解答つき小児看護ワークシート

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

1. A1500 mL per day
2. B2000 mL per day
3. C1000 mL per day
4. D500 mL per day

Which sign may be the first clue to retinoblastoma in a young child?

1. AA droopy upper eyelid that appears after a cold
2. BA white pupil in photos instead of the usual red reflex
3. CRed, itchy eyes with a sticky yellow discharge
4. DTears running down the cheek on one side

Which health problem is common in babies with Down syndrome and is looked for soon after birth?

1. AClubfoot on both sides
2. BCongenital heart defects
3. CCataract only in old age
4. DCleft lip and palate

Which non-drug technique suits a 5-year-old during a cannula insertion?

1. AReading a detailed leaflet about the procedure
2. BBlowing bubbles or looking at a pop-up book
3. CDoing slow breathing exercises with a numeric scale
4. DBeing left alone so the child can concentrate

静脈留置針の挿入前に、局所麻酔クリーム（リドカイン・プリロカイン）を使う予定です。重要なことは何ですか？

1. A十分前に、通常は約 60 分前に、密閉ドレッシングの下に塗る
2. B皮膚にしっかりすり込み、約 1 分後にドレッシングなしで拭き取る
3. C針を刺す数秒前に塗る
4. D効果を早めるため、傷ついた皮膚に塗る

A child with suspected measles is admitted. Which precaution is most important?

1. ANo special precautions once the rash appears
2. BAirborne precautions, ideally in a negative-pressure room
3. CContact precautions only, with gloves
4. DDroplet precautions in a shared bay

発熱、項部硬直、圧迫しても消えない発疹で入院した子どもがいます。優先すべき行動はどれですか？

1. A解熱薬を与え、4 時間後に再確認する
2. B他の子どもたちと同じ大部屋に入れ、4 時間後に発疹と体温を再確認する
3. C腰椎穿刺をするまでは、どんな治療も待つ
4. D飛沫予防策を開始し、抗菌薬が遅れないよう至急医師の診察を受ける

A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?

1. AWarn her firmly that she will die soon if she does not do what she is told
2. BTell her parents to supervise every session until she is 18
3. CExplore her reasons and plan treatment with her that fits her daily life
4. DStop the physiotherapy, since she does not want it