1.ง่าย
อาการใดเป็นลักษณะทั่วไปของโรคครูป (croup)?
- Aไอเสียงเห่าคล้ายแมวน้ำ
- Bเสียงวู้ปหลังไอเป็นชุด
- Cน้ำลายไหลและกลืนไม่ได้
- Dเสียงหวีดเฉพาะตอนหายใจออก
2.ง่าย
Which vaccine has made acute epiglottitis much less common in children?
- AMeasles–mumps–rubella (MMR) vaccine
- BRotavirus vaccine given by mouth
- CPneumococcal conjugate vaccine
- DHaemophilus influenzae type b (Hib) vaccine
3.ง่าย
What is cerebral palsy?
- AA non-progressive disorder of movement and posture from damage to the developing brain
- BA genetic disorder of collagen that makes the bones break easily
- CAn infection of the spinal cord that causes sudden paralysis of the legs
- DA progressive muscle disease in which muscle fibres are slowly replaced by fat
4.ปานกลาง
เด็กที่เป็นเตตราโลจีออฟฟัลโลต์ (tetralogy of Fallot) เขียวมากและหายใจลำบากอย่างฉับพลันขณะร้องไห้ ท่าใดช่วยได้?
- Aเอียงศีรษะลง
- Bนอนราบหงาย
- Cนั่งโดยปล่อยขาห้อย
- Dท่างอเข่าชิดอก (knee–chest) หรือนั่งยอง
5.ปานกลาง
How should an infant with heart failure be fed?
- AStop the feed when the baby tires and wait until the next scheduled feed
- BSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
- CLying flat on the back so the baby does not need to hold the head up
- DLarge feeds every 6 hours so the baby can rest in between
6.ปานกลาง
A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?
- AKeep it on as instructed, do not adjust the straps and check the skin daily
- BApply powder and lotion under the straps to protect the skin
- CTake it off every night so the baby can sleep more comfortably and move freely
- DTighten the straps each week as the baby grows
7.ยาก
A child with a head injury now has rising blood pressure, a falling heart rate and irregular breathing. What does this indicate?
- ANormal recovery after a head injury
- BDehydration that needs more fluids
- CPain from the injury that needs stronger, regular analgesia
- DA late sign of raised intracranial pressure; an emergency
8.ยาก
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
- AThe normal low muscle tone of Down syndrome getting worse with age
- BA simple urinary infection causing tiredness
- CAtlantoaxial instability with spinal cord compression
- DGrowing pains in the legs
เฉลย
- 1. A · ไอเสียงเห่าคล้ายแมวน้ำ
- 2. D · Haemophilus influenzae type b (Hib) vaccine
- 3. A · A non-progressive disorder of movement and posture from damage to the developing brain
- 4. D · ท่างอเข่าชิดอก (knee–chest) หรือนั่งยอง
- 5. B · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 6. A · Keep it on as instructed, do not adjust the straps and check the skin daily
- 7. D · A late sign of raised intracranial pressure; an emergency
- 8. C · Atlantoaxial instability with spinal cord compression
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