Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Which practice most increases the risk of early childhood tooth decay?
AOffering water to drink between meals
BBrushing the teeth with a smear of fluoride toothpaste
CHaving a first dental visit by about the first birthday
DPutting a baby to bed with a bottle of milk or juice
2.Лёгкая
What is the most common cause of Down syndrome?
AAn extra copy of chromosome 21 (trisomy 21)
BA missing X chromosome in a girl
CInfection with rubella in early pregnancy
DA single gene inherited from both carrier parents
3.Лёгкая
Which is the most common type of cancer in children?
AWilms tumour of the kidney
BOsteosarcoma of the long bones
CAcute lymphoblastic leukaemia
DRetinoblastoma of the eye
4.Средняя
Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?
AIt adjusts for the larger head and smaller legs of young children
BIt measures the depth of the burn rather than its area
CIt is mainly used for small burns of the hands, feet and face in children
DIt counts the number of blisters on the body
5.Средняя
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
AIt increases fetal haemoglobin, which reduces sickling
BIt kills bacteria in the blood and prevents infections
CIt replaces the missing clotting factors
DIt removes extra iron after blood transfusions
6.Средняя
A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?
AGive a full feed by bottle and observe for vomiting afterwards
BOffer small sips of sterile water to check whether the baby can swallow
CKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
DLay the baby flat and give the next feed slowly through a teat
7.Сложная
An infant with heart failure is breathing fast and working hard. Which position helps most?
AProne with the head turned to the side
BLying flat on the left side only
CSemi-upright, with the head and chest raised
DFlat on the back with the legs raised
8.Сложная
A 6-year-old has threadworms. Which plan is correct?
ATreat only if the child also has a fever
BTreat only the child and keep him off school for two weeks until the itching settles
CThrow away all the child's clothes and bedding
DTreat the whole household, with hand washing, short nails and a morning wash
Ответы
1. D · Putting a baby to bed with a bottle of milk or juice
2. A · An extra copy of chromosome 21 (trisomy 21)
3. C · Acute lymphoblastic leukaemia
4. A · It adjusts for the larger head and smaller legs of young children
5. A · It increases fetal haemoglobin, which reduces sickling
6. C · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
7. C · Semi-upright, with the head and chest raised
8. D · Treat the whole household, with hand washing, short nails and a morning wash
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