解答つき小児看護ワークシート

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

1. AIt is a sign of spinal cord compression
2. BIt is a normal finding at this age
3. CIt shows brain damage and needs a scan
4. DIt shows the baby is in pain

How is congenital hypothyroidism treated?

1. ADaily levothyroxine, usually for life
2. BAn iodine-free diet from birth
3. CRemoval of the thyroid gland in infancy
4. DA single dose of radioactive iodine

子どものパラセタモール（アセトアミノフェン）の用量は、通常どのように決めますか？

1. A子どもの体重による
2. Bすべての子どもで同じ用量
3. C親の希望による
4. D子どもの身長のみによる

Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?

1. AEpisodes of crying with red-currant jelly stools
2. BHigh fever with a stiff neck and a purple rash
3. CSudden projectile vomiting with a palpable olive-shaped mass
4. DChronic diarrhoea, a swollen abdomen, irritability and poor weight gain

A parent asks how to care for a child with mild croup at home. Which advice is correct?

1. AKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
2. BGive an over-the-counter cough syrup every hour until the barking cough stops
3. CHold the child over a bowl of hot, steaming water to loosen the cough
4. DLay the child flat in a cool room so the airway can relax

Which instruction about preparing powdered infant formula is correct?

1. AFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
2. BAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
3. CAdd extra water in hot weather so the baby gets more fluid
4. DWarm bottles in the microwave, as long as they are shaken first

学童が ADHD のためにメチルフェニデートを服用しています。最も重要な指導のポイントはどれですか？

1. A朝に服用し、食欲、睡眠、成長を観察する
2. B登校日だけ服用をやめる
3. C睡眠を助けるために就寝時に服用する
4. D集中力をさらに高めるために、学校でテストがある日は用量を 2 倍にする

A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?

1. AChildren of this age are already likely to have the virus, so it treats the infection
2. BIt is given at this age because it prevents chickenpox in adolescence
3. CIt is only effective if given in the first year of secondary school, before exams start
4. DIt works best before any exposure to the virus, and young adolescents respond strongly