Сестринское дело в педиатрии: лист заданий с ответами

What is cerebral palsy?

1. AA genetic disorder of collagen that makes the bones break easily
2. BA non-progressive disorder of movement and posture from damage to the developing brain
3. CA progressive muscle disease in which muscle fibres are slowly replaced by fat
4. DAn infection of the spinal cord that causes sudden paralysis of the legs

What happens in the rooting reflex of a newborn?

1. AWhen the sole is stroked, the toes fan out
2. BWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
3. CWhen the baby is startled, the arms fling outwards and then come together
4. DWhen the palm is touched, the baby grasps the finger tightly and holds on

When can a child stop using a booster seat in the car?

1. AWhen the adult seat belt fits properly across the shoulder and upper thighs
2. BAs soon as the child can fasten the seat belt alone
3. CAt 4 years of age, whatever the child's height
4. DWhen the child starts primary school and can sit still for a whole journey

A child with a known peanut allergy is starting school. What is the most important step?

1. AAsking the child to tell the teachers if she feels unwell
2. BA written allergy action plan, with in-date auto-injectors and trained staff
3. CAllowing the child to eat only foods brought by classmates
4. DKeeping the auto-injector at home, so that it cannot be lost or misused by other children

How should a 4-month-old be protected from the sun?

1. AKeep the baby out of direct sun, in the shade, with light clothing and a hat
2. BApply a thick layer of high-factor sunscreen and allow full sun
3. CUse a sunbed for a few minutes to build a protective tan
4. DExpose the baby to midday sun for vitamin D, then cover up

Какая находка у новорождённого указывает на болезнь Гиршпрунга?

1. AЯрко-жёлтый жидкий стул
2. BОтсутствие отхождения мекония в течение 48 часов после рождения
3. CЛающий кашель
4. DФонтанирующая рвота в 4 недели

A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?

1. APromise not to tell anyone so that she keeps talking
2. BTreat the wounds, stay calm and non-judgemental, and refer for assessment
3. CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
4. DAccept that she is not at risk because she says she does not want to die

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. ALow haemoglobin and low platelets with a normal potassium
2. BLow potassium, low phosphate, low uric acid and high calcium
3. CHigh sodium, high glucose, low albumin and low urea
4. DHigh potassium, high phosphate, high uric acid and low calcium