Lembaran kerja Kejururawatan pediatrik dengan jawapan

Prinsip manakah yang menjadi teras penjagaan berpusatkan keluarga?

1. AHanya kakitangan yang membuat keputusan tentang penjagaan dan rawatan kanak-kanak
2. BIbu bapa patut keluar semasa semua prosedur
3. CLawatan dihadkan supaya kanak-kanak dapat berehat
4. DIbu bapa dan keluarga ialah rakan kongsi dalam penjagaan kanak-kanak

The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?

1. AIt needs emergency surgery within a few days
2. BIt is caused by the cord being cut too short
3. CMost close on their own; do not tape a coin over it
4. DStrapping it tightly with a binder every day makes it close faster

By about what age does the Moro (startle) reflex normally disappear?

1. AAbout 2 to 4 weeks
2. BAbout 12 to 15 months
3. CAbout 2 to 3 years
4. DAbout 4 to 6 months

Which defect classically causes a continuous "machinery" murmur?

1. APatent ductus arteriosus
2. BAtrial septal defect
3. CTetralogy of Fallot
4. DIsolated pulmonary stenosis with an intact ventricular septum

Langkah berjaga-jaga manakah yang terpakai bagi kanak-kanak dengan hemofilia?

1. ALetakkan haba pada sendi yang berdarah
2. BGalakkan sukan sentuhan seperti ragbi untuk menguatkan sendi dan otot
3. CBeri aspirin untuk kesakitan
4. DElakkan suntikan intramuskular dan suhu rektum jika boleh

Dapatan manakah pada pemeriksaan 18 bulan yang memerlukan rujukan untuk penilaian perkembangan?

1. AKanak-kanak bermain di sebelah kanak-kanak lain dan bukan bersama mereka
2. BKanak-kanak hanya menyebut beberapa perkataan
3. CKanak-kanak takut kepada orang asing
4. DKanak-kanak belum berjalan sendiri

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. BThe baby should feed for exactly 10 minutes on each side at every feed, day and night
3. CThe baby should sleep through the night without waking for feeds
4. DHer breasts should always feel full and hard between feeds

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt makes the blood even thicker and raises the risk of stroke and thrombosis
2. BIt causes the heart defect to close on its own
3. CIt lowers the red cell count and causes severe anaemia
4. DIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water