解答つき小児看護ワークシート

What is Gowers' sign?

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

幼児期初期（1～3 歳）に典型的な遊びの種類はどれですか？

1. A協同遊び：決まったルールや役割を共有して一緒に遊ぶ
2. Bルールのある一人用のボードゲーム
3. C競争的なチームゲーム
4. D平行遊び：ほかの子どものそばで遊ぶが、一緒には遊ばない

Which side effects are common after a dose of salbutamol?

1. AOral thrush and a hoarse voice
2. BDrowsiness and slow breathing
3. CWeight gain and high blood sugar
4. DTremor and a fast heart rate

胃腸炎の乳児の水分状態を観察する最も正確な方法はどれですか？

1. A髪の質感を調べる
2. B同じ秤で行う毎日の体重測定と、濡れたおむつの数の確認
3. C子どもが喉が渇いているか、疲れているように見えるかを、毎日親に尋ねる
4. D頭囲を測定する

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AParents should press the button whenever the child is asleep
2. BThe nurse should press it every 5 minutes, day and night, to keep the pain away
3. COnly the child presses the button, unless a protocol says otherwise
4. DAny visitor may press it if the child seems uncomfortable

What should the nurse do before giving a dose of digoxin to an infant?

1. ACount the apical pulse for a full minute and check it against the prescribed limits
2. BMeasure the temperature and give the dose only if there is no fever
3. CCount the radial pulse for 15 seconds and multiply by four
4. DMeasure the blood pressure and give the dose only if it is above the normal range

A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?

1. AHe is clearly delayed and needs urgent neurological referral
2. BPreterm babies never reach normal milestones, so no follow-up is needed
3. CMilestones are judged by corrected age, here about 3 months, so this is expected
4. DMilestones are always judged by chronological age, so he is 3 months behind

Two weeks after a ventriculoperitoneal shunt was inserted, an infant has a fever, irritability and redness along the shunt tract. What should the nurse suspect?

1. ATeething, which explains the fever and the irritability
2. BNormal healing; no action needed
3. CShunt infection; report it urgently
4. DAn allergy to the hospital soap