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Naam: ____________________ Datum: ____________
1.Makkelijk
At about what age do most children say their first meaningful words?
AAbout 6 months
BAbout 12 months
CAbout 4 months
DAbout 2 years
2.Makkelijk
How is cystic fibrosis inherited?
AThrough mitochondrial DNA from the mother
BX-linked recessive
CAutosomal dominant
DAutosomal recessive
3.Makkelijk
Where should a healthcare provider check for a pulse in an unresponsive infant?
AThe carotid artery
BThe temporal artery
CThe brachial artery
DThe radial artery
4.Gemiddeld
Wat is een echte contra-indicatie voor een volgende dosis van hetzelfde vaccin?
AEen lichte koorts na een eerdere dosis
BAnafylaxie na een eerdere dosis van dat vaccin
CRoodheid en pijn op de injectieplaats na een eerdere dosis
DAllergieën in de familie
5.Gemiddeld
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
AUrine colour, because the swelling causes kidney damage
BHead circumference twice daily, because it signals hydrocephalus
CJaundice, because the breakdown of the trapped blood adds to bilirubin
DBlood pressure, because the swelling causes hypertension
6.Gemiddeld
Which finding is an early sign of shock in a child?
ASlow, deep breathing with a normal heart rate
BA warm, flushed child with a strong, bounding pulse
CA fast heart rate with a prolonged capillary refill
DLow blood pressure with a slow heart rate and pauses in breathing
7.Moeilijk
A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?
AStop the infusion, support breathing and give naloxone as per protocol
BLet the child sleep, as this shows the pain is controlled
CReduce the infusion rate slightly and recheck the child's breathing in an hour
DGive a sedative to keep the child calm
8.Moeilijk
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
ATreat the wounds, stay calm and non-judgemental, and refer for assessment
BAccept that she is not at risk because she says she does not want to die
CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
DPromise not to tell anyone so that she keeps talking
Antwoordenblad
1. B · About 12 months
2. D · Autosomal recessive
3. C · The brachial artery
4. B · Anafylaxie na een eerdere dosis van dat vaccin
5. C · Jaundice, because the breakdown of the trapped blood adds to bilirubin
6. C · A fast heart rate with a prolonged capillary refill
7. A · Stop the infusion, support breathing and give naloxone as per protocol
8. A · Treat the wounds, stay calm and non-judgemental, and refer for assessment
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