1.ง่าย
Which statement about head lice is correct?
- AThey spread by head-to-head contact and are not a sign of poor hygiene
- BThey jump or fly from one child to another across the classroom
- CThey only affect children with dirty hair who do not wash it often
- DThey mainly live on pets and pass to children from dogs and cats
2.ง่าย
What happens in the rooting reflex of a newborn?
- AWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
- BWhen the palm is touched, the baby grasps the finger tightly and holds on
- CWhen the sole is stroked, the toes fan out
- DWhen the baby is startled, the arms fling outwards and then come together
3.ง่าย
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- AGreen stools after starting iron drops
- BPale, clay-coloured stools and dark urine
- CBright yellow, seedy stools
- DPale, watery urine and frequent wet nappies
4.ปานกลาง
A child has just spilled hot tea on his arm. What is the correct first aid?
- ASpread butter or toothpaste on the burn
- BBurst any blisters to let the heat out
- CCool the burn under cool running water for about 20 minutes
- DHold ice directly on the burn for about an hour to stop the pain
5.ปานกลาง
Which newborn problem may be the first sign of cystic fibrosis?
- AErythema toxicum
- BUmbilical hernia
- CPhysiological jaundice
- DMeconium ileus
6.ปานกลาง
When is the risk of bleeding after a tonsillectomy highest?
- AThe risk stays exactly the same on every day for the first month
- BOnly during the first 2 hours after surgery
- CIn the first 24 hours and again about 5 to 10 days later
- DOnly after 3 weeks, when the throat is fully healed
7.ยาก
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
- AThe diagnosis was probably wrong, and insulin can be stopped
- BThe child has become insulin resistant and now needs tablets instead of injections
- CThis is the temporary "honeymoon" phase; insulin is still needed
- DThe diabetes has turned into type 2 diabetes
8.ยาก
The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?
- AHe is copying behaviour from other children in his class
- BHe has developed attention deficit hyperactivity disorder and needs medicine
- CHe may feel worried, jealous or left out and needs attention and information
- DIt is unrelated to the illness and is normal for his age
เฉลย
- 1. A · They spread by head-to-head contact and are not a sign of poor hygiene
- 2. A · When the cheek is stroked, the baby turns towards the touch and opens the mouth
- 3. B · Pale, clay-coloured stools and dark urine
- 4. C · Cool the burn under cool running water for about 20 minutes
- 5. D · Meconium ileus
- 6. C · In the first 24 hours and again about 5 to 10 days later
- 7. C · This is the temporary "honeymoon" phase; insulin is still needed
- 8. C · He may feel worried, jealous or left out and needs attention and information
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