Scheda di esercizi di Infermieristica pediatrica con soluzioni

What is the most common cause of Down syndrome?

1. AAn extra copy of chromosome 21 (trisomy 21)
2. BA missing X chromosome in a girl
3. CA single gene inherited from both carrier parents
4. DInfection with rubella in early pregnancy

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

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

How should an infant with gastro-oesophageal reflux be placed to sleep?

1. AOn the tummy to reduce reflux
2. BOn the left side, wedged with pillows
3. CSitting up in a car seat all night
4. DOn the back, as for all babies

Which signs suggest digoxin toxicity in a child?

1. AFast heart rate with high blood pressure
2. BIncreased appetite, extra energy and rapid weight gain over a few days
3. CNausea, vomiting, poor feeding and a slow heart rate
4. DHigh fever with a spreading red rash

Which factor can make a pulse oximeter reading inaccurate in a child?

1. ACold hands, movement or a poorly fitting probe
2. BHaving eaten a meal in the last hour
3. CHolding a parent's hand during the reading
4. DLying on the back instead of sitting up

Which daily monitoring is most useful for a child with nephrotic syndrome?

1. ABlood glucose before and after every meal
2. BHead circumference and fontanelle tension
3. CPeak flow and oxygen saturation every morning
4. DWeight and urine dipstick for protein

A child develops the "slapped cheek" rash of fifth disease. The parent asks whether the child is still infectious. What is the best answer?

1. AUsually not; the child was most infectious before the rash appeared
2. BThe illness is not infectious at any stage
3. CYes, for 6 weeks after the rash appears
4. DYes, until every trace of the rash has faded from the cheeks and limbs

The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?

1. AHe is copying behaviour from other children in his class
2. BHe may feel worried, jealous or left out and needs attention and information
3. CHe has developed attention deficit hyperactivity disorder and needs medicine
4. DIt is unrelated to the illness and is normal for his age