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Naam: ____________________ Datum: ____________
1.Makkelijk
A 14-year-old is convinced that everyone at school notices her small pimple. Which concept describes this?
AObject permanence
BSeparation anxiety
CThe imaginary audience
DParallel play
2.Makkelijk
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
AA strong suck and rapid weight gain
BSleeping through feeds and passing pale stools
CProjectile vomiting that starts at 4 weeks
DCoughing, choking and cyanosis
3.Makkelijk
What is the main cause of type 1 diabetes in children?
AA lack of glucagon from the alpha cells of the pancreas
BAutoimmune destruction of the insulin-producing beta cells
CInsulin resistance caused mainly by obesity and inactivity
DToo much insulin being produced by an overactive pancreas
4.Gemiddeld
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
AInject an extra dose of insulin into the thigh just before he starts running
BSkip the meal before the match to avoid high glucose
CAvoid sport, because exercise is unsafe with diabetes
DCheck glucose before playing and keep fast-acting carbohydrate at hand
5.Gemiddeld
How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?
AWithin hours, increasing gradually as per protocol; some vomiting can be expected
BNot until 10 days after surgery, when the wound has healed
COnly by nasogastric tube for the first month at home
DWith large, full-volume feeds straight away to make up for the weight lost
6.Gemiddeld
Welke bevinding wijst bij een zuigeling op heupdysplasie (developmental dysplasia of the hip)?
AEen blaffende hoest
BAsymmetrische huidplooien van de dijen of billen en beperkte abductie van de heup
CGelijke beenlengte, symmetrische huidplooien en volledige, gemakkelijke abductie van beide heupen
DO-benen bij een peuter
7.Moeilijk
A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?
AStop the infusion, support breathing and give naloxone as per protocol
BLet the child sleep, as this shows the pain is controlled
CReduce the infusion rate slightly and recheck the child's breathing in an hour
DGive a sedative to keep the child calm
8.Moeilijk
Only one negative-pressure room is available. Which child should be placed in it?
AA child with impetigo
BA child with norovirus gastroenteritis and vomiting
CA child with suspected measles
DA child with RSV bronchiolitis
Antwoordenblad
1. C · The imaginary audience
2. D · Coughing, choking and cyanosis
3. B · Autoimmune destruction of the insulin-producing beta cells
4. D · Check glucose before playing and keep fast-acting carbohydrate at hand
5. A · Within hours, increasing gradually as per protocol; some vomiting can be expected
6. B · Asymmetrische huidplooien van de dijen of billen en beperkte abductie van de heup
7. A · Stop the infusion, support breathing and give naloxone as per protocol
8. C · A child with suspected measles
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