Сестринское дело в педиатрии: лист заданий с ответами

Which finding on examination is typical of pyloric stenosis?

1. AA tender mass in the left lower abdomen
2. BA soft bulge at the belly button when crying
3. CA swollen abdomen with no bowel sounds at all
4. DAn olive-shaped mass in the upper abdomen

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

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

Why are children with spina bifida often cared for with latex-free equipment?

1. ALatex damages the skin over the spine
2. BThey have a high risk of latex allergy
3. CLatex causes neural tube defects
4. DLatex particles can block the shunt in the brain

A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?

1. AGive a glass of orange juice by mouth
2. BLet the child sleep and check again in an hour
3. CGive the child's usual dose of insulin
4. DGive glucagon and call emergency services

What should the nurse do before giving a dose of digoxin to an infant?

1. ACount the radial pulse for 15 seconds and multiply by four
2. BCount the apical pulse for a full minute and check it against the prescribed limits
3. CMeasure the blood pressure and give the dose only if it is above the normal range
4. DMeasure the temperature and give the dose only if there is no fever

A 6-month-old's left eye turns inwards all the time. What should the nurse do?

1. AAdvise them to wait until the child can read letters
2. BRefer the baby to an eye specialist
3. CReassure the parents that this always resolves by school age
4. DCover the right eye with a patch at home without review

10-летний ребёнок в сознании с сахарным диабетом 1 типа дрожит и потеет, глюкоза крови 3,2 mmol/L. Каково первое действие?

1. AДать большую порцию еды, содержащей только белок и жир, и повторно измерить глюкозу перед следующим приёмом пищи
2. BВвести следующую дозу инсулина
3. CДать ребёнку выспаться
4. DДать быстродействующие углеводы внутрь и повторно измерить глюкозу примерно через 15 минут

A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?

1. AAn allergic reaction to steroids
2. BOrdinary oedema from the illness
3. CDeep vein thrombosis
4. DA muscle strain from walking