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Naam: ____________________ Datum: ____________
1.Makkelijk
Which finding is typical of impetigo?
ATiny burrows between the fingers
BSilvery scales on the elbows and knees
CA target-shaped rash with a dusky, pale centre on the palms
DHoney-coloured crusts, often around the nose and mouth
2.Makkelijk
What is a positive Brudzinski sign?
ABending the neck forward causes the hips and knees to flex
BThe child cannot straighten the knee when the hip is flexed
CThe toes fan out when the sole of the foot is stroked
DThe pupils become unequal in size after a head injury
3.Makkelijk
How much fluoride toothpaste is usually advised for a child under 3 years?
ANone until all the baby teeth have come through
BA pea-sized amount on a soft brush
CA full strip along the length of the brush
DA smear about the size of a grain of rice
4.Gemiddeld
How is a child's weight status (for example overweight) assessed?
AWeight alone, compared with the average weight of children in the same class
BBMI plotted on an age- and sex-specific centile chart
CWaist size compared with the parents' waist size
DBMI compared with the adult cut-off points
5.Gemiddeld
How should the nurse measure the heart rate of a 9-month-old?
ACount the carotid pulse for 30 seconds and multiply by 2
BCount the apical pulse for a full minute
CRead it from the pulse oximeter only
DCount the radial pulse for 15 seconds and multiply by 4
6.Gemiddeld
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
AProstaglandin E1
BIbuprofen or indomethacin
CIntravenous furosemide infusion
DSalbutamol
7.Moeilijk
A 14-year-old took a large overdose of paracetamol (acetaminophen) 4 hours ago and says she feels fine. What should the nurse understand?
ALiver damage develops over days, so urgent acetylcysteine may still be needed
BParacetamol is not toxic, so she only needs a psychiatric assessment
CTreatment is only useful if started within 30 minutes, so it is now too late to help
DSince she feels well, the overdose was too small to be harmful
8.Moeilijk
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
AAn accidental spill from a cup of tea
BSunburn from playing outside in a paddling pool on a hot day
CA skin infection that looks like a burn
DPossible deliberate immersion; follow the safeguarding procedure
Antwoordenblad
1. D · Honey-coloured crusts, often around the nose and mouth
2. A · Bending the neck forward causes the hips and knees to flex
3. D · A smear about the size of a grain of rice
4. B · BMI plotted on an age- and sex-specific centile chart
5. B · Count the apical pulse for a full minute
6. B · Ibuprofen or indomethacin
7. A · Liver damage develops over days, so urgent acetylcysteine may still be needed
8. D · Possible deliberate immersion; follow the safeguarding procedure
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