解答つき小児看護ワークシート

FLACC スケールが最も適切なのは、どの子どもですか？

1. Aまだ痛みを言葉で説明できない 2 歳児
2. B数値評価スケールを使える 9 歳
3. C手術後の成人
4. D痛みを 0～10 で評価できる 14 歳

Which finding inside the mouth is typical of early measles?

1. AKoplik spots: small white spots on the inside of the cheeks
2. BPainful blisters on the tongue, gums and palate
3. CA thick white coating on the tongue and cheeks that can be wiped off
4. DA bright red "strawberry" tongue with large papillae

学童（約 6～12 歳）の安静時心拍数の範囲として典型的なのはどれですか？

1. A約 70～120 回/分
2. B約 120～170 回/分
3. C約 40～60 回/分
4. D約 150～200 回/分

Which signs suggest meningitis in a young infant?

1. AA clear runny nose, a mild cough and normal feeding
2. BA bulging fontanelle, a high-pitched cry, poor feeding and irritability
3. CA sunken fontanelle with heavy wet nappies
4. DNeck stiffness and a positive Kernig's sign, as in older children and adults

A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?

1. AGive glucagon and call emergency services
2. BLet the child sleep and check again in an hour
3. CGive the child's usual dose of insulin
4. DGive a glass of orange juice by mouth

A child with ITP has a low platelet count. Which advice is correct?

1. AUse a hard toothbrush and floss firmly to keep the gums healthy
2. BTake aspirin for any pain to thin the blood
3. CPlay rugby and football as normal to stay active
4. DAvoid contact sports and medicines such as ibuprofen and aspirin

嚢胞性線維症の子どもが、かさばって脂っぽく悪臭のある便が出て、食欲は良好なのに体重が増えません。これは何を最も示唆しますか？

1. A正常な所見で、対応は不要
2. B脂肪の吸収が悪い。膵酵素の用量やタイミングを見直す必要がある
3. C肺が改善しているサイン
4. D子どもが脂肪をとりすぎているので、食事からすべての脂肪を除くべきである

During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?

1. APotassium is needed to dissolve the insulin in the drip
2. BPotassium has no role in DKA; it is a routine test only
3. CInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
4. DInsulin moves potassium into the cells, so blood potassium can fall sharply