1.ง่าย
Why are breastfed infants often given a vitamin D supplement?
- AVitamin D prevents iron-deficiency anaemia
- BBreast milk contains little vitamin D
- CVitamin D prevents newborn jaundice
- DBreast milk contains too little protein for growth
2.ง่าย
ตามหลักการดูแลแบบไม่ก่อบาดแผลทางใจ (atraumatic care) ควรทำหัตถการที่เจ็บ เช่น การเจาะเลือด ที่ใด?
- Aในห้องรอตรวจต่อหน้าเด็กคนอื่น
- Bในห้องเล่นเพื่อให้เด็กรู้สึกผ่อนคลาย
- Cบนเตียงของเด็กเพื่อไม่ต้องเคลื่อนย้าย
- Dในห้องทำหัตถการ ไม่ใช่บนเตียงของเด็ก
3.ง่าย
Which finding in a jaundiced 3-week-old suggests biliary atresia?
- APale, clay-coloured stools and dark urine
- BPale, watery urine and frequent wet nappies
- CBright yellow, seedy stools
- DGreen stools after starting iron drops
4.ปานกลาง
Which instruction about a child's new plaster cast is correct?
- ALet the child walk on a leg cast as soon as it is applied
- BKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
- CPush a knitting needle inside the cast to scratch an itch
- DKeep the limb raised and report increasing pain, numbness or pale or blue fingers
5.ปานกลาง
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly at night, when the child is asleep
- BOnly if the child asks for it
- COnly after the child has already vomited at least twice
- DBefore the chemotherapy starts and then regularly
6.ปานกลาง
Which signs suggest meningitis in a young infant?
- AA clear runny nose, a mild cough and normal feeding
- BA sunken fontanelle with heavy wet nappies
- CA bulging fontanelle, a high-pitched cry, poor feeding and irritability
- DNeck stiffness and a positive Kernig's sign, as in older children and adults
7.ยาก
Which IV fluid is usually used for a fluid bolus in a child with shock?
- A10% glucose solution
- BAn isotonic crystalloid such as 0.9% sodium chloride
- C0.18% sodium chloride with 4% glucose, given quickly
- D5% glucose in water, given as fast as possible
8.ยาก
A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?
- AViral gastroenteritis
- BA need for new glasses because of eye strain
- CA brain tumour with raised intracranial pressure
- DMigraine caused by stress at school
เฉลย
- 1. B · Breast milk contains little vitamin D
- 2. D · ในห้องทำหัตถการ ไม่ใช่บนเตียงของเด็ก
- 3. A · Pale, clay-coloured stools and dark urine
- 4. D · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 5. D · Before the chemotherapy starts and then regularly
- 6. C · A bulging fontanelle, a high-pitched cry, poor feeding and irritability
- 7. B · An isotonic crystalloid such as 0.9% sodium chloride
- 8. C · A brain tumour with raised intracranial pressure
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