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. AProjectile vomiting that starts at 4 weeks
2. BCoughing, choking and cyanosis
3. CSleeping through feeds and passing pale stools
4. DA strong suck and rapid weight gain

At about what age can most infants sit steadily without support?

1. AAbout 12 to 15 months
2. BAbout 2 to 3 months
3. CAbout 6 to 8 months
4. DAbout 18 to 24 months

Which finding suggests hydrocephalus in an infant?

1. AA flat area on the back of the head
2. BA sunken fontanelle with dry mucous membranes and few wet nappies
3. CA rapidly increasing head circumference with a bulging fontanelle
4. DA small head with a closed fontanelle at birth

A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?

1. AWorsening mood or new suicidal thoughts
2. BA drop in the platelet count
3. CWeight gain of more than 10 kg in the first month
4. DA sudden rise in blood glucose

How can acute rheumatic fever be prevented?

1. ABy routine MMR vaccination in infancy
2. BBy prompt antibiotic treatment of streptococcal sore throat
3. CBy giving aspirin for every fever
4. DBy avoiding dairy products and cold drinks during every cold or cough

How can the nurse best support a child with autism on a children's ward?

1. AChange the nurse each shift so the child meets more people
2. BExplain all procedures only at the very last minute to avoid days of worry
3. CKeep routines predictable, reduce noise and use visual schedules
4. DPlace the child in the busiest bay near the nurses' station

The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?

1. AAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain
2. BHer breasts should always feel full and hard between feeds
3. CThe baby should sleep through the night without waking for feeds
4. DThe baby should feed for exactly 10 minutes on each side at every feed, day and night

痛みを伴う処置中に、家族が子どものそばにいると言って譲りません。家族中心のケアで最も適切な対応はどれですか？

1. Aどんな場合でも、外で待つよう主張する
2. B立ち会いを支持し、見ることになる光景を前もって説明し、慰める役割を担ってもらう
3. C家族がいると子どもの態度が悪くなると伝える
4. D隅に立って、子どもに触れたり、抱いたり、話しかけたりしないのであれば、立ち会いを認める