Сестринское дело в педиатрии: лист заданий с ответами

Какое место обычно рекомендуют для внутримышечных вакцин у младенцев?

1. AДельтовидная мышца в любом возрасте
2. BБольшая ягодичная мышца (дорсоглютеальная область)
3. CЛатеральная широкая мышца бедра (m. vastus lateralis) на передне-боковой поверхности бедра
4. DМышцы предплечья

How is congenital clubfoot (talipes equinovarus) usually treated first?

1. ASpecial shoes worn only at night from age 5
2. BWaiting until school age and then operating on the bones of the foot
3. CMassage alone, with no casts or braces
4. DGentle manipulation and serial casting (the Ponseti method)

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

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

If the MMR and varicella vaccines are not given on the same day, what is the general rule?

1. ASeparate them by at least 1 week
2. BSeparate them by at least 4 weeks
3. CGive the second within 24 hours of the first
4. DNever give both vaccines in the same year

A parent asks how to care for a child with mild croup at home. Which advice is correct?

1. AKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
2. BGive an over-the-counter cough syrup every hour until the barking cough stops
3. CLay the child flat in a cool room so the airway can relax
4. DHold the child over a bowl of hot, steaming water to loosen the cough

Which finding may suggest that a school-age child is being bullied?

1. AWanting to collect trading cards and play team games with classmates
2. BNot wanting to go to school, lost belongings and frequent stomach aches
3. CArguing with a sibling about the TV remote
4. DEnjoying school clubs and inviting friends home

Why is a pertussis (whooping cough) vaccine recommended during pregnancy?

1. AThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
2. BIt replaces the need for the baby's own pertussis vaccines
3. CIt protects the fetus from developing heart defects
4. DIt prevents the mother from passing pertussis to the baby through breast milk

A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?

1. AWarn her firmly that she will die soon if she does not do what she is told
2. BTell her parents to supervise every session until she is 18
3. CExplore her reasons and plan treatment with her that fits her daily life
4. DStop the physiotherapy, since she does not want it