1.ง่าย
Which finding suggests hydrocephalus in an infant?
- AA flat area on the back of the head
- BA rapidly increasing head circumference with a bulging fontanelle
- CA sunken fontanelle with dry mucous membranes and few wet nappies
- DA small head with a closed fontanelle at birth
2.ง่าย
Which finding on examination is typical of pyloric stenosis?
- AA swollen abdomen with no bowel sounds at all
- BAn olive-shaped mass in the upper abdomen
- CA soft bulge at the belly button when crying
- DA tender mass in the left lower abdomen
3.ง่าย
อัตราการเต้นของหัวใจขณะพักช่วงใดเป็นลักษณะทั่วไปของเด็กวัยเรียน (ประมาณ 6 ถึง 12 ปี)?
- Aประมาณ 120 ถึง 170 ครั้งต่อนาที
- Bประมาณ 70 ถึง 120 ครั้งต่อนาที
- Cประมาณ 40 ถึง 60 ครั้งต่อนาที
- Dประมาณ 150 ถึง 200 ครั้งต่อนาที
4.ปานกลาง
Why should a child with rubella avoid contact with pregnant women?
- AThe child may catch a pregnancy-related infection
- BRubella in early pregnancy can cause serious birth defects
- CPregnant women always develop severe pneumonia if they catch rubella
- DRubella causes pregnant women to go into labour early
5.ปานกลาง
A toddler with hand, foot and mouth disease refuses to drink because of painful mouth sores. What is the priority?
- APreventing dehydration
- BPreventing hair loss
- CStarting antibiotics
- DTreating the rash with steroid cream
6.ปานกลาง
How is a child's weight status (for example overweight) assessed?
- AWaist size compared with the parents' waist size
- BWeight alone, compared with the average weight of children in the same class
- CBMI compared with the adult cut-off points
- DBMI plotted on an age- and sex-specific centile chart
7.ยาก
A preterm baby on milk feeds develops a distended abdomen, larger gastric aspirates and blood in the stool. What should the nurse do first?
- AStop feeds and report at once
- BRecord it and review at the next feed
- CIncrease the feeds to help the bowel work
- DGive a glycerine suppository and wait
8.ยาก
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
- AThis is the temporary "honeymoon" phase; insulin is still needed
- BThe child has become insulin resistant and now needs tablets instead of injections
- CThe diabetes has turned into type 2 diabetes
- DThe diagnosis was probably wrong, and insulin can be stopped
เฉลย
- 1. B · A rapidly increasing head circumference with a bulging fontanelle
- 2. B · An olive-shaped mass in the upper abdomen
- 3. B · ประมาณ 70 ถึง 120 ครั้งต่อนาที
- 4. B · Rubella in early pregnancy can cause serious birth defects
- 5. A · Preventing dehydration
- 6. D · BMI plotted on an age- and sex-specific centile chart
- 7. A · Stop feeds and report at once
- 8. A · This is the temporary "honeymoon" phase; insulin is still needed
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