Сестринское дело в педиатрии: лист заданий с ответами

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1.Лёгкая

Why is circumcision avoided in a baby boy with hypospadias?

  1. AIt greatly increases the risk of urine infection in the first month
  2. BBabies with hypospadias usually have a bleeding disorder
  3. CThe foreskin may be needed for the repair
  4. DThe urethral opening moves to the tip by itself if the foreskin is left
2.Лёгкая

Which pattern is typical of roseola infantum?

  1. AA bright red rash on both cheeks, like a slap
  2. BItchy blisters in crops that crust over within days
  3. CA rash that appears first, followed by a whole week of high fever and cough
  4. DHigh fever for a few days, then a pink rash as the fever settles
3.Лёгкая

Which measure is a mainstay of daily eczema care?

  1. AUsing perfumed soap twice a day to remove bacteria from the skin surface
  2. BTaking long, hot baths with bubble bath every evening
  3. CApplying emollients generously and often, even when the skin looks clear
  4. DApplying emollients only when the skin is very inflamed
4.Средняя

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

  1. AИнвагинация кишечника
  2. BГастроэзофагеальный рефлюкс, нормальный для возраста
  3. CБолезнь Гиршпрунга
  4. DПилоростеноз
5.Средняя

A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?

  1. AAbout 2 mL per hour
  2. BAbout 20 mL per hour
  3. CAbout 5 mL per hour
  4. DAny amount, as long as the child is drinking
6.Средняя

When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?

  1. ABefore meals, or well after eating
  2. BStraight after a large meal, when the child has more energy
  3. COnly at bedtime, lying flat after the evening meal
  4. DOnly on days when the child has a fever
7.Сложная

A 2-year-old has swallowed several of his mother's iron tablets. Why is this treated as an emergency even if he looks well?

  1. AIron poisoning causes only constipation, which needs an enema
  2. BIron tablets dissolve to form a gas that blocks the airway
  3. CIron tablets cause an immediate allergic reaction in young children
  4. DIron poisoning can cause gut bleeding, shock and liver failure hours later
8.Сложная

A 6-month-old has just learned to roll over. Which safety advice is most urgent now?

  1. ANever leave her alone on a changing table, bed or sofa
  2. BInstall locks on all kitchen cupboards and drawers
  3. CTurn pan handles towards the back of the stove and fit a guard around the cooker
  4. DTeach her not to touch the hot oven door

Ответы

  1. 1. C · The foreskin may be needed for the repair
  2. 2. D · High fever for a few days, then a pink rash as the fever settles
  3. 3. C · Applying emollients generously and often, even when the skin looks clear
  4. 4. D · Пилоростеноз
  5. 5. B · About 20 mL per hour
  6. 6. A · Before meals, or well after eating
  7. 7. D · Iron poisoning can cause gut bleeding, shock and liver failure hours later
  8. 8. A · Never leave her alone on a changing table, bed or sofa

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