1.やさしい
大泉門が通常閉鎖するのは、何か月ごろですか?
- A12~18 か月
- B2~3 か月
- C4~6 歳
- D出生時
2.やさしい
入院中の幼い子どもの分離不安の、古典的な 3 つの段階はどれですか?
- A恐れ、信頼、自立
- B抗議、絶望、脱愛着
- C否認、怒り、受容
- D泣く、眠る、食べる
3.やさしい
At about what age can most children hop on one foot?
- AAbout 2 years
- BAbout 8 years
- CAbout 4 years
- DAbout 18 months
4.ふつう
In a large ventricular septal defect, in which direction does blood mainly flow through the defect?
- AFrom right to left, causing cyanosis from birth
- BThere is no flow at all, because the pressures in both ventricles are always equal
- CFrom left to right, increasing blood flow to the lungs
- DFrom the aorta into the pulmonary veins
5.ふつう
Which instruction about preparing powdered infant formula is correct?
- AAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
- BWarm bottles in the microwave, as long as they are shaken first
- CAdd extra water in hot weather so the baby gets more fluid
- DFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
6.ふつう
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
- AAbout 20 mL per hour
- BAny amount, as long as the child is drinking
- CAbout 2 mL per hour
- DAbout 5 mL per hour
7.むずかしい
生後 3 週の赤ちゃんの直腸温が 38.3 °C です。哺乳はいつもよりやや少なめですが、元気そうに見えます。看護師は何を助言すべきですか?
- A乳児の発熱は重篤な感染症のサインのことがあるため、緊急に医師の診察を受ける
- B赤ちゃんを薄着にして、様子を見る
- C解熱薬を与え、3 日後に再診する
- Dこの年齢の発熱は通常、歯の萌出や着せすぎが原因なので、緊急の対応は不要
8.むずかしい
After hypospadias repair, a toddler has a urinary catheter. Which nursing action has priority?
- AKeep the catheter draining freely and check for kinks or blockage
- BRemove the dressing on the first day to check the wound
- CLimit fluids for the first days so that less urine passes over the repair
- DClamp the catheter for a few hours to train the bladder
解答
- 1. A · 12~18 か月
- 2. B · 抗議、絶望、脱愛着
- 3. C · About 4 years
- 4. C · From left to right, increasing blood flow to the lungs
- 5. D · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- 6. A · About 20 mL per hour
- 7. A · 乳児の発熱は重篤な感染症のサインのことがあるため、緊急に医師の診察を受ける
- 8. A · Keep the catheter draining freely and check for kinks or blockage
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