1.やさしい
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BAn extra copy of chromosome 21 (trisomy 21)
- CA missing X chromosome in a girl
- DInfection with rubella in early pregnancy
2.やさしい
What is kangaroo care?
- ASkin-to-skin contact between a parent and a baby, often a preterm baby
- BWrapping the baby tightly in a blanket for sleep
- CA special incubator that copies the mother's heartbeat
- DCarrying the baby in a front sling or carrier while doing the housework each day
3.やさしい
ほとんどのスケジュールで、注射ではなく経口で投与される定期の乳児ワクチンはどれですか?
- AB 型肝炎ワクチン
- B麻疹・おたふくかぜ・風疹(MMR)ワクチン
- C破傷風ワクチン
- Dロタウイルスワクチン
4.ふつう
A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?
- AVitamin B12 deficiency
- BSickle cell disease
- CLactose intolerance
- DIron-deficiency anaemia
5.ふつう
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- AWait another 15 minutes, because most seizures stop on their own
- BGive the prescribed rescue medicine and call for emergency help
- CPut a tongue depressor between the child's teeth
- DHold the child's arms and legs firmly to stop the movements
6.ふつう
脊髄髄膜瘤の手術前に、新生児の嚢をどのように保護すべきですか?
- A滅菌した湿潤状態の非固着性ドレッシングで覆い、赤ちゃんを腹臥位にする
- Bきつい乾燥した包帯を巻く
- C乾燥させるために覆わずにおく
- D嚢を支えるため、嚢の周りに柔らかいリングを置いてあおむけに寝かせる
7.むずかしい
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
- AAn accidental spill from a cup of tea
- BA skin infection that looks like a burn
- CPossible deliberate immersion; follow the safeguarding procedure
- DSunburn from playing outside in a paddling pool on a hot day
8.むずかしい
A 15-year-old boy with mumps develops a painful, swollen testis. What is the most likely explanation?
- AA late side effect of the MMR vaccine given in childhood
- BMumps orchitis, a known complication after puberty
- CAn inguinal hernia caused by coughing
- DTesticular cancer unrelated to the infection
解答
- 1. B · An extra copy of chromosome 21 (trisomy 21)
- 2. A · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 3. D · ロタウイルスワクチン
- 4. D · Iron-deficiency anaemia
- 5. B · Give the prescribed rescue medicine and call for emergency help
- 6. A · 滅菌した湿潤状態の非固着性ドレッシングで覆い、赤ちゃんを腹臥位にする
- 7. C · Possible deliberate immersion; follow the safeguarding procedure
- 8. B · Mumps orchitis, a known complication after puberty
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