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Naam: ____________________ Datum: ____________
1.Makkelijk
How should jaundice that first appears within the first 24 hours of life be regarded?
AAs harmless as long as the baby is feeding well
BAs breast milk jaundice that is best treated by stopping breastfeeding
CAs pathological until proven otherwise; it needs prompt evaluation
DAs normal physiological jaundice that needs no follow-up
2.Makkelijk
What is a greenstick fracture?
AA fracture in which the bone shatters into many pieces
BA fracture that passes through a joint surface only
CAn incomplete fracture in which the bone bends and cracks on one side
DA fracture in which the broken bone ends push out through the skin
3.Makkelijk
Which four features make up tetralogy of Fallot?
AASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
BPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
CVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
DVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
4.Gemiddeld
Which diet is usually advised for a child with nephrotic syndrome while there is oedema?
ANo added salt
BA high-salt diet to replace losses in the urine
CA carbohydrate-free diet to reduce fluid retention
DA protein-free diet to rest the kidneys completely
5.Gemiddeld
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
AClean the eye with breast milk and review in a week
BArrange prompt medical review, as infection from the birth canal is possible
CApply an over-the-counter steroid eye ointment
DReassure the parents that sticky eyes are always harmless in the first weeks of life
6.Gemiddeld
Waarom worden codeïne en tramadol niet aanbevolen voor kinderen jonger dan 12 jaar?
ASommige kinderen breken ze zeer snel af, wat gevaarlijke ademhalingsdepressie veroorzaakt
BZe kunnen alleen intraveneus worden gegeven
CZe zijn te zwak om matige pijn te verlichten, dus sterkere opioïden hebben altijd de voorkeur
DZe veroorzaken altijd allergieën
7.Moeilijk
The parents of a 5-year-old refuse a life-saving blood transfusion for religious reasons. What generally happens?
AThe team waits until the child is old enough to make the decision for himself
BThe team must withhold it, because parents always have the final say in every case
CRespect beliefs where possible, explore alternatives and seek legal authority if needed
DThe nurse gives the transfusion secretly while the parents are out of the room, to save time
8.Moeilijk
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
ATo prevent new strep infections that could cause further attacks and more valve damage
BTo cure the heart valve damage that has already occurred and let the valves heal completely
CTo reduce the joint pain that continues after the illness
DTo prevent common viral colds during the school year
Antwoordenblad
1. C · As pathological until proven otherwise; it needs prompt evaluation
2. C · An incomplete fracture in which the bone bends and cracks on one side
3. C · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
4. A · No added salt
5. B · Arrange prompt medical review, as infection from the birth canal is possible
6. A · Sommige kinderen breken ze zeer snel af, wat gevaarlijke ademhalingsdepressie veroorzaakt
7. C · Respect beliefs where possible, explore alternatives and seek legal authority if needed
8. A · To prevent new strep infections that could cause further attacks and more valve damage
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