Name : Asri Puji Lestari

CODE A
1. 1) The fencing position
Rational : Tonic neck reflex: Turn the infant's head to one side; the arm and leg on that
side will extend while the opposite arm and leg flex ("fencing position"). This reflex
disappears by age 8 months.
2. 1) Pressure and oxygen concentration within the heart and major vessel
Rational : Although cardiac catheterization is rarely needed for diagnostic purposes,
transcatheter closure of an ostium secundum ASD is now the preferred method of
treatment. If a catheterization is performed, oximetry shows a significant step-up in oxygen
saturation from the superior vena cava to the right atrium. The pulmonary artery pressure
and pulmonary vascular resistance are usually normal. The Q p:Qs may vary from 1.5:1 to
4:1.
3. 1) The child will put herself to a sitting position
Rational : 68 mo, Activities to be observed:
Sits alone for a short period.
Imitates "bye-bye."
Reaches with one hand.
Passes object from hand to hand in
First scoops up a pellet then grasps it
midline.
Babbles.
using thumb opposition.

4. 3) The measles, rubella, and mumps immunization or 4 ) A diptheria-tetanus-pertusis

booster
5. Rational :Measles, mumps and rubella vaccine will receive at minimum 12 months and the
second dose administer at age 4-6 years.

6.
7. 4)A string of bead
8. Rational : 10-month-old child can uses thumbs and index finger to pick up pellet. The toys
must safe to prevent the alergies and put in to their mouth, especially child who has infantile
eczema.
9. 4) 80 per minute
10.Rational : Pulse rate for 2 to 4 years old = 80-110 per minut
11.3) initiative versus guilt
12.Rational : Autonomy VS shame and doubt 18 mounth until 3 years, industry vs inferiority
6 years adolences, Initiative vs Guilt 3-5 years, identity vs identity diffusion 10-20
years
13. 4)Steroid
14.Rational : treatment with Methotrexate is steroid gent aimed at quieting the inflammation
processes
15.1) 6 years of age
16.Rational : All of sensorimotor coordination abilities are maturing and facilitating pencil-andpaper tasks and sports, bothpart of the school experience completed between 5-7 years
17.4) Dunlops traction
18.Rational : The Dunlops traction used to supracondylar fractures to maintain the lower arms
toward relative humerus positions
19.3) 12 years of age
20.Rational : The pubertal growth spurt begins nearly 2 years earlier ingirls than in boys. Girls
reach peak height velocity betweenages 11 and 12 years, and boys, between ages 13
and 14years. Linear growth at peak velocity is 9.5 cm/y 1.5 cm inboys and 8.3 cm/y 1.2
cm in girls.
21.4) Protein
22.Rational : Proteins are essential for the human body. They are one of the building blocks of
the body tissue
23.
13 3) Indicate atypical cells, but is not suggestive for malignancy
24.

Rational: Class II pap smear is further broken down into atypical squamous cells. With

these smears it is more difficult for the pathologist to unequivocaally say that it is negative.
25.

14 1) 7 day after fertilization

26.

Rational: Events during the first week of human development. 1, Oocyte immedi-

ately after ovulation. 2, Fertilization, approximately 12 to 24 hours after ovulation. 3,Stage

of the male and female pronuclei. 4, Spindle of the first mitotic division. 5, Two-cell stage
(approximately 30 hours of age). 6, Morula containing 12 to 16 blastomeres(approximately
3 days of age). 7, Advanced morula stage reaching the uterine lumen(approximately 4 days
of age). 8, Early blastocyst stage (approximately 4.5 days of age).The zona pellucida has
disappeared. 9, Early phase of implantation (blastocyst approx-imately 6 days of age). The
ovary shows stages of transformation between a primaryfollicle and a preovulatory follicle
as well as a corpus luteum. The uterine endometriumis shown in the progestational stage.
27.
28.

Rational: clear
29.

30.

15 1)pneumonia
16 4)X-Ray examination

Rational: Sputum is obtained for analysisto determine whether malignant cells are

present and to identify pathogenic organisms in lungs, including tuberculosis.

31.
32.

