Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Which signs suggest a urinary tract infection in an infant?
APain in the lower back that the baby points to
BFever, poor feeding, vomiting and irritability
CClear complaints of burning and stinging when passing urine
DA clear runny nose and a mild cough
2.Лёгкая
What is kangaroo care?
AA special incubator that copies the mother's heartbeat
BCarrying the baby in a front sling or carrier while doing the housework each day
CSkin-to-skin contact between a parent and a baby, often a preterm baby
DWrapping the baby tightly in a blanket for sleep
3.Лёгкая
What is the first-line treatment for anaphylaxis in a child?
AIM adrenaline (epinephrine)
BOral paracetamol (acetaminophen)
CAn inhaled corticosteroid via a spacer
DAn oral antihistamine
4.Средняя
Which instruction about a child's new plaster cast is correct?
APush a knitting needle inside the cast to scratch an itch
BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
CKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
DLet the child walk on a leg cast as soon as it is applied
5.Средняя
У ребёнка моча цвета колы, отёчные веки и высокое артериальное давление через две недели после боли в горле. Каков вероятный диагноз?
AОпухоль Вильмса
BИнфекция мочевыводящих путей
CОстрый постстрептококковый гломерулонефрит
DНефротический синдром
6.Средняя
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
AOnly after the child has already vomited at least twice
BBefore the chemotherapy starts and then regularly
COnly if the child asks for it
DOnly at night, when the child is asleep
7.Сложная
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
AMassage and physiotherapy to loosen the muscle
BBlood cultures and prompt IV antibiotics for possible osteomyelitis
CRest, ice and an elastic bandage for a sprained ankle, with review in a week
DA plaster cast and discharge home the same day
8.Сложная
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
ATo close the ductus arteriosus and send all blood through the lungs
BTo dilate the airways so that oxygen can reach the alveoli
CTo keep the ductus arteriosus open so that the two circulations can mix
DTo strengthen heart muscle contraction and raise blood pressure
Ответы
1. B · Fever, poor feeding, vomiting and irritability
2. C · Skin-to-skin contact between a parent and a baby, often a preterm baby
3. A · IM adrenaline (epinephrine)
4. B · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
5. C · Острый постстрептококковый гломерулонефрит
6. B · Before the chemotherapy starts and then regularly
7. B · Blood cultures and prompt IV antibiotics for possible osteomyelitis
8. C · To keep the ductus arteriosus open so that the two circulations can mix
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