1.ง่าย
How should an infant with gastro-oesophageal reflux be placed to sleep?
- AOn the left side, wedged with pillows
- BOn the tummy to reduce reflux
- CSitting up in a car seat all night
- DOn the back, as for all babies
2.ง่าย
How does respiratory syncytial virus (RSV) mainly spread?
- AThrough droplets and contaminated hands and surfaces
- BThrough the bites of insects such as mosquitoes
- COnly through the air over long distances, like measles
- DThrough contaminated food and drinking water
3.ง่าย
How much fluoride toothpaste is usually advised for a child under 3 years?
- AA full strip along the length of the brush
- BA pea-sized amount on a soft brush
- CNone until all the baby teeth have come through
- DA smear about the size of a grain of rice
4.ปานกลาง
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
- AReassure the parents that sticky eyes are always harmless in the first weeks of life
- BClean the eye with breast milk and review in a week
- CArrange prompt medical review, as infection from the birth canal is possible
- DApply an over-the-counter steroid eye ointment
5.ปานกลาง
Which injury in an infant is most suggestive of physical abuse?
- APosterior rib fractures
- BA scraped knee in a 3-year-old
- CA greenstick fracture of the forearm after a fall from a slide
- DA bruise on the shin of a walking toddler
6.ปานกลาง
A child is sent home after a minor head injury. Which sign should parents report straight away?
- AA small bump on the forehead
- BWanting a nap at the usual time
- CMild soreness at the site
- DRepeated vomiting
7.ยาก
Two healthcare rescuers are giving CPR to an infant. Which compression technique is recommended?
- ACompressions with one finger over the upper sternum
- BBoth hands placed one on top of the other over the upper abdomen
- CBoth hands interlocked over the centre of the chest, with arms straight
- DThe two-thumb technique with the hands encircling the chest
8.ยาก
An infant with heart failure is breathing fast and working hard. Which position helps most?
- ASemi-upright, with the head and chest raised
- BFlat on the back with the legs raised
- CLying flat on the left side only
- DProne with the head turned to the side
เฉลย
- 1. D · On the back, as for all babies
- 2. A · Through droplets and contaminated hands and surfaces
- 3. D · A smear about the size of a grain of rice
- 4. C · Arrange prompt medical review, as infection from the birth canal is possible
- 5. A · Posterior rib fractures
- 6. D · Repeated vomiting
- 7. D · The two-thumb technique with the hands encircling the chest
- 8. A · Semi-upright, with the head and chest raised
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