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Naam: ____________________ Datum: ____________
1.Makkelijk
Which five signs make up the Apgar score?
AHeart rate, blood pressure, temperature, weight and colour
BBreathing rate, blood glucose, length, muscle tone and cry
CHeart rate, breathing effort, muscle tone, reflex response and colour
DOxygen saturation, temperature, reflexes, weight and feeding
2.Makkelijk
Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?
ACalcium carbonate
BVitamin C
CIron
DFolic acid
3.Makkelijk
Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?
AScarlet fever (group A streptococcus)
BFifth disease (parvovirus B19)
CImpetigo (staphylococcus)
DMeasles (rubeola virus)
4.Gemiddeld
A child is in skin traction for a leg fracture. Which nursing action is correct?
AKeep the weights hanging freely, clear of the bed and floor
BRemove the traction tapes every hour to check the skin
CLet the weights rest on the floor while the child sleeps, so the pull is gentler
DLift the weights off when the child is uncomfortable
5.Gemiddeld
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
ATo give antibiotics directly into the inner ear
BTo widen the outer ear canal and reduce the build-up of wax
CTo ventilate the middle ear and let fluid drain
DTo replace the damaged eardrum permanently
6.Gemiddeld
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
AYes; asking directly does not increase the risk and helps find those who need help
BNo; asking about suicide may put the idea into the young person's head and raise the risk
COnly if the parents give written permission first
DNo; only a psychiatrist is allowed to ask this question
7.Moeilijk
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
AAbstract reasoning, typical of formal operations
BAnimism, typical of preoperational thinking
CConservation, typical of concrete operations
DObject permanence, typical of the sensorimotor stage
8.Moeilijk
A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?
AOral glucose gel rubbed into the gums
BPhototherapy
CIV antibiotics for 7 days
DSurfactant given into the trachea
Antwoordenblad
1. C · Heart rate, breathing effort, muscle tone, reflex response and colour
2. D · Folic acid
3. B · Fifth disease (parvovirus B19)
4. A · Keep the weights hanging freely, clear of the bed and floor
5. C · To ventilate the middle ear and let fluid drain
6. A · Yes; asking directly does not increase the risk and helps find those who need help
7. B · Animism, typical of preoperational thinking
8. D · Surfactant given into the trachea
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