解答つき小児看護ワークシート

FLACC 疼痛スケールの各文字は何を表しますか？

1. A表情（Face）、脚（Legs）、活動性（Activity）、啼泣（Cry）、なだめやすさ（Consolability）
2. B顔の表情（Facial expression）、言葉（Language）、覚醒度（Alertness）、安楽（Comfort）、落ち着き（Calmness）
3. C屈曲（Flexion）、四肢の緊張（Limb tone）、活動性（Activity）、循環（Circulation）、啼泣（Cry）
4. D発熱（Fever）、嗜眠（Lethargy）、食欲（Appetite）、顔色（Colour）、啼泣（Crying）

What is Gowers' sign?

1. AUsing the hands to "walk up" the legs to stand up from the floor
2. BFlexing the hips and knees when the neck is bent forward by the examiner
3. CA sudden startle with the arms flung outwards
4. DFanning of the toes when the sole of the foot is stroked

Which early sign may suggest autism in a toddler?

1. ASaying "no" often and having tantrums at 2 years
2. BNot pointing to show interest and little eye contact by about 18 months
3. CBeing shy with strangers at 9 months
4. DPreferring to play next to other toddlers rather than with them

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

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

血友病の子どもに適用される注意はどれですか？

1. A関節と筋肉を鍛えるために、ラグビーなどの接触スポーツを勧める
2. B可能な限り、筋肉内注射と直腸温の測定を避ける
3. C痛みにアスピリンを与える
4. D出血している関節を温める

同じワクチンの追加接種の、真の禁忌はどれですか？

1. A前回の接種後の接種部位の発赤と痛み
2. B前回の接種後の微熱
3. C前回の接種後のそのワクチンによるアナフィラキシー
4. Dアレルギーの家族歴

Which finding at a 6-month check most needs referral?

1. AThe baby is wary of a stranger
2. BThe baby puts every toy and object into the mouth
3. CThe baby does not turn towards sounds or voices
4. DThe baby is not crawling yet

Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?

1. AThe baby will develop diabetes if the thyroid is not treated now
2. BWithout early treatment it can cause lasting learning disability and poor growth
3. CThe baby could pass the condition to other children in the family
4. DTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood