解答つき小児看護ワークシート

家族中心のケアの中心的な原則はどれですか？

1. A親と家族は、子どものケアのパートナーである
2. Bすべての処置の間、親は退室すべきである
3. C子どものケアと治療に関する決定は、職員だけが行う
4. D子どもが休めるように面会を制限する

Why is circumcision avoided in a baby boy with hypospadias?

1. AThe urethral opening moves to the tip by itself if the foreskin is left
2. BBabies with hypospadias usually have a bleeding disorder
3. CIt greatly increases the risk of urine infection in the first month
4. DThe foreskin may be needed for the repair

What is cerebral palsy?

1. AA genetic disorder of collagen that makes the bones break easily
2. BAn infection of the spinal cord that causes sudden paralysis of the legs
3. CA non-progressive disorder of movement and posture from damage to the developing brain
4. DA progressive muscle disease in which muscle fibres are slowly replaced by fat

Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?

1. AIt counts the number of blisters on the body
2. BIt adjusts for the larger head and smaller legs of young children
3. CIt is mainly used for small burns of the hands, feet and face in children
4. DIt measures the depth of the burn rather than its area

A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?

1. AContinue breastfeeding, and give oral rehydration solution as advised
2. BGive nothing by mouth for 24 hours
3. CGive diluted fruit juice instead of breast milk
4. DStop breastfeeding until the diarrhoea has completely stopped, then restart slowly

The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?

1. AThe reading will be falsely high
2. BThe cuff will not inflate at all
3. CThe reading will be falsely low
4. DThe reading will be accurate but slower to obtain

A 15-year-old boy with mumps develops a painful, swollen testis. What is the most likely explanation?

1. ATesticular cancer unrelated to the infection
2. BAn inguinal hernia caused by coughing
3. CA late side effect of the MMR vaccine given in childhood
4. DMumps orchitis, a known complication after puberty

6 歳児が、扁桃摘出術後の痛みに対してコデインを処方されました。看護師はどうすべきですか？

1. A弱いオピオイドなので、2 倍量を投与する
2. B誰にも言わずに、粉砕して子どものミルクに混ぜる
3. Cコデインはすべての子どもで安全なので、投与する
4. D投与する前に、処方者に指示への疑義を確認する