解答つき小児看護ワークシート

What is kangaroo care?

1. ACarrying the baby in a front sling or carrier while doing the housework each day
2. BWrapping the baby tightly in a blanket for sleep
3. CSkin-to-skin contact between a parent and a baby, often a preterm baby
4. DA special incubator that copies the mother's heartbeat

Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?

1. AIron
2. BVitamin C
3. CCalcium carbonate
4. DFolic acid

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

1. AIt is a sign of spinal cord compression
2. BIt shows the baby is in pain
3. CIt is a normal finding at this age
4. DIt shows brain damage and needs a scan

A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?

1. AGive the prescribed rescue medicine and call for emergency help
2. BHold the child's arms and legs firmly to stop the movements
3. CWait another 15 minutes, because most seizures stop on their own
4. DPut a tongue depressor between the child's teeth

A parent asks how to care for a child with mild croup at home. Which advice is correct?

1. AKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
2. BLay the child flat in a cool room so the airway can relax
3. CHold the child over a bowl of hot, steaming water to loosen the cough
4. DGive an over-the-counter cough syrup every hour until the barking cough stops

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AThe nurse should press it every 5 minutes, day and night, to keep the pain away
2. BAny visitor may press it if the child seems uncomfortable
3. CParents should press the button whenever the child is asleep
4. DOnly the child presses the button, unless a protocol says otherwise

A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?

1. ASet a strict timetable for him that staff decide without his input
2. BAsk his parents to stay with him at all times and make decisions for him
3. CArrange contact with friends and let him control parts of his daily routine
4. DMove him to a room with toddlers so the ward is less lonely

A child with a head injury now has rising blood pressure, a falling heart rate and irregular breathing. What does this indicate?

1. AA late sign of raised intracranial pressure; an emergency
2. BDehydration that needs more fluids
3. CNormal recovery after a head injury
4. DPain from the injury that needs stronger, regular analgesia