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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the main cause of type 1 diabetes in children?
AAutoimmune destruction of the insulin-producing beta cells
BA lack of glucagon from the alpha cells of the pancreas
CInsulin resistance caused mainly by obesity and inactivity
DToo much insulin being produced by an overactive pancreas
2.Makkelijk
Which finding in the fingers is typical of long-standing cyanotic heart disease?
AWebbing between the fingers
BSpoon-shaped, thin nails
CClubbing of the fingertips
DSwan-neck deformity of the fingers
3.Makkelijk
Which transmission-based precautions are used for a hospitalised child with chickenpox?
AStandard precautions only
BAirborne and contact precautions
CDroplet precautions only, in a shared bay
DContact precautions only
4.Gemiddeld
What is "assent" in children's care?
AThe legal consent signed by the parent for surgery
BA form that lets the hospital treat any child without parental consent
CThe doctor's decision about which treatment is best
DThe child's agreement to care, sought alongside the parents' consent
5.Gemiddeld
When is the best time to tell a 2-year-old about an upcoming procedure?
AThe day before, with a detailed explanation
BAbout a week before, so there is time to get used to it
CNot at all, to avoid upsetting the child beforehand
DJust before it happens, in simple, concrete words
6.Gemiddeld
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
ABeing of a particular ethnic background
BA viral infection in early childhood
CA family history of diabetes
DObesity with low physical activity
7.Moeilijk
Een kind van 7 jaar heeft drie weken na keelpijn koorts, van gewricht naar gewricht trekkende gewrichtspijn en een nieuw hartgeruis. Waaraan moet de verpleegkundige denken?
AAcuut reuma (acute rheumatic fever)
BDe ziekte van Kawasaki
CGroeipijn
DJuveniele idiopathische artritis zonder verband met de keelpijn
8.Moeilijk
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
ANormal transition; no further checks are needed
BA normal result, because foot readings are always lower
CA faulty probe or a cold foot; repeat the whole test at the 6-week check
DAn abnormal screen that must be followed up promptly under the screening protocol
Antwoordenblad
1. A · Autoimmune destruction of the insulin-producing beta cells
2. C · Clubbing of the fingertips
3. B · Airborne and contact precautions
4. D · The child's agreement to care, sought alongside the parents' consent
5. D · Just before it happens, in simple, concrete words
6. D · Obesity with low physical activity
7. A · Acuut reuma (acute rheumatic fever)
8. D · An abnormal screen that must be followed up promptly under the screening protocol
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