1.やさしい
エリクソンによると、乳児期(出生から約 1 歳)の発達課題はどれですか?
- A自律性 対 恥・疑惑
- B基本的信頼 対 不信
- Cアイデンティティ(同一性)対 役割混乱
- D親密性 対 孤立
2.やさしい
At about what age can most children hop on one foot?
- AAbout 4 years
- BAbout 8 years
- CAbout 2 years
- DAbout 18 months
3.やさしい
What is a greenstick fracture?
- AAn incomplete fracture in which the bone bends and cracks on one side
- BA fracture that passes through a joint surface only
- CA fracture in which the broken bone ends push out through the skin
- DA fracture in which the bone shatters into many pieces
4.ふつう
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- ALay the child flat in a cool room so the airway can relax
- BGive an over-the-counter cough syrup every hour until the barking cough stops
- CHold the child over a bowl of hot, steaming water to loosen the cough
- DKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
5.ふつう
Which injury in an infant is most suggestive of physical abuse?
- APosterior rib fractures
- BA scraped knee in a 3-year-old
- CA greenstick fracture of the forearm after a fall from a slide
- DA bruise on the shin of a walking toddler
6.ふつう
Which group of findings suggests Kawasaki disease?
- AHigh fever for 3 days, then a pink rash as the fever settles
- BFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
- CFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- DLow-grade fever, a barking cough and stridor that are worse at night
7.むずかしい
Which phone call should the nurse return first?
- AA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- BA parent of a 3-year-old with a runny nose and a mild cough for 2 days
- CA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
- DA parent asking when the next routine vaccines are due
8.むずかしい
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
- AAn accidental spill from a cup of tea
- BSunburn from playing outside in a paddling pool on a hot day
- CPossible deliberate immersion; follow the safeguarding procedure
- DA skin infection that looks like a burn
解答
- 1. B · 基本的信頼 対 不信
- 2. A · About 4 years
- 3. A · An incomplete fracture in which the bone bends and cracks on one side
- 4. D · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 5. A · Posterior rib fractures
- 6. C · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 7. A · A parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- 8. C · Possible deliberate immersion; follow the safeguarding procedure
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