1.やさしい
乳児の睡眠に関する助言のうち、乳幼児突然死のリスクを減らすものはどれですか?
- Aミルクで窒息しないよう、柔らかいマットレスにうつぶせで寝かせる
- B親と一緒にソファで寝かせる
- C枕やぬいぐるみのない、固く平らな面にあおむけで寝かせる
- D赤ちゃんを守るために柔らかい枕とバンパーを使う
2.やさしい
Which of these is one of the most common causes of food allergy in infants?
- AApple purée
- BRice
- CCarrot
- DCow's milk protein
3.やさしい
12 か月未満の赤ちゃんにはちみつを与えてはいけないのはなぜですか?
- A乳児ボツリヌス症を起こす芽胞を含むことがあるため
- B黄疸を起こすため
- C赤ちゃんの生えたての歯に、数日でむし歯を起こすため
- Dカロリーが低すぎるため
4.ふつう
口唇裂の修復手術後に、縫合部を守る看護行為はどれですか?
- Aすぐにおしゃぶりを吸わせる
- Bかさぶたを取るために、乾いた粗い布で縫合部を 1 日に何度も拭く
- C赤ちゃんをうつぶせで寝かせる
- D赤ちゃんをあおむけまたは横向きにし、口に物を入れないようにする
5.ふつう
How should a 3-year-old use a metered-dose inhaler?
- ADirectly into the mouth without a spacer, while breathing in as fast as possible
- BWith a spacer and face mask, taking several normal breaths after each puff
- CWith a spacer and mask, holding the breath for 10 seconds after each puff
- DWith a spacer, giving all the prescribed puffs into it at the same time
6.ふつう
Which instruction about giving oral liquid iron to a child is correct?
- AGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- BGive it mixed in a full bottle of milk to reduce stomach upset
- CGive it together with an antacid to protect the stomach
- DStop the iron straight away if the stools turn dark green or black, as this means bleeding
7.むずかしい
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
- AMilestones are always judged by chronological age, so he is 3 months behind
- BMilestones are judged by corrected age, here about 3 months, so this is expected
- CPreterm babies never reach normal milestones, so no follow-up is needed
- DHe is clearly delayed and needs urgent neurological referral
8.むずかしい
A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?
- ABilirubin
- BAmylase
- CCholesterol
- DPhosphate
解答
- 1. C · 枕やぬいぐるみのない、固く平らな面にあおむけで寝かせる
- 2. D · Cow's milk protein
- 3. A · 乳児ボツリヌス症を起こす芽胞を含むことがあるため
- 4. D · 赤ちゃんをあおむけまたは横向きにし、口に物を入れないようにする
- 5. B · With a spacer and face mask, taking several normal breaths after each puff
- 6. A · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 7. B · Milestones are judged by corrected age, here about 3 months, so this is expected
- 8. D · Phosphate
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