1.ง่าย
Which signs suggest a urinary tract infection in an infant?
- APain in the lower back that the baby points to
- BA clear runny nose and a mild cough
- CClear complaints of burning and stinging when passing urine
- DFever, poor feeding, vomiting and irritability
2.ง่าย
How is cystic fibrosis inherited?
- AThrough mitochondrial DNA from the mother
- BAutosomal recessive
- CX-linked recessive
- DAutosomal dominant
3.ง่าย
How is sickle cell disease inherited?
- ANot inherited; it is acquired
- BX-linked recessive
- CAutosomal recessive
- DAutosomal dominant
4.ปานกลาง
Which measure is most important in preventing infection in a child with neutropenia?
- AWearing a mask only when the child has a fever
- BGiving routine antibiotics to all family members
- CCareful hand hygiene by everyone in contact with the child
- DKeeping all visitors, including the parents, out of the child's room
5.ปานกลาง
Which newborn problem may be the first sign of cystic fibrosis?
- AMeconium ileus
- BPhysiological jaundice
- CErythema toxicum
- DUmbilical hernia
6.ปานกลาง
A child is in skin traction for a leg fracture. Which nursing action is correct?
- ALet the weights rest on the floor while the child sleeps, so the pull is gentler
- BLift the weights off when the child is uncomfortable
- CRemove the traction tapes every hour to check the skin
- DKeep the weights hanging freely, clear of the bed and floor
7.ยาก
ข้อสังเกตใดในเด็กที่ใส่ท่อระบายน้ำไขสันหลังจากโพรงสมองไปช่องท้อง (ventriculoperitoneal shunt) ต้องติดตามทันที?
- Aแผลเป็นที่หายแล้วตามแนวท่อ
- Bปวดศีรษะ อาเจียนซ้ำ ๆ และซึมมากขึ้น
- Cความอยากอาหารและการเล่นปกติ
- Dตุ่มนุ่มเล็ก ๆ เหนือวาล์วที่ไม่เปลี่ยนแปลง
8.ยาก
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
- AMilestones are always judged by chronological age, so he is 3 months behind
- BPreterm babies never reach normal milestones, so no follow-up is needed
- CMilestones are judged by corrected age, here about 3 months, so this is expected
- DHe is clearly delayed and needs urgent neurological referral
เฉลย
- 1. D · Fever, poor feeding, vomiting and irritability
- 2. B · Autosomal recessive
- 3. C · Autosomal recessive
- 4. C · Careful hand hygiene by everyone in contact with the child
- 5. A · Meconium ileus
- 6. D · Keep the weights hanging freely, clear of the bed and floor
- 7. B · ปวดศีรษะ อาเจียนซ้ำ ๆ และซึมมากขึ้น
- 8. C · Milestones are judged by corrected age, here about 3 months, so this is expected
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com