1.ง่าย
What is the most common cause of Down syndrome?
- AInfection with rubella in early pregnancy
- BA missing X chromosome in a girl
- CA single gene inherited from both carrier parents
- DAn extra copy of chromosome 21 (trisomy 21)
2.ง่าย
สาเหตุที่พบบ่อยที่สุดของหลอดลมฝอยอักเสบ (bronchiolitis) ในทารกคืออะไร?
- Aสแตฟีโลค็อกคัส ออเรียส
- Bสเตรปโตค็อกคัสกลุ่มเอ
- Cไวรัสอาร์เอสวี (respiratory syncytial virus, RSV)
- Dเฮโมฟิลัส อินฟลูเอนซี ชนิดบี
3.ง่าย
How do most preschool children understand death?
- AAs an abstract idea they can discuss in depth
- BAs a purely biological process, explained by science
- CAs temporary or reversible, like being asleep or away
- DAs permanent and something that will happen to everyone
4.ปานกลาง
ข้อสังเกตใดในการตรวจเมื่ออายุ 18 เดือนที่ต้องส่งต่อเพื่อประเมินพัฒนาการ?
- Aเด็กยังเดินเองไม่ได้
- Bเด็กเล่นอยู่ข้าง ๆ เด็กอื่นแทนที่จะเล่นด้วยกัน
- Cเด็กกลัวคนแปลกหน้า
- Dเด็กพูดได้เพียงไม่กี่คำ
5.ปานกลาง
Which instruction about a child's new plaster cast is correct?
- ALet the child walk on a leg cast as soon as it is applied
- BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
- CKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
- DPush a knitting needle inside the cast to scratch an itch
6.ปานกลาง
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
- AAvoid sport, because exercise is unsafe with diabetes
- BInject an extra dose of insulin into the thigh just before he starts running
- CCheck glucose before playing and keep fast-acting carbohydrate at hand
- DSkip the meal before the match to avoid high glucose
7.ยาก
A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?
- ANo action is needed, because head bleeds are rare in haemophilia
- BSeek urgent care, as factor replacement may be needed before symptoms appear
- CGive aspirin for the pain and apply ice to the bump
- DWatch him at home for a week and bring him in only if he vomits or has a headache
8.ยาก
After hypospadias repair, a toddler has a urinary catheter. Which nursing action has priority?
- AKeep the catheter draining freely and check for kinks or blockage
- BRemove the dressing on the first day to check the wound
- CLimit fluids for the first days so that less urine passes over the repair
- DClamp the catheter for a few hours to train the bladder
เฉลย
- 1. D · An extra copy of chromosome 21 (trisomy 21)
- 2. C · ไวรัสอาร์เอสวี (respiratory syncytial virus, RSV)
- 3. C · As temporary or reversible, like being asleep or away
- 4. A · เด็กยังเดินเองไม่ได้
- 5. B · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 6. C · Check glucose before playing and keep fast-acting carbohydrate at hand
- 7. B · Seek urgent care, as factor replacement may be needed before symptoms appear
- 8. A · Keep the catheter draining freely and check for kinks or blockage
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