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Naam: ____________________ Datum: ____________
1.Makkelijk
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
ABecause an undescended testis leads to kidney failure if left untreated
BBecause an undescended testis causes severe daily pain in infancy
CTo protect fertility and allow the testis to be checked for cancer
DTo stop the testis from producing too much testosterone in puberty
2.Makkelijk
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
A1500 mL per day
B2000 mL per day
C1000 mL per day
D500 mL per day
3.Makkelijk
Which feature is typical of whooping cough (pertussis) in an older child?
ADrooling, a high fever and difficulty swallowing saliva
BBouts of coughing that end with a "whoop" on breathing in
CA wheeze heard only on breathing out, with a runny nose
DA barking cough and a hoarse voice that are worse at night
4.Gemiddeld
Which early sign may tell a child with haemophilia that a joint bleed is starting?
ATingling or warmth in the joint
BA sudden fever with a rash
CAn itchy feeling on the skin over the elbow
DA cold, pale hand or foot
5.Gemiddeld
How should a 4-month-old be protected from the sun?
AExpose the baby to midday sun for vitamin D, then cover up
BApply a thick layer of high-factor sunscreen and allow full sun
CUse a sunbed for a few minutes to build a protective tan
DKeep the baby out of direct sun, in the shade, with light clothing and a hat
6.Gemiddeld
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
A1000 mL per day
B1500 mL per day
C1250 mL per day
D750 mL per day
7.Moeilijk
A 3-year-old was pulled from a pool after a brief submersion. She is now awake and coughs now and then. What should the nurse advise?
ATake her straight home, because she is awake, talking and only coughing now and then
BGive her a warm drink and put her to bed for a long sleep
CObserve her in hospital for several hours, as breathing problems can develop later
DOnly seek care if she develops a fever in the next week
8.Moeilijk
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
ACompartment syndrome; report it at once
BAnxiety; distract the child with play
CItching under the cast; give an antihistamine
DNormal pain after a fracture; give more time
Antwoordenblad
1. C · To protect fertility and allow the testis to be checked for cancer
2. C · 1000 mL per day
3. B · Bouts of coughing that end with a "whoop" on breathing in
4. A · Tingling or warmth in the joint
5. D · Keep the baby out of direct sun, in the shade, with light clothing and a hat
6. C · 1250 mL per day
7. C · Observe her in hospital for several hours, as breathing problems can develop later
8. A · Compartment syndrome; report it at once
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