Сестринское дело в педиатрии: лист заданий с ответами

At which times after birth is the Apgar score routinely assessed?

1. AAt 10 minutes and at 30 minutes
2. BAt 1 minute and at 5 minutes
3. COnly once, at 24 hours of age
4. DAt birth and again at 1 hour

Что означают буквы шкалы боли FLACC?

1. AFlexion (сгибание), Limb tone (тонус конечностей), Activity (активность), Circulation (кровообращение), Cry (плач)
2. BFace (лицо), Legs (ноги), Activity (активность), Cry (плач), Consolability (утешаемость)
3. CFever (лихорадка), Lethargy (вялость), Appetite (аппетит), Colour (цвет кожи), Crying (плач)
4. DFacial expression (мимика), Language (речь), Alertness (бодрствование), Comfort (комфорт), Calmness (спокойствие)

What is a positive Brudzinski sign?

1. AThe pupils become unequal in size after a head injury
2. BBending the neck forward causes the hips and knees to flex
3. CThe child cannot straighten the knee when the hip is flexed
4. DThe toes fan out when the sole of the foot is stroked

Какое сестринское действие защищает линию шва после пластики расщелины губы?

1. AНесколько раз в день очищать линию шва сухой грубой тканью, чтобы удалить корочки
2. BУкладывать ребёнка на спину или на бок и не помещать предметы в рот
3. CУкладывать ребёнка спать на живот
4. DСразу дать ребёнку пустышку

A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?

1. AWear it only when the back hurts, then take it off
2. BWear it over thick clothing to make it more comfortable
3. CWear it only at weekends and in the holidays, when it does not interfere with school
4. DWear it for the prescribed hours each day, with a thin cotton shirt underneath

How is a child usually positioned for a lumbar puncture?

1. AProne with a pillow under the chest
2. BStanding and leaning against the wall
3. COn the side, curled up with knees drawn up and head bent forward
4. DFlat on the back with the legs straight and a small pillow under the head

A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?

1. ANo; it may ease discomfort but does not prevent febrile seizures
2. BYes; giving it every 4 hours during a fever will always prevent seizures
3. CYes, but only if a cold bath is given at the same time
4. DNo, because paracetamol can cause febrile seizures

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