1.Dễ
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
- AProjectile vomiting that starts at 4 weeks
- BSleeping through feeds and passing pale stools
- CA strong suck and rapid weight gain
- DCoughing, choking and cyanosis
2.Dễ
For which child is a 0 to 10 numerical pain rating scale usually suitable?
- AA 2-year-old with a recent fracture
- BA child of about 8 years or older
- CA newborn after a heel prick
- DA 3-year-old who cannot yet count
3.Dễ
What causes respiratory distress syndrome in preterm babies?
- AA lack of surfactant in the immature lungs
- BInhaling meconium-stained fluid during birth
- CAn allergy to the oxygen used in the incubator
- DA viral infection caught from the mother
4.Trung bình
Which advice best prevents dog bites in young children?
- ALet the child hug the dog while it eats so it gets used to children
- BNever leave a young child alone with a dog, even the family pet
- CTeach the child to stare into the dog's eyes to show who is in charge
- DChoose a small breed, as small dogs never bite
5.Trung bình
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- AAdvise them to wait until the child can read letters
- BReassure the parents that this always resolves by school age
- CCover the right eye with a patch at home without review
- DRefer the baby to an eye specialist
6.Trung bình
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- AConduction; place the baby on a cold firm surface
- BEvaporation; dry the baby straight away, including the head
- CRadiation; move the cot close to an outside window
- DConvection; leave the baby uncovered in a draught
7.Khó
Phát hiện nào ở trẻ 3 tháng tuổi bị viêm tiểu phế quản cần theo dõi ngay?
- AChảy nước mũi và ho nhẹ
- BNgừng thở từng đợt (apnoea) và độ bão hòa oxy 88%
- CKhò khè nghe được khi nghe phổi
- DBú ít hơn bình thường một chút nhưng vẫn có tã ướt
8.Khó
A baby born to a mother who used opioids in pregnancy has a high-pitched cry, tremors, sneezing and poor feeding. Which plan is best?
- AGive naloxone to reverse the effects of the opioid
- BLow-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool
- CKeep the baby in a bright, busy area of the unit and stimulate them often to keep them awake
- DDelay all feeds until the tremors and sneezing have settled
Đáp án
- 1. D · Coughing, choking and cyanosis
- 2. B · A child of about 8 years or older
- 3. A · A lack of surfactant in the immature lungs
- 4. B · Never leave a young child alone with a dog, even the family pet
- 5. D · Refer the baby to an eye specialist
- 6. B · Evaporation; dry the baby straight away, including the head
- 7. B · Ngừng thở từng đợt (apnoea) và độ bão hòa oxy 88%
- 8. B · Low-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool
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