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
What causes scarlet fever?
- AGroup A streptococcus
- BVaricella-zoster virus
- CStaphylococcus epidermidis
- DHuman herpesvirus 6
3.やさしい
At which times after birth is the Apgar score routinely assessed?
- AAt 10 minutes and at 30 minutes
- BAt birth and again at 1 hour
- COnly once, at 24 hours of age
- DAt 1 minute and at 5 minutes
4.ふつう
In acute post-streptococcal glomerulonephritis, which assessment is especially important?
- ASerum bilirubin
- BBlood glucose
- CPeak flow
- DBlood pressure
5.ふつう
Which sign shows that a baby is ready to start solid foods?
- ASits with support, holds the head steady and shows interest in food
- BHas cut a first tooth
- CHas reached 6 weeks of age
- DStarts waking more often during the night and seems hungry after milk feeds
6.ふつう
生後 9 か月の赤ちゃんが、膝を引き寄せて激しく泣く発作を繰り返し、イチゴゼリー状の便を出します。考えられる原因はどれですか?
- A便秘
- B肥厚性幽門狭窄症
- Cセリアック病
- D腸重積症
7.むずかしい
The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?
- AAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain
- BThe baby should feed for exactly 10 minutes on each side at every feed, day and night
- CHer breasts should always feel full and hard between feeds
- DThe baby should sleep through the night without waking for feeds
8.むずかしい
A 14-year-old took a large overdose of paracetamol (acetaminophen) 4 hours ago and says she feels fine. What should the nurse understand?
- AParacetamol is not toxic, so she only needs a psychiatric assessment
- BTreatment is only useful if started within 30 minutes, so it is now too late to help
- CSince she feels well, the overdose was too small to be harmful
- DLiver damage develops over days, so urgent acetylcysteine may still be needed
解答
- 1. A · A young child can drown silently in a few centimetres of water
- 2. A · Group A streptococcus
- 3. D · At 1 minute and at 5 minutes
- 4. D · Blood pressure
- 5. A · Sits with support, holds the head steady and shows interest in food
- 6. D · 腸重積症
- 7. A · About 6 or more wet nappies a day, regular yellow stools and steady weight gain
- 8. D · Liver damage develops over days, so urgent acetylcysteine may still be needed
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