Scheda di esercizi di Infermieristica pediatrica con soluzioni

Which sign suggests heart failure in an infant?

1. ASweating and tiring during feeds
2. BA slow heart rate at rest
3. CSlow breathing with long pauses
4. DFeeding eagerly and finishing every bottle quickly

Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?

1. A1000 mL per day
2. B2000 mL per day
3. C1500 mL per day
4. D500 mL per day

How much fluoride toothpaste is usually advised for a child under 3 years?

1. ANone until all the baby teeth have come through
2. BA full strip along the length of the brush
3. CA smear about the size of a grain of rice
4. DA pea-sized amount on a soft brush

Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?

1. ASlow the transfusion and give paracetamol (acetaminophen)
2. BFinish the unit quickly, then report it
3. CStop the transfusion
4. DGive an antihistamine and continue

How can acute rheumatic fever be prevented?

1. ABy giving aspirin for every fever
2. BBy avoiding dairy products and cold drinks during every cold or cough
3. CBy prompt antibiotic treatment of streptococcal sore throat
4. DBy routine MMR vaccination in infancy

How should a 4-month-old be protected from the sun?

1. AUse a sunbed for a few minutes to build a protective tan
2. BApply a thick layer of high-factor sunscreen and allow full sun
3. CKeep the baby out of direct sun, in the shade, with light clothing and a hat
4. DExpose the baby to midday sun for vitamin D, then cover up

Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?

1. ATreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
2. BWithout early treatment it can cause lasting learning disability and poor growth
3. CThe baby could pass the condition to other children in the family
4. DThe baby will develop diabetes if the thyroid is not treated now

Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?

1. ACheck that aspirate from the tube is acidic, using the pH limit in local policy
2. BAsk the child whether the tube feels comfortable and check the length mark only
3. CInject air and listen over the stomach for a "whoosh"
4. DPlace the end of the tube in water and look for bubbles