17 1)Allows aqueous fluid to drain from the anaterior chamber

Rational: Pilocarpine increases aqueous fluid outflowby contracting the ciliarymuscle

and causing miosis(constriction of the pupil) and opening of trabecularmeshwork.

33.

18 D

34.

Rational: A cataract is a cloudy or opaque lens. On visual inspection,the lens appears

grey or milky.No nonsurgical treatment cures cataracts.

35.

19 Dream Work
36.

37.

20 1) An Extremely ambivalent relationship whit the lost person

Rational:People who are vulnerable to com-plicated grieving include those with the

followingcharacteristics:

Low self-esteem
Low trust in others
A previous psychiatric disorder
Previous suicide threats or attempts
Absent or unhelpful family members
An ambivalent, dependent, or insecure at-tachment to the deceased person. In an
ambivalent attachment, at least onepartner is unclear about how the coupleloves or does
not love each other.

38.
39.CODE C
1. (1) weight not include apgar score
40.Apgar Score

41.
42.
2. (2)
43.congenital heart disease is a problem with the heart's structure and function that is present
at birth. Congenital heart disease is often divided into two types: cyanotic (blue skin
color caused by a lack of oxygen) and non-cyanotic.
3. (3)
44.Normal baby body weight in 6 months include the formula (0-12 mounth)
45.= (age (mounth)/2) + 4 = (6/2)+ 4= 7 kg
46.1kg= 2 pounds 7kg= 14 pounds
4. (2)
47.Weaning must be accomplished by the time infants central incisors erupt because the
central incisors will erupt in 6-10 months so the baby can start eat another food beside
breast milk and the baby is ready to be weaning
5. (1)
48.The manifestation of an allergic reaction is urticaria and wheezing
49.Allergic reactions are triggered by allergens and performe Ig E affinity receptoron mast
cell. Mast cells line the body surfaces and serve to alert the immune system to local
infection. Once activated, they induce inflammatory reactions (ex: histamin) causing the
vasodilation of surrounding cutaneous blood vessels, which causes redness of the
surrounding skin. Mast cell also activated inflammatory in respiratory tract and it leading to
increase in vascular permeability leads to a catastrophic loss of blood pressure; airways
constrict, causing difficulty in breathing; and swelling of the epiglottis can cause
suffocation. About 8 hours later, a more widespread and sustained edematous response
appears or the wheal-and-flare reaction in the skin known as urticaria
6. (1)
50.Prednisone is one of the corticosteroid medicine, The most common cause of Cushing
syndrome, sometimes called hypercortisolism, is the use of oral corticosteroid medication.
Sign and symptoms of cushings syndrome are rapid weight gain, moon face, buffalo hump
that was caused by retension of sodium (prednisone contain more glucosteroid than
mineralocorticoid)
7. (1)
51.Surgery tonsil
8. (1) Methotrexate ia folic acid antagonis
9. (1) The cognitive ability 6 years are match, concept,
10.A 7 year-old child fell off her bicyle, landing on the back of the head. The most appropriate
nursing action at this time to estimate at this time is to estimate the amount of
drainage present (1)
11.The last secondary sexual characteristic appear in males is increase in size of the
genetalia(1)
12.(1) Gonorrhea symptoms in female are :
- Infection and irritation of the cervix

- The need to urinate often

- Ithing and burning of the vaginausually with purulent vaginal discharge
- Bleeding between menstrual periods
13.Eriksons stages developmental task of early adulthood is love (3) sharing feeling in
heterosexual relations
14.Flight of idea is one of the symptoms of bipolar mania as well as schizophrenia involves
cognitive incoherence and disorganization attempt to (2) Test reality
15.Side effect of narcotic medicine (Demerol & vistaril) cardiovascular depression (1)
bradycardia
16.Diagnostic test for hodgkins disease is (2) lymph node biopsy, bone marrow biopsy,
blood test and imaging test
17.Manifestation of fracture hip (1) shortening
18.Oxygen is given cautiously to patient with emphysema because (4) the increased
oxygen a rapid drop in the carbon dioxide tension it is lead to decrease stimulus for
breathing
19.The process by which a person is gradually emancipated from bondage to alost person is
(grief work)
20.The most appropriate initial respone by the nurse is (4) your mother must have
been awonderful person.
52.