解答つき小児看護ワークシート

Why must a toddler never be left alone in the bath, even for a moment?

1. AA young child can drown silently in a few centimetres of water
2. BThe bath water cools quickly and causes hypothermia
3. CSoap left on the skin irritates a toddler's skin
4. DA toddler left alone gets bored, cries and tries to climb out of the bath

What is a positive Brudzinski sign?

1. AThe child cannot straighten the knee when the hip is flexed
2. BThe toes fan out when the sole of the foot is stroked
3. CThe pupils become unequal in size after a head injury
4. DBending the neck forward causes the hips and knees to flex

Which vaccine has made acute epiglottitis much less common in children?

1. APneumococcal conjugate vaccine
2. BMeasles–mumps–rubella (MMR) vaccine
3. CHaemophilus influenzae type b (Hib) vaccine
4. DRotavirus vaccine given by mouth

A child is in skin traction for a leg fracture. Which nursing action is correct?

1. ALet the weights rest on the floor while the child sleeps, so the pull is gentler
2. BLift the weights off when the child is uncomfortable
3. CKeep the weights hanging freely, clear of the bed and floor
4. DRemove the traction tapes every hour to check the skin

A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?

1. AEvaporation; dry the baby straight away, including the head
2. BConvection; leave the baby uncovered in a draught
3. CRadiation; move the cot close to an outside window
4. DConduction; place the baby on a cold firm surface

A child is receiving IV morphine. Which assessments are most important?

1. AHead circumference and fontanelle tension
2. BBlood glucose and urine ketones
3. CRespiratory rate and level of sedation
4. DPeak flow and inhaler technique

A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?

1. APreterm babies never reach normal milestones, so no follow-up is needed
2. BMilestones are always judged by chronological age, so he is 3 months behind
3. CMilestones are judged by corrected age, here about 3 months, so this is expected
4. DHe is clearly delayed and needs urgent neurological referral

勤務開始時に、看護師が最初にアセスメントすべき子どもはどれですか？

1. A経口補水液を飲んでいる、胃腸炎の 4 歳児
2. B呼吸数 68 回/分で著明な陥没呼吸のある、細気管支炎の 2 歳児
3. C下肢にギプスをつけていて、かゆいと言う 10 歳児
4. D痛みが 10 段階中 4 の、虫垂切除術後の 6 歳児