解答つき小児看護ワークシート

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

1. ACleft lip and palate
2. BCataract only in old age
3. CClubfoot on both sides
4. DCongenital heart defects

What is the most serious complication of Kawasaki disease?

1. APermanent hearing loss
2. BCoronary artery aneurysms
3. CDiabetes mellitus
4. DKidney failure needing dialysis

Which feature is typical of whooping cough (pertussis) in an older child?

1. AA wheeze heard only on breathing out, with a runny nose
2. BBouts of coughing that end with a "whoop" on breathing in
3. CA barking cough and a hoarse voice that are worse at night
4. DDrooling, a high fever and difficulty swallowing saliva

Which stool pattern is typical of Hirschsprung disease in an older child?

1. ANormal stools with occasional itching around the anus at night
2. BFrequent bloody diarrhoea with fever after eating chicken
3. CPale, bulky, fatty stools that float and are hard to flush, with a large appetite
4. DChronic constipation with thin, ribbon-like, foul-smelling stools and distension

A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?

1. AWear it for the prescribed hours each day, with a thin cotton shirt underneath
2. BWear it only when the back hurts, then take it off
3. CWear it only at weekends and in the holidays, when it does not interfere with school
4. DWear it over thick clothing to make it more comfortable

乳児の発育性股関節形成不全を示唆する所見はどれですか？

1. A幼児の O 脚
2. B脚の長さが同じで、皮膚のしわが左右対称、両股関節の外転が十分でスムーズ
3. C犬が吠えるような咳
4. D大腿や臀部の皮膚のしわの左右非対称と、股関節の外転制限

How should a child who is still drowsy after a tonsillectomy be positioned?

1. ASitting fully upright with the head bent forward on the chest
2. BOn the side or semi-prone, so secretions can drain from the mouth
3. CFlat on the back with the head tilted backwards
4. DProne with the face directly in the pillow

A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?

1. APromise not to tell anyone so that she keeps talking
2. BAccept that she is not at risk because she says she does not want to die
3. CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
4. DTreat the wounds, stay calm and non-judgemental, and refer for assessment