1.やさしい
インフルエンザや水痘などのウイルス性疾患の子どもに、アスピリンを一般に避けるのはなぜですか?
- Aワクチンの効果をなくすため
- B必ずアレルギー反応を起こすため
- Cライ症候群との関連があるため
- D直ちに腎不全を起こすため
2.やさしい
How deep should chest compressions be during CPR on a child?
- AAbout one tenth of the depth of the chest
- BJust enough to see the chest move slightly
- CAt least one third of the depth of the chest
- DAs deep as possible, until the ribs can be felt to give
3.やさしい
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt causes serious birth defects
- BIt makes contraceptive pills fail
- CIt causes heavy periods
- DIt stops ovulation permanently
4.ふつう
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
- AGive her a drink straight away to prevent dehydration
- BLeave her alone in a dark room to sleep it off
- CPlace her in the recovery position and monitor airway and breathing
- DWake her fully every few minutes and ask her to stand up and walk around
5.ふつう
Which measure should be avoided in a sickle cell pain crisis?
- AGenerous fluids by mouth or IV
- BCold packs on the painful area
- CRegular pain assessment and analgesia
- DWarm packs and gentle positioning
6.ふつう
Why are elbow splints often used after cleft lip repair?
- ATo keep the baby's arms warm and still after surgery and anaesthesia
- BTo make the baby sleep for longer
- CTo keep the IV cannula from being needed
- DTo stop the baby touching or rubbing the suture line
7.むずかしい
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- AAn abnormal screen that must be followed up promptly under the screening protocol
- BNormal transition; no further checks are needed
- CA normal result, because foot readings are always lower
- DA faulty probe or a cold foot; repeat the whole test at the 6-week check
8.むずかしい
親が、副反応への不安から、乳児に推奨されるワクチンを断っています。最初の看護の対応として最もよいのはどれですか?
- A次回以降の受診で、その話題を避ける
- B懸念に耳を傾け、明確でエビデンスに基づく情報を提供し、話し合いを記録する
- Cワクチンを接種しない限り、クリニックでは子どもの診療を続けられないと伝える
- D親の気がそれているうちにワクチンを接種する
解答
- 1. C · ライ症候群との関連があるため
- 2. C · At least one third of the depth of the chest
- 3. A · It causes serious birth defects
- 4. C · Place her in the recovery position and monitor airway and breathing
- 5. B · Cold packs on the painful area
- 6. D · To stop the baby touching or rubbing the suture line
- 7. A · An abnormal screen that must be followed up promptly under the screening protocol
- 8. B · 懸念に耳を傾け、明確でエビデンスに基づく情報を提供し、話し合いを記録する
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