1.やさしい
Which type of play, with shared goals, rules and roles, is typical of school-age children?
- ASolitary play
- BParallel play
- CCooperative play
- DOnlooker play
2.やさしい
What is the most serious complication of Kawasaki disease?
- ADiabetes mellitus
- BCoronary artery aneurysms
- CPermanent hearing loss
- DKidney failure needing dialysis
3.やさしい
Which symptoms are classic for new type 1 diabetes in a child?
- AThirst, frequent urination, weight loss and tiredness
- BJoint pain, a rash on the face and hair loss
- CWeight gain, feeling cold and long-standing constipation
- DA barking cough, fever and a hoarse voice
4.ふつう
乳児の発育性股関節形成不全を示唆する所見はどれですか?
- A脚の長さが同じで、皮膚のしわが左右対称、両股関節の外転が十分でスムーズ
- B犬が吠えるような咳
- C大腿や臀部の皮膚のしわの左右非対称と、股関節の外転制限
- D幼児の O 脚
5.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
- BLay the baby flat and give the next feed slowly through a teat
- COffer small sips of sterile water to check whether the baby can swallow
- DKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
6.ふつう
Which advice best prevents dog bites in young children?
- ALet the child hug the dog while it eats so it gets used to children
- BTeach the child to stare into the dog's eyes to show who is in charge
- CNever leave a young child alone with a dog, even the family pet
- DChoose a small breed, as small dogs never bite
7.むずかしい
A 2-week-old suddenly starts vomiting bright green fluid. What should the nurse do?
- ATreat it as a surgical emergency and get urgent medical review
- BChange to a lactose-free formula
- CAdvise smaller, more frequent feeds and review the baby in a week
- DReassure the parents that this is normal reflux
8.むずかしい
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
- ATo keep the ductus arteriosus open so that the two circulations can mix
- BTo strengthen heart muscle contraction and raise blood pressure
- CTo close the ductus arteriosus and send all blood through the lungs
- DTo dilate the airways so that oxygen can reach the alveoli
解答
- 1. C · Cooperative play
- 2. B · Coronary artery aneurysms
- 3. A · Thirst, frequent urination, weight loss and tiredness
- 4. C · 大腿や臀部の皮膚のしわの左右非対称と、股関節の外転制限
- 5. D · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
- 6. C · Never leave a young child alone with a dog, even the family pet
- 7. A · Treat it as a surgical emergency and get urgent medical review
- 8. A · To keep the ductus arteriosus open so that the two circulations can mix
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