Werkblad Kinderverpleegkunde met antwoorden

Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?

1. AIt stops ovulation permanently
2. BIt causes serious birth defects
3. CIt causes heavy periods
4. DIt makes contraceptive pills fail

How is congenital hypothyroidism treated?

1. AAn iodine-free diet from birth
2. BRemoval of the thyroid gland in infancy
3. CDaily levothyroxine, usually for life
4. DA single dose of radioactive iodine

Welk principe staat centraal in gezinsgerichte zorg?

1. ABezoek wordt beperkt zodat het kind kan rusten
2. BOuders moeten bij alle ingrepen weggaan
3. CAlleen medewerkers nemen beslissingen over de zorg en behandeling van het kind
4. DOuders en gezin zijn partners in de zorg voor het kind

Which signs suggest hypoglycaemia in a young child with diabetes?

1. AThirst, passing large amounts of urine and a fruity breath smell
2. BDeep, rapid breathing with abdominal pain and vomiting
3. CA slow onset of dry skin and flushed cheeks over several days
4. DShakiness, sweating, pallor and a sudden change in behaviour

Which finding is expected in a healthy 4-month-old?

1. APulls to stand while holding on to furniture
2. BSays two or three clear words with meaning
3. CSits steadily without support for several minutes while playing with toys
4. DHolds the head steady when held upright, with little or no head lag

A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?

1. AReassure the parents that sticky eyes are always harmless in the first weeks of life
2. BArrange prompt medical review, as infection from the birth canal is possible
3. CApply an over-the-counter steroid eye ointment
4. DClean the eye with breast milk and review in a week

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

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

A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?

1. ARequest urgent clotting tests and a full blood count to look for a bleeding disorder
2. BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
3. CReport them straight away to the safeguarding team as suspected physical abuse
4. DApply cold packs several times a day to reduce the discoloration