Užduočių lapas tema Pediatrinė slauga su atsakymais

What is the HEADSS (or HEEADSSS) assessment used for?

1. AA screening test for newborn hearing before discharge
2. BA structured psychosocial interview with adolescents
3. CA scale for scoring dehydration in infants
4. DA pain score for children who cannot speak

Why are infants and young children more likely than adults to get middle ear infections (otitis media)?

1. ATheir eardrums are thicker and cannot move with pressure changes
2. BTheir ear canals are longer and narrower than those of adults
3. CThey make more earwax, which traps bacteria in the middle ear
4. DTheir Eustachian tubes are shorter, wider and more horizontal

Which finding inside the mouth is typical of early measles?

1. APainful blisters on the tongue, gums and palate
2. BKoplik spots: small white spots on the inside of the cheeks
3. CA bright red "strawberry" tongue with large papillae
4. DA thick white coating on the tongue and cheeks that can be wiped off

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 is threadworm (pinworm) infection usually confirmed?

1. AA blood test for worm antibodies taken an hour after an evening meal
2. BA urine sample collected in the evening
3. CAn abdominal X-ray to look for the worms in the gut
4. DA tape test on the skin around the anus first thing in the morning

Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?

1. ACarrying out the admission assessment of a new patient
2. BMeasuring and recording the vital signs of a stable child
3. CAssessing pain after surgery and choosing the analgesia
4. DTeaching a parent how to give insulin injections

A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?

1. AA plaster cast and discharge home the same day
2. BBlood cultures and prompt IV antibiotics for possible osteomyelitis
3. CMassage and physiotherapy to loosen the muscle
4. DRest, ice and an elastic bandage for a sprained ankle, with review in a week

Which finding helps to distinguish epiglottitis from croup?

1. AA hoarse voice with mild fever and a runny nose
2. BSymptoms that improve within hours after a single dose of oral corticosteroid
3. CA barking cough that is worse at night after a cold
4. DDrooling, high fever and a toxic look, without a barking cough