Werkblad Kinderverpleegkunde met antwoorden

Which finding suggests hydrocephalus in an infant?

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

At which times after birth is the Apgar score routinely assessed?

1. AOnly once, at 24 hours of age
2. BAt 1 minute and at 5 minutes
3. CAt 10 minutes and at 30 minutes
4. DAt birth and again at 1 hour

What is the main purpose of supervised "tummy time" for babies who are awake?

1. ATo strengthen neck, shoulder and arm muscles and help prevent a flat head
2. BTo reduce the risk of sudden infant death during sleep
3. CTo help the baby sleep for longer periods at night
4. DTo improve digestion and reduce colic and wind after every feed of the day

A child with suspected measles is admitted. Which precaution is most important?

1. ANo special precautions once the rash appears
2. BContact precautions only, with gloves
3. CDroplet precautions in a shared bay
4. DAirborne precautions, ideally in a negative-pressure room

In a large ventricular septal defect, in which direction does blood mainly flow through the defect?

1. AFrom right to left, causing cyanosis from birth
2. BThere is no flow at all, because the pressures in both ventricles are always equal
3. CFrom left to right, increasing blood flow to the lungs
4. DFrom the aorta into the pulmonary veins

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

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

A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?

1. A"I stop taking my preventer inhaler whenever I've had a few good days."
2. B"I carry my reliever inhaler with me everywhere I go."
3. C"I use my spacer with my inhaler, even at school."
4. D"I rinse my mouth after using my preventer inhaler."

Een meisje van 15 jaar met diabetes type 1 is afgevallen en haar HbA1c is sterk gestegen. Ze geeft toe insulinedoses over te slaan. Waaraan moet de verpleegkundige denken?

1. AGewichtsverlies is een goed teken van betere regulatie, dus haar insulinedosis kan nu verder worden verlaagd
2. BZe laat mogelijk insuline weg om af te vallen, een vorm van gestoord eetgedrag die beoordeling vraagt
3. CDe glucosemeter moet kapot zijn
4. DZe heeft gewoon een lagere insulinedosis nodig