Lembar kerja Keperawatan anak dengan jawaban

What is usually the first sign of puberty in girls?

1. ARapid weight loss
2. BBreast budding
3. CFirst menstrual period
4. DUnderarm hair

What is the main purpose of supervised "tummy time" for babies who are awake?

1. ATo reduce the risk of sudden infant death during sleep
2. BTo improve digestion and reduce colic and wind after every feed of the day
3. CTo strengthen neck, shoulder and arm muscles and help prevent a flat head
4. DTo help the baby sleep for longer periods at night

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

1. AIt is a sign of spinal cord compression
2. BIt is a normal finding at this age
3. CIt shows the baby is in pain
4. DIt shows brain damage and needs a scan

A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?

1. AGive insulin only if the child is vomiting
2. BGive double the usual insulin to prevent ketones
3. CStop all insulin until the child is eating normally again, then restart at the usual dose
4. DKeep giving insulin, check glucose and ketones more often and follow the sick-day plan

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. AStop all medicines and wait to see if the symptoms pass
2. BGo straight to the emergency department without using any medicine first
3. CUse the reliever as the plan says and contact the doctor if it does not help
4. DDouble the preventer dose and do nothing else

What should the nurse do before giving a dose of digoxin to an infant?

1. AMeasure the blood pressure and give the dose only if it is above the normal range
2. BCount the apical pulse for a full minute and check it against the prescribed limits
3. CCount the radial pulse for 15 seconds and multiply by four
4. DMeasure the temperature and give the dose only if there is no fever

A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?

1. AAsk his parents to stay with him at all times and make decisions for him
2. BArrange contact with friends and let him control parts of his daily routine
3. CSet a strict timetable for him that staff decide without his input
4. DMove him to a room with toddlers so the ward is less lonely

A 14-year-old took a large overdose of paracetamol (acetaminophen) 4 hours ago and says she feels fine. What should the nurse understand?

1. AParacetamol is not toxic, so she only needs a psychiatric assessment
2. BSince she feels well, the overdose was too small to be harmful
3. CTreatment is only useful if started within 30 minutes, so it is now too late to help
4. DLiver damage develops over days, so urgent acetylcysteine may still be needed