1.やさしい
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ABecause an undescended testis leads to kidney failure if left untreated
- BTo stop the testis from producing too much testosterone in puberty
- CTo protect fertility and allow the testis to be checked for cancer
- DBecause an undescended testis causes severe daily pain in infancy
2.やさしい
Which simple test is used to screen for scoliosis?
- ARomberg test with the eyes closed
- BOrtolani test
- CBabinski test
- DAdams forward bend test
3.やさしい
What is usually the first sign of puberty in girls?
- ABreast budding
- BFirst menstrual period
- CRapid weight loss
- DUnderarm hair
4.ふつう
看護師は 15 歳との健康面接にどう臨むべきですか?
- A親にだけ話す
- B支えとして、友人を同席させて面接する
- C親に情報を伝えるため、話したことはすべて親に共有すると青年に伝える
- D診察の一部を青年と 2 人だけで過ごし、守秘の範囲を説明する
5.ふつう
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- ABowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- BUrine specific gravity at every void
- CPulse, colour, warmth and sensation of the leg below the puncture site
- DPupil size and reaction every 15 minutes
6.ふつう
Which temperature is usually taken as fever in a child?
- A37.5 °C (99.5 °F) or higher
- B39.5 °C (103.1 °F) or higher
- C38.0 °C (100.4 °F) or higher
- D37.0 °C (98.6 °F) or higher
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
- BGive the baby a little honey on a dummy to settle him at night
- CPut the baby safely in the cot, take a few minutes' break and ask for support
- DShake the baby gently for a few seconds to stop the crying and calm him
8.むずかしい
今朝、扁桃摘出術を受けた子どもが、頻繁に唾を飲み込み、鮮紅色の血を吐き出しています。看護師が最初にすべきことは何ですか?
- Aのどを落ち着かせるために温かい飲み物を与える
- Bうがいを勧める
- Cのどとバイタルサインをアセスメントし、至急、外科医に報告する
- D記録に書き、次の定期的な観察時に再評価する
解答
- 1. C · To protect fertility and allow the testis to be checked for cancer
- 2. D · Adams forward bend test
- 3. A · Breast budding
- 4. D · 診察の一部を青年と 2 人だけで過ごし、守秘の範囲を説明する
- 5. C · Pulse, colour, warmth and sensation of the leg below the puncture site
- 6. C · 38.0 °C (100.4 °F) or higher
- 7. C · Put the baby safely in the cot, take a few minutes' break and ask for support
- 8. C · のどとバイタルサインをアセスメントし、至急、外科医に報告する
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