1.やさしい
What does the HbA1c blood test show in a child with diabetes?
- AWhether ketones are present in the blood right now
- BThe blood glucose at the exact moment of the test
- CThe average blood glucose over about the past 2–3 months
- DThe amount of insulin the pancreas is making on the day of the test
2.やさしい
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- ATrust versus mistrust
- BIndustry versus inferiority
- CInitiative versus guilt
- DIntimacy versus isolation
3.やさしい
幼い子どものための後ろ向きチャイルドシートに関する一般的な助言はどれですか?
- Aそのシートの身長・体重の上限の範囲内で、できるだけ長く後ろ向きにしておく
- B後ろ向きのシートが必要なのは新生児だけである
- C体重にかかわらず、1 人で座れるようになったらすぐにシートを前向きにする
- Dすべての子どもで 6 か月になったらシートを前向きにする
4.ふつう
Which group of findings suggests Kawasaki disease?
- AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- BHigh fever for 3 days, then a pink rash as the fever settles
- CFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
- DLow-grade fever, a barking cough and stridor that are worse at night
5.ふつう
Which injury in an infant is most suggestive of physical abuse?
- APosterior rib fractures
- BA scraped knee in a 3-year-old
- CA greenstick fracture of the forearm after a fall from a slide
- DA bruise on the shin of a walking toddler
6.ふつう
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AUrine colour, because the swelling causes kidney damage
- BJaundice, because the breakdown of the trapped blood adds to bilirubin
- CHead circumference twice daily, because it signals hydrocephalus
- DBlood pressure, because the swelling causes hypertension
7.むずかしい
Why is a pertussis (whooping cough) vaccine recommended during pregnancy?
- AIt replaces the need for the baby's own pertussis vaccines
- BIt prevents the mother from passing pertussis to the baby through breast milk
- CIt protects the fetus from developing heart defects
- DThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
8.むずかしい
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- ASet a strict timetable for him that staff decide without his input
- BMove him to a room with toddlers so the ward is less lonely
- CArrange contact with friends and let him control parts of his daily routine
- DAsk his parents to stay with him at all times and make decisions for him
解答
- 1. C · The average blood glucose over about the past 2–3 months
- 2. C · Initiative versus guilt
- 3. A · そのシートの身長・体重の上限の範囲内で、できるだけ長く後ろ向きにしておく
- 4. A · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 5. A · Posterior rib fractures
- 6. B · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 7. D · The mother's antibodies cross the placenta and protect the baby in the first weeks of life
- 8. C · Arrange contact with friends and let him control parts of his daily routine
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