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Naam: ____________________ Datum: ____________
1.Makkelijk
What is usually the first sign of puberty in girls?
AUnderarm hair
BRapid weight loss
CFirst menstrual period
DBreast budding
2.Makkelijk
How does respiratory syncytial virus (RSV) mainly spread?
AOnly through the air over long distances, like measles
BThrough contaminated food and drinking water
CThrough droplets and contaminated hands and surfaces
DThrough the bites of insects such as mosquitoes
3.Makkelijk
Which is the most common type of cancer in children?
AWilms tumour of the kidney
BRetinoblastoma of the eye
COsteosarcoma of the long bones
DAcute lymphoblastic leukaemia
4.Gemiddeld
What is a normal capillary refill time in a child?
A5 seconds or less
B2 seconds or less
C15 to 20 seconds
D8 to 10 seconds
5.Gemiddeld
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
AStop all insulin until the child is eating normally again, then restart at the usual dose
BKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
CGive insulin only if the child is vomiting
DGive double the usual insulin to prevent ketones
6.Gemiddeld
A child has scabies. Which plan is correct?
AStop treatment as soon as the itch improves on the first day
BTreat the child and all close contacts at the same time, and wash bedding and clothes
CTreat only the child, as family members without itching are not infected
DTreat only the itchy areas of skin, not the whole body
7.Moeilijk
On day 5 of chickenpox, a child has a fever again, and one area of skin around some spots has become red, hot, swollen and very painful. What should the nurse suspect?
AAn allergy to calamine lotion
BNormal healing of chickenpox spots
CA secondary bacterial skin infection
DA second attack of chickenpox caused by a different strain
8.Moeilijk
A preterm baby on milk feeds develops a distended abdomen, larger gastric aspirates and blood in the stool. What should the nurse do first?
AGive a glycerine suppository and wait
BRecord it and review at the next feed
CStop feeds and report at once
DIncrease the feeds to help the bowel work
Antwoordenblad
1. D · Breast budding
2. C · Through droplets and contaminated hands and surfaces
3. D · Acute lymphoblastic leukaemia
4. B · 2 seconds or less
5. B · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
6. B · Treat the child and all close contacts at the same time, and wash bedding and clothes
7. C · A secondary bacterial skin infection
8. C · Stop feeds and report at once
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