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. ACoughing, choking and cyanosis
2. BA strong suck and rapid weight gain
3. CProjectile vomiting that starts at 4 weeks
4. DSleeping through feeds and passing pale stools

Why are undescended testes (cryptorchidism) corrected surgically in early childhood?

1. ATo protect fertility and allow the testis to be checked for cancer
2. BTo stop the testis from producing too much testosterone in puberty
3. CBecause an undescended testis leads to kidney failure if left untreated
4. DBecause an undescended testis causes severe daily pain in infancy

Where should eye drops be placed for a child?

1. ADirectly onto the centre of the cornea
2. BInto the inner corner of the eye
3. COnto the upper eyelid while the eye is shut
4. DInto the pocket of the lower eyelid

Which approach best helps a 4-year-old during a vaccination?

1. AHave staff hold the child flat on the couch so the injection is quick
2. BPromise a reward only if the child stays completely still and does not cry
3. CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
4. DTell the child the injection will not hurt at all

Why do young children with sickle cell disease usually take daily penicillin?

1. APoor spleen function puts them at high risk of pneumococcal infection
2. BSickle cells make the child allergic to most other antibiotics
3. CPenicillin prevents pain crises in cold weather
4. DPenicillin stops red cells from changing shape

Which advice is best for a baby with mild nappy rash?

1. AApply talcum powder thickly at every nappy change
2. BWipe with perfumed baby wipes at every change to kill the bacteria on the skin
3. CUse tighter nappies so that less urine reaches the skin
4. DChange nappies often, clean gently, use a barrier cream and allow nappy-free time

A 2-week-old suddenly starts vomiting bright green fluid. What should the nurse do?

1. AAdvise smaller, more frequent feeds and review the baby in a week
2. BTreat it as a surgical emergency and get urgent medical review
3. CReassure the parents that this is normal reflux
4. DChange to a lactose-free formula

Which complication is a leading cause of death from measles in children?

1. AConjunctivitis
2. BPneumonia
3. COtitis media
4. DDiarrhoea