1.やさしい
安静時の健康な幼児(約 1~3 歳)の呼吸数の範囲として典型的なのはどれですか?
- A約 60~80 回/分
- B約 24~40 回/分
- C約 12~16 回/分
- D約 6~10 回/分
2.やさしい
Which of these is one of the most common causes of food allergy in infants?
- ARice
- BCarrot
- CCow's milk protein
- DApple purée
3.やさしい
Which measure helps an infant with a cleft palate to feed?
- AFeeding only through a nasogastric tube until school age
- BThickening every feed with baby cereal from birth onwards to slow the milk
- CA special bottle or teat, an upright position and frequent burping
- DFeeding lying flat to let gravity move the milk along
4.ふつう
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- AUrine specific gravity at every void
- BPupil size and reaction every 15 minutes
- CBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- DPulse, colour, warmth and sensation of the leg below the puncture site
5.ふつう
How is urine output measured in an infant wearing nappies?
- ACount only the number of nappy changes in each shift
- BWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- CEstimate it from how heavy the nappy feels in the hand
- DSqueeze the nappy out into a measuring jug and read the volume
6.ふつう
新生児のかかと採血などの処置時の痛みを軽減する、薬以外の方法はどれですか?
- A赤ちゃんをベッドに 1 人で寝かせておく
- B母乳授乳、肌と肌の触れ合い、またはスクロースの経口投与
- C穿刺の前にかかとを冷水に当てる
- Dほかの安楽の手段を何も使わず、赤ちゃんが眠るまで待つ
7.むずかしい
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
- AThe blood pressure is in the high range
- BThe burned skin looks less red and the blisters are smaller
- CThe child is asking for a drink
- DA urine output of about 1 mL/kg per hour
8.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
- BA four-sided fence with a self-closing, self-latching gate, plus constant supervision
- CSwimming lessons from age 2, so that close supervision is no longer needed
- DExplaining to the child that the pool is dangerous
解答
- 1. B · 約 24~40 回/分
- 2. C · Cow's milk protein
- 3. C · A special bottle or teat, an upright position and frequent burping
- 4. D · Pulse, colour, warmth and sensation of the leg below the puncture site
- 5. B · Weigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- 6. B · 母乳授乳、肌と肌の触れ合い、またはスクロースの経口投与
- 7. D · A urine output of about 1 mL/kg per hour
- 8. B · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
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