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Naam: ____________________ Datum: ____________
1.Makkelijk
Which axillary temperature range is normal for a newborn?
AAbout 35,0 to 36,0 °C (95,0 to 96,8 °F)
BAbout 34,0 to 35,0 °C (93,2 to 95,0 °F)
CAbout 36,5 to 37,5 °C (97,7 to 99,5 °F)
DAbout 37,8 to 38,5 °C (100,0 to 101,3 °F)
2.Makkelijk
Egocentrism and magical thinking are typical of which of Piaget's stages?
ASensorimotor stage (birth to about 2 years)
BPreoperational stage (about 2 to 7 years)
CConcrete operational stage (about 7 to 11 years)
DFormal operational stage (about 11 years onwards)
3.Makkelijk
What is a positive Brudzinski sign?
AThe child cannot straighten the knee when the hip is flexed
BBending the neck forward causes the hips and knees to flex
CThe pupils become unequal in size after a head injury
DThe toes fan out when the sole of the foot is stroked
4.Gemiddeld
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
AThey should be given from 6 weeks, mixed into the baby's milk
BThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
CThey should only be given after a skin prick test in every infant
DThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
5.Gemiddeld
Why should a child with rubella avoid contact with pregnant women?
APregnant women always develop severe pneumonia if they catch rubella
BRubella causes pregnant women to go into labour early
CThe child may catch a pregnancy-related infection
DRubella in early pregnancy can cause serious birth defects
6.Gemiddeld
How should the nurse measure the heart rate of a 9-month-old?
ACount the apical pulse for a full minute
BCount the radial pulse for 15 seconds and multiply by 4
CRead it from the pulse oximeter only
DCount the carotid pulse for 30 seconds and multiply by 2
7.Moeilijk
Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?
AGive an oral antihistamine and a steroid instead of more adrenaline
BWait 30 minutes for the first dose of adrenaline to take its full effect
CSit the child up and walk her around to raise the blood pressure
DGive a further dose of IM adrenaline as per protocol and call for advanced help
8.Moeilijk
Een kind van 7 jaar met een astma-aanval piepte luid maar is nu stil, suf en heeft een sterk verminderde luchtinstroom. Wat wijst dit aan?
ADe aanval gaat over
BEen goede reactie op de luchtwegverwijder, waarna de luchtwegen weer opengaan
CEen levensbedreigende verslechtering met uitputting en zeer slechte luchtverplaatsing
DHet kind valt normaal in slaap
Antwoordenblad
1. C · About 36,5 to 37,5 °C (97,7 to 99,5 °F)
2. B · Preoperational stage (about 2 to 7 years)
3. B · Bending the neck forward causes the hips and knees to flex
4. D · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
5. D · Rubella in early pregnancy can cause serious birth defects
6. A · Count the apical pulse for a full minute
7. D · Give a further dose of IM adrenaline as per protocol and call for advanced help
8. C · Een levensbedreigende verslechtering met uitputting en zeer slechte luchtverplaatsing
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