1.ง่าย
Which is the most common congenital heart defect?
- ATetralogy of Fallot
- BCoarctation of the aorta
- CVentricular septal defect
- DTransposition of the great arteries
2.ง่าย
การรับรู้ว่าสิ่งของยังคงอยู่แม้มองไม่เห็น (object permanence) พัฒนาในขั้นใดของเพียเจต์ (Piaget)?
- Aขั้นปฏิบัติการรูปธรรม (concrete operational)
- Bขั้นก่อนปฏิบัติการ (preoperational)
- Cขั้นประสาทสัมผัสและการเคลื่อนไหว (sensorimotor)
- Dขั้นปฏิบัติการนามธรรม (formal operational)
3.ง่าย
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
- AProjectile vomiting that starts at 4 weeks
- BA strong suck and rapid weight gain
- CSleeping through feeds and passing pale stools
- DCoughing, choking and cyanosis
4.ปานกลาง
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
- A1500 mL per day
- B1000 mL per day
- C750 mL per day
- D1250 mL per day
5.ปานกลาง
A child has impetigo. Which advice helps to stop it spreading?
- APick the crusts off daily so the skin heals faster
- BUse separate towels, wash hands often and keep nails short
- CShare flannels and towels so the whole family is treated
- DCover the crusts with a thick layer of petroleum jelly and leave them
6.ปานกลาง
Which instruction about preparing powdered infant formula is correct?
- AWarm bottles in the microwave, as long as they are shaken first
- BFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- CAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
- DAdd extra water in hot weather so the baby gets more fluid
7.ยาก
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
- ATreat the wounds, stay calm and non-judgemental, and refer for assessment
- BAccept that she is not at risk because she says she does not want to die
- CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
- DPromise not to tell anyone so that she keeps talking
8.ยาก
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
- AWithout early treatment it can cause lasting learning disability and poor growth
- BThe baby will develop diabetes if the thyroid is not treated now
- CThe baby could pass the condition to other children in the family
- DTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
เฉลย
- 1. C · Ventricular septal defect
- 2. C · ขั้นประสาทสัมผัสและการเคลื่อนไหว (sensorimotor)
- 3. D · Coughing, choking and cyanosis
- 4. D · 1250 mL per day
- 5. B · Use separate towels, wash hands often and keep nails short
- 6. B · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- 7. A · Treat the wounds, stay calm and non-judgemental, and refer for assessment
- 8. A · Without early treatment it can cause lasting learning disability and poor growth
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