1.やさしい
What is Gowers' sign?
- AFanning of the toes when the sole of the foot is stroked
- BA sudden startle with the arms flung outwards
- CFlexing the hips and knees when the neck is bent forward by the examiner
- DUsing the hands to "walk up" the legs to stand up from the floor
2.やさしい
What is usually the first sign of puberty in girls?
- AFirst menstrual period
- BBreast budding
- CUnderarm hair
- DRapid weight loss
3.やさしい
What is the usual normal range for the platelet count?
- AAbout 15 to 40 × 109/L
- BAbout 150 to 400 × 109/L
- CAbout 4 to 11 × 109/L
- DAbout 1,500 to 4,000 × 109/L
4.ふつう
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- BContinue breastfeeding, and give oral rehydration solution as advised
- CGive diluted fruit juice instead of breast milk
- DGive nothing by mouth for 24 hours
5.ふつう
Which group of findings is typical in a teenager with severe anorexia nervosa?
- AWeight gain, oedema and high blood pressure
- BRapid growth, acne and an increased appetite
- CSlow heart rate, low blood pressure and low body temperature
- DFast heart rate, high blood pressure and a high fever
6.ふつう
Why are elbow splints often used after cleft lip repair?
- ATo stop the baby touching or rubbing the suture line
- BTo keep the baby's arms warm and still after surgery and anaesthesia
- CTo make the baby sleep for longer
- DTo keep the IV cannula from being needed
7.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?
- AHold the baby face down on her lap until he falls asleep, however long it takes
- BPut the baby safely in the cot, take a few minutes' break and ask for support
- CShake the baby gently for a few seconds to stop the crying and calm him
- DGive the baby a little honey on a dummy to settle him at night
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疲れているだけだと考え、寝かせておく
- 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子どもが鎮痛を求めるまで待つ
- 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. D · Using the hands to "walk up" the legs to stand up from the floor
- 2. B · Breast budding
- 3. B · About 150 to 400 × 109/L
- 4. B · Continue breastfeeding, and give oral rehydration solution as advised
- 5. C · Slow heart rate, low blood pressure and low body temperature
- 6. A · To stop the baby touching or rubbing the suture line
- 7. B · Put the baby safely in the cot, take a few minutes' break and ask for support
- 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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