Werkblad Kinderverpleegkunde met antwoorden

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 causes severe daily pain in infancy
4. DBecause an undescended testis leads to kidney failure if left untreated

How should an infant with gastro-oesophageal reflux be placed to sleep?

1. AOn the tummy to reduce reflux
2. BOn the left side, wedged with pillows
3. CSitting up in a car seat all night
4. DOn the back, as for all babies

Where does neuroblastoma most often start?

1. AIn the white matter of the brain
2. BIn the lining of the bladder
3. CIn the bone marrow of the pelvis
4. DIn the adrenal gland

How should an infant with heart failure be fed?

1. ASmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
2. BLying flat on the back so the baby does not need to hold the head up
3. CLarge feeds every 6 hours so the baby can rest in between
4. DStop the feed when the baby tires and wait until the next scheduled feed

Which stool pattern is typical of Hirschsprung disease in an older child?

1. APale, bulky, fatty stools that float and are hard to flush, with a large appetite
2. BNormal stools with occasional itching around the anus at night
3. CFrequent bloody diarrhoea with fever after eating chicken
4. DChronic constipation with thin, ribbon-like, foul-smelling stools and distension

Which finding suggests repeated self-induced vomiting?

1. AYellow skin, itching and dark urine
2. BSwelling of the ankles and puffy eyes
3. CA butterfly rash on the cheeks and patchy hair loss
4. DCalluses on the knuckles and loss of tooth enamel

A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?

1. AThe explanation does not fit the baby's stage of development
2. BThe fracture is too small to need treatment and will heal by itself
3. CThigh fractures are common in young infants with soft bones
4. DBabies of this age often crawl and fall

A 3-month-old is gaining weight poorly. The mother says she adds extra water to the formula to make each tin last longer. Besides poor growth, what serious complication is the nurse concerned about?

1. AHigh sodium from too much powder, which causes dehydration
2. BLow sodium from water intoxication, which can cause seizures
3. CHigh blood glucose from the sugar in the diluted formula, causing diabetes
4. DVitamin K deficiency bleeding from the extra water