उत्तरों सहित बाल रोग नर्सिंग वर्कशीट

The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?

1. AMost close on their own; do not tape a coin over it
2. BIt needs emergency surgery within a few days
3. CIt is caused by the cord being cut too short
4. DStrapping it tightly with a binder every day makes it close faster

Which is the most common congenital heart defect?

1. ATransposition of the great arteries
2. BTetralogy of Fallot
3. CVentricular septal defect
4. DCoarctation of the aorta

What happens in the rooting reflex of a newborn?

1. AWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
2. BWhen the sole is stroked, the toes fan out
3. CWhen the baby is startled, the arms fling outwards and then come together
4. DWhen the palm is touched, the baby grasps the finger tightly and holds on

श्वसन कष्ट वाले बच्चे की हृदय गति धीमी (ब्रैडीकार्डिक) हो जाती है। इसका क्या अर्थ है?

1. Aनींद की सामान्य प्रतिक्रिया
2. Bबच्चा ठीक हो रहा है और शांत हो रहा है
3. Cऑक्सीजन थेरेपी का दुष्प्रभाव
4. Dगंभीर हाइपोक्सिया और संभावित आसन्न हृदय गति रुकने का संकेत

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AParents should press the button whenever the child is asleep
2. BOnly the child presses the button, unless a protocol says otherwise
3. CAny visitor may press it if the child seems uncomfortable
4. DThe nurse should press it every 5 minutes, day and night, to keep the pain away

Which measure is most important in preventing infection in a child with neutropenia?

1. ACareful hand hygiene by everyone in contact with the child
2. BGiving routine antibiotics to all family members
3. CKeeping all visitors, including the parents, out of the child's room
4. DWearing a mask only when the child has a fever

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. AHigh sodium, high glucose, low albumin and low urea
2. BLow haemoglobin and low platelets with a normal potassium
3. CHigh potassium, high phosphate, high uric acid and low calcium
4. DLow potassium, low phosphate, low uric acid and high calcium

Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?

1. AGive an oral antihistamine and a steroid instead of more adrenaline
2. BGive a further dose of IM adrenaline as per protocol and call for advanced help
3. CWait 30 minutes for the first dose of adrenaline to take its full effect
4. DSit the child up and walk her around to raise the blood pressure