Сестринское дело в педиатрии: лист заданий с ответами

Bedwetting at night is usually not considered a problem needing treatment until about what age?

1. AAbout 2 years
2. BAbout 10 years
3. CAbout 14 years
4. DAbout 5 years

Which measure helps an infant with a cleft palate to feed?

1. AFeeding only through a nasogastric tube until school age
2. BThickening every feed with baby cereal from birth onwards to slow the milk
3. CFeeding lying flat to let gravity move the milk along
4. DA special bottle or teat, an upright position and frequent burping

Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?

1. ABecause of too much iron in the diet
2. BTo compensate for chronic hypoxia
3. CBecause the spleen stops working
4. DBecause the heart makes red blood cells

У 5-недельного ребёнка после каждого кормления сильная (фонтанирующая) рвота, и после неё он кажется голодным. Какова вероятная причина?

1. AБолезнь Гиршпрунга
2. BИнвагинация кишечника
3. CПилоростеноз
4. DГастроэзофагеальный рефлюкс, нормальный для возраста

Как следует защитить мешок у новорождённого с миеломенингоцеле до операции?

1. AНаложить тугую сухую повязку
2. BОставить открытым, чтобы высох
3. CНакрыть стерильной влажной неприлипающей повязкой и уложить ребёнка на живот
4. DУложить ребёнка на спину, подложив мягкое кольцо вокруг мешка для опоры на матрасе

Which group of findings suggests Kawasaki disease?

1. AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
2. BLow-grade fever, a barking cough and stridor that are worse at night
3. CFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
4. DHigh fever for 3 days, then a pink rash as the fever settles

The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?

1. AWait, as no help is available until he is a teenager
2. BStop punishing him, praise dry nights and consider a bedwetting alarm
3. CWake him every hour through the night and make him change his own sheets
4. DStop all drinks after lunch and keep him in nappies

The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?

1. AHer breasts should always feel full and hard between feeds
2. BThe baby should feed for exactly 10 minutes on each side at every feed, day and night
3. CThe baby should sleep through the night without waking for feeds
4. DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain