1.やさしい
What do Tanner stages describe?
- AThe stages of moral reasoning in children
- BThe stages of physical development during puberty
- CThe stages of grief that families go through after a death
- DThe stages of language development in infancy
2.やさしい
Where does neuroblastoma most often start?
- AIn the adrenal gland
- BIn the bone marrow of the pelvis
- CIn the lining of the bladder
- DIn the white matter of the brain
3.やさしい
How should an infant with gastro-oesophageal reflux be placed to sleep?
- ASitting up in a car seat all night
- BOn the tummy to reduce reflux
- COn the left side, wedged with pillows
- DOn the back, as for all babies
4.ふつう
以前は短い文で話していた 3 歳の女児が、話さなくなり、名前を呼んでも反応しなくなりました。最も重要な点はどれですか?
- Aどの年齢でも、すでに獲得した技能の喪失は、速やかなアセスメントが必要である
- B言語は急に伸びる時期があるので、予想される変化である
- Cこの年齢での正常な退行である
- D疲れているだけで、1 年後に診察すればよいということである
5.ふつう
子どもの循環血液量減少性ショックで、通常、後期のサインとなる所見はどれですか?
- A四肢の冷感
- B低血圧
- C頻脈
- D毛細血管再充満時間の延長
6.ふつう
咽頭痛の 2 週間後に、子どもがコーラ色の尿、まぶたのむくみ、高血圧を示しています。考えられる診断はどれですか?
- A急性溶連菌感染後糸球体腎炎
- B尿路感染症
- Cウィルムス腫瘍
- Dネフローゼ症候群
7.むずかしい
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- AWait to see whether a rash develops before acting
- BTell the oncology team at once, as preventive treatment may be needed
- CReassure the family, as chickenpox is mild in all children
- DGive the live varicella vaccine to the child that same day to boost immunity
8.むずかしい
The mother of a 6-week-old says the baby cries for hours and she fears she might lose control. What is the best advice?
- APut the baby safely in the cot, take a few minutes' break and ask for support
- BGive the baby a little honey on a dummy to settle him at night
- CShake the baby gently for a few seconds to stop the crying and calm him
- DHold the baby face down on her lap until he falls asleep, however long it takes
解答
- 1. B · The stages of physical development during puberty
- 2. A · In the adrenal gland
- 3. D · On the back, as for all babies
- 4. A · どの年齢でも、すでに獲得した技能の喪失は、速やかなアセスメントが必要である
- 5. B · 低血圧
- 6. A · 急性溶連菌感染後糸球体腎炎
- 7. B · Tell the oncology team at once, as preventive treatment may be needed
- 8. A · Put the baby safely in the cot, take a few minutes' break and ask for support
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。