、怒り、受容
- B恐れ、信頼、自立
- C抗議、絶望、脱愛着
- D泣く、眠る、食べる
3.やさしい
Which finding is typical of impetigo?
- AA target-shaped rash with a dusky, pale centre on the palms
- BHoney-coloured crusts, often around the nose and mouth
- CTiny burrows between the fingers
- DSilvery scales on the elbows and knees
4.ふつう
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly at night, when the child is asleep
- BOnly if the child asks for it
- COnly after the child has already vomited at least twice
- DBefore the chemotherapy starts and then regularly
5.ふつう
What is a normal capillary refill time in a child?
- A15 to 20 seconds
- B2 seconds or less
- C8 to 10 seconds
- D5 seconds or less
6.ふつう
A family has a 2-year-old. Which advice about medicines at home is best?
- ARely on child-resistant caps alone, since toddlers are not strong enough to open them
- BLock all medicines away, out of reach and sight, in child-resistant containers
- CKeep daily medicines in a handbag so they are always at hand
- DCall medicines "sweets" so the child is happy to take them
7.むずかしい
A 3-month-old is gaining weight poorly. The mother says she adds extra water to the formula to make each tin last longer. Besides poor growth, what serious complication is the nurse concerned about?
- ALow sodium from water intoxication, which can cause seizures
- BHigh sodium from too much powder, which causes dehydration
- CVitamin K deficiency bleeding from the extra water
- DHigh blood glucose from the sugar in the diluted formula, causing diabetes
8.むずかしい
The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?
- AIt is unrelated to the illness and is normal for his age
- BHe has developed attention deficit hyperactivity disorder and needs medicine
- CHe is copying behaviour from other children in his class
- DHe may feel worried, jealous or left out and needs attention and information
解答
- 1. B · As pathological until proven otherwise; it needs prompt evaluation
- 2. C · 抗議、絶望、脱愛着
- 3. B · Honey-coloured crusts, often around the nose and mouth
- 4. D · Before the chemotherapy starts and then regularly
- 5. B · 2 seconds or less
- 6. B · Lock all medicines away, out of reach and sight, in child-resistant containers
- 7. A · Low sodium from water intoxication, which can cause seizures
- 8. D · He may feel worried, jealous or left out and needs attention and information
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