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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the main purpose of supervised "tummy time" for babies who are awake?
ATo strengthen neck, shoulder and arm muscles and help prevent a flat head
BTo reduce the risk of sudden infant death during sleep
CTo help the baby sleep for longer periods at night
DTo improve digestion and reduce colic and wind after every feed of the day
2.Makkelijk
What is a greenstick fracture?
AAn incomplete fracture in which the bone bends and cracks on one side
BA fracture in which the bone shatters into many pieces
CA fracture that passes through a joint surface only
DA fracture in which the broken bone ends push out through the skin
3.Makkelijk
Which symptom is typical of scabies?
ALarge blisters on the soles of the feet after walking
BPainless red patches that slowly spread outward over months
CDry, flaky scalp with dandruff but no itching
DIntense itching, worse at night, with burrows between the fingers
4.Gemiddeld
How should the nurse measure the heart rate of a 9-month-old?
ACount the carotid pulse for 30 seconds and multiply by 2
BCount the apical pulse for a full minute
CRead it from the pulse oximeter only
DCount the radial pulse for 15 seconds and multiply by 4
5.Gemiddeld
Welke bevinding is bij een kind met hypovolemische shock meestal een laat teken?
ALage bloeddruk
BKoude extremiteiten
CTachycardie
DVerlengde capillaire refill
6.Gemiddeld
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
AGive insulin only if the child is vomiting
BKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
CGive double the usual insulin to prevent ketones
DStop all insulin until the child is eating normally again, then restart at the usual dose
7.Moeilijk
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
AChlamydia always causes severe pain, so testing is only a formality
BChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
CChlamydia can only be caught from shared towels and toilet seats
DTesting is required by law before any young person can see a nurse or doctor for any reason
8.Moeilijk
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
APlace the end of the tube in water and look for bubbles
BInject air and listen over the stomach for a "whoosh"
CCheck that aspirate from the tube is acidic, using the pH limit in local policy
DAsk the child whether the tube feels comfortable and check the length mark only
Antwoordenblad
1. A · To strengthen neck, shoulder and arm muscles and help prevent a flat head
2. A · An incomplete fracture in which the bone bends and cracks on one side
3. D · Intense itching, worse at night, with burrows between the fingers
4. B · Count the apical pulse for a full minute
5. A · Lage bloeddruk
6. B · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
7. B · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
8. C · Check that aspirate from the tube is acidic, using the pH limit in local policy
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