Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
How is sickle cell disease inherited?
ANot inherited; it is acquired
BAutosomal recessive
CX-linked recessive
DAutosomal dominant
2.Лёгкая
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
ATrust versus mistrust
BInitiative versus guilt
CIndustry versus inferiority
DIntimacy versus isolation
3.Лёгкая
How is congenital clubfoot (talipes equinovarus) usually treated first?
AMassage alone, with no casts or braces
BSpecial shoes worn only at night from age 5
CWaiting until school age and then operating on the bones of the foot
DGentle manipulation and serial casting (the Ponseti method)
4.Средняя
Why do young children with sickle cell disease usually take daily penicillin?
ASickle cells make the child allergic to most other antibiotics
BPenicillin prevents pain crises in cold weather
CPenicillin stops red cells from changing shape
DPoor spleen function puts them at high risk of pneumococcal infection
5.Средняя
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
AWait another 15 minutes, because most seizures stop on their own
BHold the child's arms and legs firmly to stop the movements
CGive the prescribed rescue medicine and call for emergency help
DPut a tongue depressor between the child's teeth
6.Средняя
Какое лечение обычно применяют у ребёнка с крупом средней тяжести?
AКурс пероральных антибиотиков, например амоксициллина, на 5–7 дней
BОднократную дозу перорального кортикостероида, например дексаметазона
CПротивокашлевое средство
DФизиотерапию грудной клетки
7.Сложная
Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?
AThe baby will develop diabetes if the thyroid is not treated now
BThe baby could pass the condition to other children in the family
CTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood
DWithout early treatment it can cause lasting learning disability and poor growth
8.Сложная
A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?
AThigh fractures are common in young infants with soft bones
BThe fracture is too small to need treatment and will heal by itself
CBabies of this age often crawl and fall
DThe explanation does not fit the baby's stage of development
Ответы
1. B · Autosomal recessive
2. B · Initiative versus guilt
3. D · Gentle manipulation and serial casting (the Ponseti method)
4. D · Poor spleen function puts them at high risk of pneumococcal infection
5. C · Give the prescribed rescue medicine and call for emergency help
6. B · Однократную дозу перорального кортикостероида, например дексаметазона
7. D · Without early treatment it can cause lasting learning disability and poor growth
8. D · The explanation does not fit the baby's stage of development
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