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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the main feature of immune thrombocytopenia (ITP) in a child?
AA missing clotting factor with bleeding into joints
BA high red cell count with headache and flushing
CA low platelet count with bruising and petechiae
DA low white cell count with repeated infections
2.Makkelijk
Which symptom is typical of scabies?
ADry, flaky scalp with dandruff but no itching
BPainless red patches that slowly spread outward over months
CIntense itching, worse at night, with burrows between the fingers
DLarge blisters on the soles of the feet after walking
3.Makkelijk
By about what age does the Moro (startle) reflex normally disappear?
AAbout 4 to 6 months
BAbout 12 to 15 months
CAbout 2 to 4 weeks
DAbout 2 to 3 years
4.Gemiddeld
Welke bevinding bij een controle op 18 maanden vraagt om verwijzing voor ontwikkelingsonderzoek?
AHet kind zegt maar enkele woorden
BHet kind speelt naast andere kinderen in plaats van met hen
CHet kind is bang voor vreemden
DHet kind loopt nog niet zelfstandig
5.Gemiddeld
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
APlace her in the recovery position and monitor airway and breathing
BLeave her alone in a dark room to sleep it off
CWake her fully every few minutes and ask her to stand up and walk around
DGive her a drink straight away to prevent dehydration
6.Gemiddeld
A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?
AWear it for the prescribed hours each day, with a thin cotton shirt underneath
BWear it only at weekends and in the holidays, when it does not interfere with school
CWear it only when the back hurts, then take it off
DWear it over thick clothing to make it more comfortable
7.Moeilijk
Which treatment is not routinely recommended for a typical infant with bronchiolitis?
AOxygen if the saturation is persistently low
BGentle nasal suction if the nose is blocked
CBronchodilators or corticosteroids
DHelp with feeding or fluids if intake is poor
8.Moeilijk
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
AAbout 25 mL per hour
BAbout 50 mL per hour
CAbout 67 mL per hour
DAbout 104 mL per hour
Antwoordenblad
1. C · A low platelet count with bruising and petechiae
2. C · Intense itching, worse at night, with burrows between the fingers
3. A · About 4 to 6 months
4. D · Het kind loopt nog niet zelfstandig
5. A · Place her in the recovery position and monitor airway and breathing
6. A · Wear it for the prescribed hours each day, with a thin cotton shirt underneath
7. C · Bronchodilators or corticosteroids
8. C · About 67 mL per hour
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