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Naam: ____________________ Datum: ____________
1.Makkelijk
Which congenital heart defect causes cyanosis?
APatent ductus arteriosus
BSmall ventricular septal defect with a left-to-right shunt
CTransposition of the great arteries
DAtrial septal defect
2.Makkelijk
Into which airway does an inhaled foreign body most often go?
AThe left main bronchus
BThe right main bronchus
CBoth main bronchi equally often
DThe left upper lobe bronchus
3.Makkelijk
In an asthma action plan based on peak flow, what does the green zone mean?
AThis is an emergency; call for help at once
BAsthma is under control; continue usual treatment
CStop the preventer because it is no longer needed
DUse the reliever more often and contact the doctor today
4.Gemiddeld
How is amblyopia (lazy eye) commonly treated in young children?
APatching the weaker eye so that it can rest and recover
BPatching or blurring the stronger eye so the weaker eye works harder
CWaiting until adulthood, when surgery can correct it
DEye exercises alone, without any glasses, drops or patches
5.Gemiddeld
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
AAbout 5 mL per hour
BAbout 20 mL per hour
CAny amount, as long as the child is drinking
DAbout 2 mL per hour
6.Gemiddeld
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
AReassure the parents that sticky eyes are always harmless in the first weeks of life
BApply an over-the-counter steroid eye ointment
CArrange prompt medical review, as infection from the birth canal is possible
DClean the eye with breast milk and review in a week
7.Moeilijk
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
APreterm babies never reach normal milestones, so no follow-up is needed
BMilestones are always judged by chronological age, so he is 3 months behind
CHe is clearly delayed and needs urgent neurological referral
DMilestones are judged by corrected age, here about 3 months, so this is expected
8.Moeilijk
Which long-term problems should be monitored in a child with a repaired cleft palate?
AMiddle ear infections, hearing, speech and teeth
BKidney function and blood pressure
CGrowth hormone levels and puberty timing
DBone density and fracture risk in the teenage years
Antwoordenblad
1. C · Transposition of the great arteries
2. B · The right main bronchus
3. B · Asthma is under control; continue usual treatment
4. B · Patching or blurring the stronger eye so the weaker eye works harder
5. B · About 20 mL per hour
6. C · Arrange prompt medical review, as infection from the birth canal is possible
7. D · Milestones are judged by corrected age, here about 3 months, so this is expected
8. A · Middle ear infections, hearing, speech and teeth
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