解答つき小児看護ワークシート

How deep should chest compressions be during CPR on a child?

1. AAt least one third of the depth of the chest
2. BJust enough to see the chest move slightly
3. CAbout one tenth of the depth of the chest
4. DAs deep as possible, until the ribs can be felt to give

Which transmission-based precautions are used for a hospitalised child with chickenpox?

1. AAirborne and contact precautions
2. BContact precautions only
3. CStandard precautions only
4. DDroplet precautions only, in a shared bay

What is the cause of Hirschsprung disease?

1. AOne part of the bowel telescoping into the next part
2. BInflammation of the bowel lining after a viral infection
3. CThickening of the muscle at the outlet of the stomach
4. DMissing nerve (ganglion) cells in part of the bowel

What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?

1. ATo replace the damaged eardrum permanently
2. BTo widen the outer ear canal and reduce the build-up of wax
3. CTo ventilate the middle ear and let fluid drain
4. DTo give antibiotics directly into the inner ear

A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?

1. AReassure the parents that sticky eyes are always harmless in the first weeks of life
2. BClean the eye with breast milk and review in a week
3. CArrange prompt medical review, as infection from the birth canal is possible
4. DApply an over-the-counter steroid eye ointment

子どもの循環血液量減少性ショックで、通常、後期のサインとなる所見はどれですか？

1. A頻脈
2. B四肢の冷感
3. C低血圧
4. D毛細血管再充満時間の延長

A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?

1. AThe explanation does not fit the baby's stage of development
2. BThigh fractures are common in young infants with soft bones
3. CBabies of this age often crawl and fall
4. DThe fracture is too small to need treatment and will heal by itself

15 歳の女児が、看護師に、自分の性的な活動を親に秘密にしてほしいと頼みました。虐待の徴候や重大な危害のおそれはありません。最も適切な対応はどれですか？

1. A彼女の守秘を尊重し、情報を提供し、情報を共有しなければならない場合について説明する
2. Bすぐに親に伝える
3. C親が同席するまで、話し合いを拒否する
4. D今後何を打ち明けても、彼女の話は誰にも決して共有しないと約束する