解答つき小児看護ワークシート

What is a greenstick fracture?

1. AA fracture in which the bone shatters into many pieces
2. BAn incomplete fracture in which the bone bends and cracks on one side
3. CA fracture that passes through a joint surface only
4. DA fracture in which the broken bone ends push out through the skin

Why are children with spina bifida often cared for with latex-free equipment?

1. AThey have a high risk of latex allergy
2. BLatex particles can block the shunt in the brain
3. CLatex causes neural tube defects
4. DLatex damages the skin over the spine

In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?

1. ARectal, with a glass mercury thermometer
2. BBy touching the forehead with a hand
3. CAxillary, with an electronic thermometer
4. DOral, under the tongue

A child with a known peanut allergy is starting school. What is the most important step?

1. AKeeping the auto-injector at home, so that it cannot be lost or misused by other children
2. BA written allergy action plan, with in-date auto-injectors and trained staff
3. CAsking the child to tell the teachers if she feels unwell
4. DAllowing the child to eat only foods brought by classmates

10 か月児の成長曲線の所見のうち、さらなる評価が最も必要なものはどれですか？

1. A前回までの健診から、体重が 2 本の主要なパーセンタイル線を横切って下がった
2. B頭囲が 75 パーセンタイル曲線に沿っている
3. C身長が 50 パーセンタイル、体重が 40 パーセンタイル
4. D出生時から体重が 10 パーセンタイルにとどまっている

A 6-month-old's left eye turns inwards all the time. What should the nurse do?

1. AAdvise them to wait until the child can read letters
2. BRefer the baby to an eye specialist
3. CReassure the parents that this always resolves by school age
4. DCover the right eye with a patch at home without review

Why does a child with juvenile idiopathic arthritis need regular eye examinations?

1. AUveitis can develop without symptoms and damage vision
2. BEye checks are only needed if the child already wears glasses for short sight
3. CArthritis drugs always cause cataracts within a year
4. DThe joints of the eye socket are affected by arthritis

4 歳児が高熱を出し、よだれを垂らし、首を伸ばして前かがみに座り、不安そうにしています。看護師が最初にすべきことは何ですか？

1. A原因菌を特定するため、咽頭ぬぐい液を採取する
2. B子どもを親のそばで落ち着かせて座位に保ち、気道管理に熟練したチームを呼ぶ
3. C子どもを寝かせ、舌圧子でのどを見て腫れを確認する
4. D応援を呼ぶ前に静脈留置針を挿入する