Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
К какому возрасту обычно закрывается большой родничок?
AПри рождении
BК 2–3 месяцам
CК 4–6 годам
DК 12–18 месяцам
2.Лёгкая
Which measure helps an infant with a cleft palate to feed?
AA special bottle or teat, an upright position and frequent burping
BFeeding only through a nasogastric tube until school age
CThickening every feed with baby cereal from birth onwards to slow the milk
DFeeding lying flat to let gravity move the milk along
3.Лёгкая
Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?
AIntravenous immunoglobulin (IVIG)
BInsulin and fluids
CAntiviral medicine such as aciclovir
DOral antibiotics for 10 days
4.Средняя
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
AStay calm, keep the child safe and do not give in to the demand
BGive the child the sweet he wants so the tantrum stops
CSmack the child to show that tantrums are not allowed
DShout loudly at the child to make the tantrum stop sooner
5.Средняя
How can the nurse best support a child with autism on a children's ward?
AChange the nurse each shift so the child meets more people
BExplain all procedures only at the very last minute to avoid days of worry
CKeep routines predictable, reduce noise and use visual schedules
DPlace the child in the busiest bay near the nurses' station
6.Средняя
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
AHead circumference twice daily, because it signals hydrocephalus
BBlood pressure, because the swelling causes hypertension
CJaundice, because the breakdown of the trapped blood adds to bilirubin
DUrine colour, because the swelling causes kidney damage
7.Сложная
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
AA skin infection that looks like a burn
BSunburn from playing outside in a paddling pool on a hot day
CPossible deliberate immersion; follow the safeguarding procedure
DAn accidental spill from a cup of tea
8.Сложная
The mother of a 6-week-old says the baby cries for hours and she fears she might lose control. What is the best advice?
APut the baby safely in the cot, take a few minutes' break and ask for support
BHold the baby face down on her lap until he falls asleep, however long it takes
CGive the baby a little honey on a dummy to settle him at night
DShake the baby gently for a few seconds to stop the crying and calm him
Ответы
1. D · К 12–18 месяцам
2. A · A special bottle or teat, an upright position and frequent burping
3. A · Intravenous immunoglobulin (IVIG)
4. A · Stay calm, keep the child safe and do not give in to the demand
5. C · Keep routines predictable, reduce noise and use visual schedules
6. C · Jaundice, because the breakdown of the trapped blood adds to bilirubin
7. C · Possible deliberate immersion; follow the safeguarding procedure
8. A · Put the baby safely in the cot, take a few minutes' break and ask for support
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