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Naam: ____________________ Datum: ____________
1.Makkelijk
How should an infant with gastro-oesophageal reflux be placed to sleep?
AOn the back, as for all babies
BSitting up in a car seat all night
COn the left side, wedged with pillows
DOn the tummy to reduce reflux
2.Makkelijk
Which hygiene advice helps prevent urinary tract infections in girls?
AWear tight nylon underwear and leggings
BTake a long bubble bath every evening before bed
CWipe from front to back after using the toilet
DHold urine in for as long as possible
3.Makkelijk
Which signs suggest a urinary tract infection in an infant?
AClear complaints of burning and stinging when passing urine
BA clear runny nose and a mild cough
CPain in the lower back that the baby points to
DFever, poor feeding, vomiting and irritability
4.Gemiddeld
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
AGive the second within 24 hours of the first
BSeparate them by at least 1 week
CSeparate them by at least 4 weeks
DNever give both vaccines in the same year
5.Gemiddeld
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
AIbuprofen or indomethacin
BProstaglandin E1
CSalbutamol
DIntravenous furosemide infusion
6.Gemiddeld
A child has scabies. Which plan is correct?
ATreat only the itchy areas of skin, not the whole body
BTreat the child and all close contacts at the same time, and wash bedding and clothes
CStop treatment as soon as the itch improves on the first day
DTreat only the child, as family members without itching are not infected
7.Moeilijk
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
AIt triggers a severe allergic reaction to the virus
BIt makes the child immune to all future crises
CIt can stop red cell production for days and cause severe anaemia
DIt causes the sickle gene to become active in the child
8.Moeilijk
A toddler with sickle cell disease suddenly becomes pale and lethargic, with a fast heart rate and an enlarging left upper abdomen. What should the nurse suspect?
AA pain crisis in the abdominal muscles
BConstipation causing abdominal swelling and discomfort
CA simple viral infection with mild anaemia
DSplenic sequestration crisis, an emergency
Antwoordenblad
1. A · On the back, as for all babies
2. C · Wipe from front to back after using the toilet
3. D · Fever, poor feeding, vomiting and irritability
4. C · Separate them by at least 4 weeks
5. A · Ibuprofen or indomethacin
6. B · Treat the child and all close contacts at the same time, and wash bedding and clothes
7. C · It can stop red cell production for days and cause severe anaemia
8. D · Splenic sequestration crisis, an emergency
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