Werkblad Kinderverpleegkunde met antwoorden

The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?

1. AMost close on their own; do not tape a coin over it
2. BStrapping it tightly with a binder every day makes it close faster
3. CIt is caused by the cord being cut too short
4. DIt needs emergency surgery within a few days

What is Gowers' sign?

1. AUsing the hands to "walk up" the legs to stand up from the floor
2. BFlexing the hips and knees when the neck is bent forward by the examiner
3. CFanning of the toes when the sole of the foot is stroked
4. DA sudden startle with the arms flung outwards

Egocentrism and magical thinking are typical of which of Piaget's stages?

1. AFormal operational stage (about 11 years onwards)
2. BConcrete operational stage (about 7 to 11 years)
3. CPreoperational stage (about 2 to 7 years)
4. DSensorimotor stage (birth to about 2 years)

Why should a child with rubella avoid contact with pregnant women?

1. ARubella in early pregnancy can cause serious birth defects
2. BThe child may catch a pregnancy-related infection
3. CRubella causes pregnant women to go into labour early
4. DPregnant women always develop severe pneumonia if they catch rubella

Which approach best helps a 4-year-old during a vaccination?

1. AHold the child upright on a parent's lap and use distraction, such as blowing bubbles
2. BTell the child the injection will not hurt at all
3. CHave staff hold the child flat on the couch so the injection is quick
4. DPromise a reward only if the child stays completely still and does not cry

A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?

1. AA hard toothbrush and lemon–glycerine swabs to clean the ulcers
2. BSpicy and acidic foods to stimulate saliva flow
3. CMouthwash containing alcohol several times a day
4. DA soft toothbrush or sponge, bland rinses and soft, cool foods

Een kind van 7 jaar heeft drie weken na keelpijn koorts, van gewricht naar gewricht trekkende gewrichtspijn en een nieuw hartgeruis. Waaraan moet de verpleegkundige denken?

1. AGroeipijn
2. BJuveniele idiopathische artritis zonder verband met de keelpijn
3. CAcuut reuma (acute rheumatic fever)
4. DDe ziekte van Kawasaki

During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?

1. APotassium has no role in DKA; it is a routine test only
2. BInsulin moves potassium into the cells, so blood potassium can fall sharply
3. CPotassium is needed to dissolve the insulin in the drip
4. DInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously