1.ง่าย
What is kangaroo care?
- AWrapping the baby tightly in a blanket for sleep
- BCarrying the baby in a front sling or carrier while doing the housework each day
- CA special incubator that copies the mother's heartbeat
- DSkin-to-skin contact between a parent and a baby, often a preterm baby
2.ง่าย
Why are infants and young children more likely than adults to get middle ear infections (otitis media)?
- ATheir eardrums are thicker and cannot move with pressure changes
- BTheir ear canals are longer and narrower than those of adults
- CTheir Eustachian tubes are shorter, wider and more horizontal
- DThey make more earwax, which traps bacteria in the middle ear
3.ง่าย
Why must a toddler never be left alone in the bath, even for a moment?
- AThe bath water cools quickly and causes hypothermia
- BSoap left on the skin irritates a toddler's skin
- CA toddler left alone gets bored, cries and tries to climb out of the bath
- DA young child can drown silently in a few centimetres of water
4.ปานกลาง
Why should a child with rubella avoid contact with pregnant women?
- ARubella causes pregnant women to go into labour early
- BPregnant women always develop severe pneumonia if they catch rubella
- CThe child may catch a pregnancy-related infection
- DRubella in early pregnancy can cause serious birth defects
5.ปานกลาง
When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?
- AOnly on days when the child has a fever
- BOnly at bedtime, lying flat after the evening meal
- CBefore meals, or well after eating
- DStraight after a large meal, when the child has more energy
6.ปานกลาง
How should a 4-month-old be protected from the sun?
- AUse a sunbed for a few minutes to build a protective tan
- BApply a thick layer of high-factor sunscreen and allow full sun
- CExpose the baby to midday sun for vitamin D, then cover up
- DKeep the baby out of direct sun, in the shade, with light clothing and a hat
7.ยาก
The parents of a 5-year-old refuse a life-saving blood transfusion for religious reasons. What generally happens?
- ARespect beliefs where possible, explore alternatives and seek legal authority if needed
- BThe nurse gives the transfusion secretly while the parents are out of the room, to save time
- CThe team must withhold it, because parents always have the final say in every case
- DThe team waits until the child is old enough to make the decision for himself
8.ยาก
A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?
- AAn allergic reaction to steroids
- BOrdinary oedema from the illness
- CA muscle strain from walking
- DDeep vein thrombosis
เฉลย
- 1. D · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 2. C · Their Eustachian tubes are shorter, wider and more horizontal
- 3. D · A young child can drown silently in a few centimetres of water
- 4. D · Rubella in early pregnancy can cause serious birth defects
- 5. C · Before meals, or well after eating
- 6. D · Keep the baby out of direct sun, in the shade, with light clothing and a hat
- 7. A · Respect beliefs where possible, explore alternatives and seek legal authority if needed
- 8. D · Deep vein thrombosis
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