解答つき小児看護ワークシート

Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?

1. ASleeping through feeds and passing pale stools
2. BA strong suck and rapid weight gain
3. CCoughing, choking and cyanosis
4. DProjectile vomiting that starts at 4 weeks

Which symptom is typical of scabies?

1. AIntense itching, worse at night, with burrows between the fingers
2. BLarge blisters on the soles of the feet after walking
3. CDry, flaky scalp with dandruff but no itching
4. DPainless red patches that slowly spread outward over months

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

1. AMeasles–mumps–rubella (MMR) vaccine
2. BPneumococcal conjugate vaccine
3. CRotavirus vaccine given by mouth
4. DHaemophilus influenzae type b (Hib) vaccine

Which signs suggest digoxin toxicity in a child?

1. AIncreased appetite, extra energy and rapid weight gain over a few days
2. BHigh fever with a spreading red rash
3. CNausea, vomiting, poor feeding and a slow heart rate
4. DFast heart rate with high blood pressure

How should a 3-year-old use a metered-dose inhaler?

1. AWith a spacer and face mask, taking several normal breaths after each puff
2. BWith a spacer, giving all the prescribed puffs into it at the same time
3. CWith a spacer and mask, holding the breath for 10 seconds after each puff
4. DDirectly into the mouth without a spacer, while breathing in as fast as possible

細気管支炎の乳児に最も役立つ看護はどれですか？

1. A定期的な抗菌薬
2. B授乳前の優しい鼻吸引と、水分状態および酸素飽和度のモニタリング
3. C乳児が改善するまで、すべての授乳を中止する
4. D気道の分泌物が排出されるよう、うつぶせで平らに寝かせる

A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?

1. AChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
2. BChlamydia always causes severe pain, so testing is only a formality
3. CTesting is required by law before any young person can see a nurse or doctor for any reason
4. DChlamydia can only be caught from shared towels and toilet seats

A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?

1. ALet the 10-year-old translate to save time
2. BArrange a professional interpreter
3. CUse simple English and gestures only
4. DAsk another patient's visitor who speaks the language