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Naam: ____________________ Datum: ____________
1.Makkelijk
For which child is a 0 to 10 numerical pain rating scale usually suitable?
AA 3-year-old who cannot yet count
BA newborn after a heel prick
CA child of about 8 years or older
DA 2-year-old with a recent fracture
2.Makkelijk
Which hygiene advice helps prevent urinary tract infections in girls?
AWear tight nylon underwear and leggings
BHold urine in for as long as possible
CTake a long bubble bath every evening before bed
DWipe from front to back after using the toilet
3.Makkelijk
What is the main cause of type 1 diabetes in children?
AA lack of glucagon from the alpha cells of the pancreas
BToo much insulin being produced by an overactive pancreas
CInsulin resistance caused mainly by obesity and inactivity
DAutoimmune destruction of the insulin-producing beta cells
4.Gemiddeld
How is a child usually positioned for a lumbar puncture?
AOn the side, curled up with knees drawn up and head bent forward
BProne with a pillow under the chest
CFlat on the back with the legs straight and a small pillow under the head
DStanding and leaning against the wall
5.Gemiddeld
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
AIbuprofen or indomethacin
BIntravenous furosemide infusion
CSalbutamol
DProstaglandin E1
6.Gemiddeld
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
AGive the prescribed rescue medicine and call for emergency help
BHold the child's arms and legs firmly to stop the movements
CPut a tongue depressor between the child's teeth
DWait another 15 minutes, because most seizures stop on their own
7.Moeilijk
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
AIt can stop red cell production for days and cause severe anaemia
BIt causes the sickle gene to become active in the child
CIt makes the child immune to all future crises
DIt triggers a severe allergic reaction to the virus
8.Moeilijk
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
ADetachment
BProtest
CNormal adjustment with no distress
DDespair
Antwoordenblad
1. C · A child of about 8 years or older
2. D · Wipe from front to back after using the toilet
3. D · Autoimmune destruction of the insulin-producing beta cells
4. A · On the side, curled up with knees drawn up and head bent forward
5. A · Ibuprofen or indomethacin
6. A · Give the prescribed rescue medicine and call for emergency help
7. A · It can stop red cell production for days and cause severe anaemia
8. A · Detachment
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