1.やさしい
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACongenital heart defects
- BCataract only in old age
- CClubfoot on both sides
- DCleft lip and palate
2.やさしい
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
- A1500 mL per day
- B2000 mL per day
- C1000 mL per day
- D500 mL per day
3.やさしい
嚢胞性線維症の診断に用いる検査はどれですか?
- A咽頭ぬぐい液の培養
- B尿糖検査
- C胸部 X 線のみ
- D汗中塩化物(汗試験)検査
4.ふつう
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
- BThey should only be given after a skin prick test in every infant
- CThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- DThey should be given from 6 weeks, mixed into the baby's milk
5.ふつう
胃腸炎の乳児の水分状態を観察する最も正確な方法はどれですか?
- A子どもが喉が渇いているか、疲れているように見えるかを、毎日親に尋ねる
- B頭囲を測定する
- C同じ秤で行う毎日の体重測定と、濡れたおむつの数の確認
- D髪の質感を調べる
6.ふつう
Which finding may suggest that a school-age child is being bullied?
- ANot wanting to go to school, lost belongings and frequent stomach aches
- BWanting to collect trading cards and play team games with classmates
- CArguing with a sibling about the TV remote
- DEnjoying school clubs and inviting friends home
7.むずかしい
The nurse has taught the parents of a child with type 1 diabetes. Which statement shows a need for further teaching?
- A"We'll check her glucose before driving to her swimming lesson."
- B"For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- C"We'll give the school a copy of her hypo plan and glucagon."
- D"We'll recheck her glucose about 15 minutes after treating a low."
8.むずかしい
手術後、4 歳児がじっと動かず、顔をしかめ、脚をこわばらせ、うめいています。FLACC スコアは 8 です。看護師はどうすべきですか?
- A子どもが鎮痛を求めるまで待つ
- B処方された鎮痛薬を投与し、効果が出る時間をおいて痛みを再評価する
- C疲れているだけだと考え、寝かせておく
- Dゲームや動画で気をそらし、子どもが求めない限りほかには何も与えない
解答
- 1. A · Congenital heart defects
- 2. C · 1000 mL per day
- 3. D · 汗中塩化物(汗試験)検査
- 4. C · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 5. C · 同じ秤で行う毎日の体重測定と、濡れたおむつの数の確認
- 6. A · Not wanting to go to school, lost belongings and frequent stomach aches
- 7. B · "For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- 8. B · 処方された鎮痛薬を投与し、効果が出る時間をおいて痛みを再評価する
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