1.やさしい
Why are breastfed infants often given a vitamin D supplement?
- ABreast milk contains too little protein for growth
- BBreast milk contains little vitamin D
- CVitamin D prevents newborn jaundice
- DVitamin D prevents iron-deficiency anaemia
2.やさしい
Why are children with spina bifida often cared for with latex-free equipment?
- ALatex damages the skin over the spine
- BLatex causes neural tube defects
- CLatex particles can block the shunt in the brain
- DThey have a high risk of latex allergy
3.やさしい
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
- AIt needs emergency surgery within a few days
- BIt is caused by the cord being cut too short
- CMost close on their own; do not tape a coin over it
- DStrapping it tightly with a binder every day makes it close faster
4.ふつう
学童の喘息の子どもが、毎日吸入ステロイド薬を使っています。看護師は何を指導すべきですか?
- A症状が良くなったらすぐにやめる
- B粉を水で飲み込む
- C毎回の使用後に口をすすぎ、スペーサーを使う
- D喘息発作のときだけ使う
5.ふつう
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
- ASeparate them by at least 1 week
- BNever give both vaccines in the same year
- CGive the second within 24 hours of the first
- DSeparate them by at least 4 weeks
6.ふつう
In acute post-streptococcal glomerulonephritis, which assessment is especially important?
- ABlood glucose
- BSerum bilirubin
- CPeak flow
- DBlood pressure
7.むずかしい
Which child should the nurse see first?
- AA 4-year-old with asthma who can say only one or two words between breaths
- BA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
- CA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
- DA 2-year-old with croup who has a barking cough but no stridor at rest
8.むずかしい
健康な 12 か月児が、ワクチン接種の翌晩に軽い発熱と不機嫌を示しています。親は、今後のワクチンをやめるべきか尋ねています。正しい答えはどれですか?
- Aやめる必要はない。軽い発熱と不機嫌はよくある予想される反応で、接種をやめる理由にならない
- Bやめるべきである。この子はもう二度とワクチンを接種してはならない
- C発熱と不機嫌が再び起こらないよう、今後のワクチンの前には毎回抗菌薬を服用させるべきである
- Dやめるべきである。どんな反応も、子どもがアレルギーであることを意味する
解答
- 1. B · Breast milk contains little vitamin D
- 2. D · They have a high risk of latex allergy
- 3. C · Most close on their own; do not tape a coin over it
- 4. C · 毎回の使用後に口をすすぎ、スペーサーを使う
- 5. D · Separate them by at least 4 weeks
- 6. D · Blood pressure
- 7. A · A 4-year-old with asthma who can say only one or two words between breaths
- 8. A · やめる必要はない。軽い発熱と不機嫌はよくある予想される反応で、接種をやめる理由にならない
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