Scheda di esercizi di Infermieristica pediatrica con soluzioni

Why are undescended testes (cryptorchidism) corrected surgically in early childhood?

1. ABecause an undescended testis leads to kidney failure if left untreated
2. BTo stop the testis from producing too much testosterone in puberty
3. CBecause an undescended testis causes severe daily pain in infancy
4. DTo protect fertility and allow the testis to be checked for cancer

What is the main feature of immune thrombocytopenia (ITP) in a child?

1. AA missing clotting factor with bleeding into joints
2. BA high red cell count with headache and flushing
3. CA low white cell count with repeated infections
4. DA low platelet count with bruising and petechiae

Qual è lo scopo dello screening neonatale su goccia di sangue, per esempio per la fenilchetonuria?

1. AIndividuare precocemente malattie trattabili, prima che compaiano i sintomi
2. BCercare infezioni contratte durante il parto
3. CDeterminare il gruppo sanguigno del neonato per una trasfusione
4. DMisurare le riserve di ferro del neonato

Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?

1. AChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
2. BSudden projectile vomiting with a palpable olive-shaped mass
3. CEpisodes of crying with red-currant jelly stools
4. DHigh fever with a stiff neck and a purple rash

A child is sent home after a minor head injury. Which sign should parents report straight away?

1. ARepeated vomiting
2. BMild soreness at the site
3. CA small bump on the forehead
4. DWanting a nap at the usual time

A child with ITP has a low platelet count. Which advice is correct?

1. ATake aspirin for any pain to thin the blood
2. BAvoid contact sports and medicines such as ibuprofen and aspirin
3. CPlay rugby and football as normal to stay active
4. DUse a hard toothbrush and floss firmly to keep the gums healthy

A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?

1. ANephrotic syndrome
2. BHypospadias
3. CVesicoureteral reflux
4. DTesticular torsion on both sides

Which finding in an infant with suspected reflux needs prompt medical review?

1. ASpitting up more after a large feed
2. BHiccups after feeds that settle on their own
3. CSmall posseting after feeds in a contented, growing baby
4. DPoor weight gain, refusing feeds and blood in the vomit