1.ง่าย
ทารกเริ่มยิ้มตอบสนองต่อใบหน้าที่คุ้นเคยทางสังคมเมื่ออายุประมาณเท่าใด?
- Aประมาณ 6 เดือน
- Bประมาณ 2 สัปดาห์
- Cประมาณ 2 เดือน
- Dประมาณ 9 เดือน
2.ง่าย
Which finding is typical of impetigo?
- ATiny burrows between the fingers
- BSilvery scales on the elbows and knees
- CA target-shaped rash with a dusky, pale centre on the palms
- DHoney-coloured crusts, often around the nose and mouth
3.ง่าย
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACongenital heart defects
- BClubfoot on both sides
- CCataract only in old age
- DCleft lip and palate
4.ปานกลาง
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AContinue breastfeeding, and give oral rehydration solution as advised
- BGive diluted fruit juice instead of breast milk
- CStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- DGive nothing by mouth for 24 hours
5.ปานกลาง
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- BThey should only be given after a skin prick test in every infant
- CThey should be given from 6 weeks, mixed into the baby's milk
- DThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
6.ปานกลาง
Which advice is best for a baby with mild nappy rash?
- AApply talcum powder thickly at every nappy change
- BChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- CWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- DUse tighter nappies so that less urine reaches the skin
7.ยาก
A child has a swollen, red eyelid with fever, pain on moving the eye and blurred vision. What should the nurse suspect?
- ASimple conjunctivitis, treated with eye drops at home
- BA stye, which will drain on its own with warm compresses
- COrbital cellulitis, which needs urgent review and IV antibiotics
- DAn insect bite, which needs only a cold compress
8.ยาก
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AEczema herpeticum, which needs urgent antiviral treatment
- BAn allergic reaction to the emollient
- CA normal eczema flare that needs more emollient
- DChickenpox, which is mild and needs no specific treatment
เฉลย
- 1. C · ประมาณ 2 เดือน
- 2. D · Honey-coloured crusts, often around the nose and mouth
- 3. A · Congenital heart defects
- 4. A · Continue breastfeeding, and give oral rehydration solution as advised
- 5. A · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 6. B · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 7. C · Orbital cellulitis, which needs urgent review and IV antibiotics
- 8. A · Eczema herpeticum, which needs urgent antiviral treatment
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