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Naam: ____________________ Datum: ____________
1.Makkelijk
Which sign may be the first clue to retinoblastoma in a young child?
AA droopy upper eyelid that appears after a cold
BTears running down the cheek on one side
CA white pupil in photos instead of the usual red reflex
DRed, itchy eyes with a sticky yellow discharge
2.Makkelijk
At which times after birth is the Apgar score routinely assessed?
AAt 1 minute and at 5 minutes
BOnly once, at 24 hours of age
CAt birth and again at 1 hour
DAt 10 minutes and at 30 minutes
3.Makkelijk
How much fluoride toothpaste is usually advised for a child under 3 years?
AA pea-sized amount on a soft brush
BA smear about the size of a grain of rice
CNone until all the baby teeth have come through
DA full strip along the length of the brush
4.Gemiddeld
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
AAppetite falls as growth slows; offer small, healthy portions without pressure
BGive extra bottles of milk to make up for the meals she refuses
CThis is a sign of illness and she needs blood tests
DEncourage her to finish every meal, even if this takes a long time at the table
5.Gemiddeld
A child's asthma action plan shows he is in the yellow zone. What should he do?
ADouble the preventer dose and do nothing else
BStop all medicines and wait to see if the symptoms pass
CGo straight to the emergency department without using any medicine first
DUse the reliever as the plan says and contact the doctor if it does not help
6.Gemiddeld
How can acute rheumatic fever be prevented?
ABy avoiding dairy products and cold drinks during every cold or cough
BBy giving aspirin for every fever
CBy prompt antibiotic treatment of streptococcal sore throat
DBy routine MMR vaccination in infancy
7.Moeilijk
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
AThe child is asking for a drink
BThe blood pressure is in the high range
CThe burned skin looks less red and the blisters are smaller
DA urine output of about 1 mL/kg per hour
8.Moeilijk
Een meisje van 15 jaar vraagt de verpleegkundige haar seksuele activiteit vertrouwelijk te houden voor haar ouders. Er zijn geen tekenen van misbruik of risico op ernstige schade. Wat is de meest passende reactie?
AHaar ouders direct inlichten
BBeloven dat niets wat ze zegt ooit met iemand wordt gedeeld, wat ze in de toekomst ook onthult
CHaar vertrouwelijkheid respecteren, informatie geven en uitleggen wanneer informatie toch gedeeld zou moeten worden
DWeigeren erover te praten tot haar ouders aanwezig zijn
Antwoordenblad
1. C · A white pupil in photos instead of the usual red reflex
2. A · At 1 minute and at 5 minutes
3. B · A smear about the size of a grain of rice
4. A · Appetite falls as growth slows; offer small, healthy portions without pressure
5. D · Use the reliever as the plan says and contact the doctor if it does not help
6. C · By prompt antibiotic treatment of streptococcal sore throat
7. D · A urine output of about 1 mL/kg per hour
8. C · Haar vertrouwelijkheid respecteren, informatie geven en uitleggen wanneer informatie toch gedeeld zou moeten worden
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