Scheda di esercizi di Infermieristica pediatrica con soluzioni

Which chromosome pattern causes Turner syndrome?

1. AAn extra copy of chromosome 18
2. BAn extra X chromosome (47,XXY) in a boy
3. CA single X chromosome (45,X) in a girl
4. DAn extra copy of chromosome 21

Why is circumcision avoided in a baby boy with hypospadias?

1. AIt greatly increases the risk of urine infection in the first month
2. BThe foreskin may be needed for the repair
3. CThe urethral opening moves to the tip by itself if the foreskin is left
4. DBabies with hypospadias usually have a bleeding disorder

What is a greenstick fracture?

1. AA fracture in which the broken bone ends push out through the skin
2. BA fracture in which the bone shatters into many pieces
3. CAn incomplete fracture in which the bone bends and cracks on one side
4. DA fracture that passes through a joint surface only

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

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

Which finding suggests repeated self-induced vomiting?

1. AYellow skin, itching and dark urine
2. BA butterfly rash on the cheeks and patchy hair loss
3. CSwelling of the ankles and puffy eyes
4. DCalluses on the knuckles and loss of tooth enamel

How is urine output measured in an infant wearing nappies?

1. ACount only the number of nappy changes in each shift
2. BEstimate it from how heavy the nappy feels in the hand
3. CWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
4. DSqueeze the nappy out into a measuring jug and read the volume

A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?

1. AOral glucose gel rubbed into the gums
2. BSurfactant given into the trachea
3. CPhototherapy
4. DIV antibiotics for 7 days

A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?

1. AYes, but only if a cold bath is given at the same time
2. BYes; giving it every 4 hours during a fever will always prevent seizures
3. CNo, because paracetamol can cause febrile seizures
4. DNo; it may ease discomfort but does not prevent febrile seizures