1.やさしい
What is the main purpose of supervised "tummy time" for babies who are awake?
- ATo reduce the risk of sudden infant death during sleep
- BTo help the baby sleep for longer periods at night
- CTo strengthen neck, shoulder and arm muscles and help prevent a flat head
- DTo improve digestion and reduce colic and wind after every feed of the day
2.やさしい
Which symptoms are classic for new type 1 diabetes in a child?
- AThirst, frequent urination, weight loss and tiredness
- BWeight gain, feeling cold and long-standing constipation
- CJoint pain, a rash on the face and hair loss
- DA barking cough, fever and a hoarse voice
3.やさしい
Where does neuroblastoma most often start?
- AIn the white matter of the brain
- BIn the bone marrow of the pelvis
- CIn the adrenal gland
- DIn the lining of the bladder
4.ふつう
新生児のどの所見がヒルシュスプルング病を示唆しますか?
- A犬が吠えるような咳
- B鮮やかな黄色のゆるい便
- C生後 48 時間以内に胎便が出ない
- D4 週での噴水状の嘔吐
5.ふつう
A child's asthma action plan shows he is in the yellow zone. What should he do?
- AUse the reliever as the plan says and contact the doctor if it does not help
- BGo straight to the emergency department without using any medicine first
- CDouble the preventer dose and do nothing else
- DStop all medicines and wait to see if the symptoms pass
6.ふつう
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
- ASkip the meal before the match to avoid high glucose
- BInject an extra dose of insulin into the thigh just before he starts running
- CAvoid sport, because exercise is unsafe with diabetes
- DCheck glucose before playing and keep fast-acting carbohydrate at hand
7.むずかしい
An overweight 12-year-old has had a limp and knee pain for 3 weeks. The knee looks normal. What should the nurse suspect?
- ASlipped capital femoral epiphysis
- BJuvenile idiopathic arthritis of the knee
- CGrowing pains
- DOsgood–Schlatter disease
8.むずかしい
A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?
- APhototherapy
- BSurfactant given into the trachea
- COral glucose gel rubbed into the gums
- DIV antibiotics for 7 days
解答
- 1. C · To strengthen neck, shoulder and arm muscles and help prevent a flat head
- 2. A · Thirst, frequent urination, weight loss and tiredness
- 3. C · In the adrenal gland
- 4. C · 生後 48 時間以内に胎便が出ない
- 5. A · Use the reliever as the plan says and contact the doctor if it does not help
- 6. D · Check glucose before playing and keep fast-acting carbohydrate at hand
- 7. A · Slipped capital femoral epiphysis
- 8. B · Surfactant given into the trachea
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