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Naam: ____________________ Datum: ____________
1.Makkelijk
How should jaundice that first appears within the first 24 hours of life be regarded?
AAs breast milk jaundice that is best treated by stopping breastfeeding
BAs normal physiological jaundice that needs no follow-up
CAs harmless as long as the baby is feeding well
DAs pathological until proven otherwise; it needs prompt evaluation
2.Makkelijk
How should an infant with gastro-oesophageal reflux be placed to sleep?
AOn the back, as for all babies
BOn the tummy to reduce reflux
CSitting up in a car seat all night
DOn the left side, wedged with pillows
3.Makkelijk
Wat is volgens Erikson de ontwikkelingstaak van de adolescentie?
AIdentiteit versus rolverwarring
BIntegriteit versus wanhoop
CAutonomie versus schaamte en twijfel
DIjver versus minderwaardigheid
4.Gemiddeld
Which instruction about preparing powdered infant formula is correct?
AAdd extra water in hot weather so the baby gets more fluid
BWarm bottles in the microwave, as long as they are shaken first
CAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
DFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
5.Gemiddeld
Which measure should be avoided in a sickle cell pain crisis?
ACold packs on the painful area
BGenerous fluids by mouth or IV
CWarm packs and gentle positioning
DRegular pain assessment and analgesia
6.Gemiddeld
Which group of findings suggests Kawasaki disease?
AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
BHigh fever for 3 days, then a pink rash as the fever settles
CLow-grade fever, a barking cough and stridor that are worse at night
DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
7.Moeilijk
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
APlace the end of the tube in water and look for bubbles
BCheck that aspirate from the tube is acidic, using the pH limit in local policy
CInject air and listen over the stomach for a "whoosh"
DAsk the child whether the tube feels comfortable and check the length mark only
8.Moeilijk
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
AAbstract reasoning, typical of formal operations
BAnimism, typical of preoperational thinking
CConservation, typical of concrete operations
DObject permanence, typical of the sensorimotor stage
Antwoordenblad
1. D · As pathological until proven otherwise; it needs prompt evaluation
2. A · On the back, as for all babies
3. A · Identiteit versus rolverwarring
4. D · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
5. A · Cold packs on the painful area
6. A · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
7. B · Check that aspirate from the tube is acidic, using the pH limit in local policy
8. B · Animism, typical of preoperational thinking
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