Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
What causes respiratory distress syndrome in preterm babies?
AAn allergy to the oxygen used in the incubator
BA viral infection caught from the mother
CA lack of surfactant in the immature lungs
DInhaling meconium-stained fluid during birth
2.Лёгкая
In an asthma action plan based on peak flow, what does the green zone mean?
AStop the preventer because it is no longer needed
BUse the reliever more often and contact the doctor today
CThis is an emergency; call for help at once
DAsthma is under control; continue usual treatment
3.Лёгкая
Which teething remedy is generally recommended for infants?
AAn amber teething necklace worn day and night
BRubbing honey on the gums before sleep
CA gel containing the local anaesthetic benzocaine
DA clean, chilled (not frozen) teething ring
4.Средняя
How is a child's weight status (for example overweight) assessed?
ABMI compared with the adult cut-off points
BBMI plotted on an age- and sex-specific centile chart
CWaist size compared with the parents' waist size
DWeight alone, compared with the average weight of children in the same class
5.Средняя
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
ABronchiolitis
BAn inhaled foreign body
CA first attack of asthma
DViral croup
6.Средняя
Which advice is best for a baby with mild nappy rash?
AUse tighter nappies so that less urine reaches the skin
BWipe with perfumed baby wipes at every change to kill the bacteria on the skin
CChange nappies often, clean gently, use a barrier cream and allow nappy-free time
DApply talcum powder thickly at every nappy change
7.Сложная
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
ATo dilate the airways so that oxygen can reach the alveoli
BTo keep the ductus arteriosus open so that the two circulations can mix
CTo strengthen heart muscle contraction and raise blood pressure
DTo close the ductus arteriosus and send all blood through the lungs
8.Сложная
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
A"I use my spacer with my inhaler, even at school."
B"I stop taking my preventer inhaler whenever I've had a few good days."
C"I rinse my mouth after using my preventer inhaler."
D"I carry my reliever inhaler with me everywhere I go."
Ответы
1. C · A lack of surfactant in the immature lungs
2. D · Asthma is under control; continue usual treatment
3. D · A clean, chilled (not frozen) teething ring
4. B · BMI plotted on an age- and sex-specific centile chart
5. B · An inhaled foreign body
6. C · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
7. B · To keep the ductus arteriosus open so that the two circulations can mix
8. B · "I stop taking my preventer inhaler whenever I've had a few good days."
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