1.ง่าย
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
- AStrapping it tightly with a binder every day makes it close faster
- BMost close on their own; do not tape a coin over it
- CIt needs emergency surgery within a few days
- DIt is caused by the cord being cut too short
2.ง่าย
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- ATrust versus mistrust
- BIntimacy versus isolation
- CInitiative versus guilt
- DIndustry versus inferiority
3.ง่าย
Egocentrism and magical thinking are typical of which of Piaget's stages?
- AFormal operational stage (about 11 years onwards)
- BPreoperational stage (about 2 to 7 years)
- CConcrete operational stage (about 7 to 11 years)
- DSensorimotor stage (birth to about 2 years)
4.ปานกลาง
Which finding at a 2-year check most needs a speech and language referral?
- AThe child uses about 50 words or more
- BThe child is not yet combining any two words
- CThe child prefers to play beside other toddlers
- DThe child says "no" to most suggestions
5.ปานกลาง
Which instruction about giving oral liquid iron to a child is correct?
- AGive it mixed in a full bottle of milk to reduce stomach upset
- BGive it together with an antacid to protect the stomach
- CStop the iron straight away if the stools turn dark green or black, as this means bleeding
- DGive it with a syringe or straw towards the back of the mouth; dark stools are expected
6.ปานกลาง
A child with a known peanut allergy is starting school. What is the most important step?
- AAllowing the child to eat only foods brought by classmates
- BA written allergy action plan, with in-date auto-injectors and trained staff
- CAsking the child to tell the teachers if she feels unwell
- DKeeping the auto-injector at home, so that it cannot be lost or misused by other children
7.ยาก
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
- AConservation, typical of concrete operations
- BAbstract reasoning, typical of formal operations
- CObject permanence, typical of the sensorimotor stage
- DAnimism, typical of preoperational thinking
8.ยาก
A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?
- ATell her parents to supervise every session until she is 18
- BWarn her firmly that she will die soon if she does not do what she is told
- CStop the physiotherapy, since she does not want it
- DExplore her reasons and plan treatment with her that fits her daily life
เฉลย
- 1. B · Most close on their own; do not tape a coin over it
- 2. C · Initiative versus guilt
- 3. B · Preoperational stage (about 2 to 7 years)
- 4. B · The child is not yet combining any two words
- 5. D · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 6. B · A written allergy action plan, with in-date auto-injectors and trained staff
- 7. D · Animism, typical of preoperational thinking
- 8. D · Explore her reasons and plan treatment with her that fits her daily life
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