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Naam: ____________________ Datum: ____________
1.Makkelijk
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
ABecause of too much iron in the diet
BBecause the spleen stops working
CTo compensate for chronic hypoxia
DBecause the heart makes red blood cells
2.Makkelijk
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
AIron overload
BLow platelet count
CLow blood calcium
DVitamin B12 deficiency
3.Makkelijk
When can a child stop using a booster seat in the car?
AAs soon as the child can fasten the seat belt alone
BWhen the adult seat belt fits properly across the shoulder and upper thighs
CAt 4 years of age, whatever the child's height
DWhen the child starts primary school and can sit still for a whole journey
4.Gemiddeld
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
AGiving IV fluids as prescribed
BPutting a heat pad on the abdomen
CKeeping the child nil by mouth
DRegular pain assessment
5.Gemiddeld
How can acute rheumatic fever be prevented?
ABy routine MMR vaccination in infancy
BBy giving aspirin for every fever
CBy prompt antibiotic treatment of streptococcal sore throat
DBy avoiding dairy products and cold drinks during every cold or cough
6.Gemiddeld
How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?
AOnly by nasogastric tube for the first month at home
BWithin hours, increasing gradually as per protocol; some vomiting can be expected
CNot until 10 days after surgery, when the wound has healed
DWith large, full-volume feeds straight away to make up for the weight lost
7.Moeilijk
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
AWorsening heart failure with fluid retention
BGood growth thanks to improved feeding
CAn allergic reaction to the new high-energy formula started yesterday
DDehydration due to sweating during feeds
8.Moeilijk
A 9-year-old is being treated for an acute asthma attack. Which finding shows that treatment is working?
AThe child is now sitting bolt upright, leaning on the arms
BThe heart rate has risen further after each dose of salbutamol
CThe wheeze has disappeared and the child is now very drowsy
DSlower breathing, easier speech and less use of the neck and chest muscles
Antwoordenblad
1. C · To compensate for chronic hypoxia
2. A · Iron overload
3. B · When the adult seat belt fits properly across the shoulder and upper thighs
4. B · Putting a heat pad on the abdomen
5. C · By prompt antibiotic treatment of streptococcal sore throat
6. B · Within hours, increasing gradually as per protocol; some vomiting can be expected
7. A · Worsening heart failure with fluid retention
8. D · Slower breathing, easier speech and less use of the neck and chest muscles
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