Сестринское дело в педиатрии: лист заданий с ответами

When can a child stop using a booster seat in the car?

1. AAs soon as the child can fasten the seat belt alone
2. BWhen the child starts primary school and can sit still for a whole journey
3. CWhen the adult seat belt fits properly across the shoulder and upper thighs
4. DAt 4 years of age, whatever the child's height

Which finding suggests hydrocephalus in an infant?

1. AA flat area on the back of the head
2. BA small head with a closed fontanelle at birth
3. CA rapidly increasing head circumference with a bulging fontanelle
4. DA sunken fontanelle with dry mucous membranes and few wet nappies

Which sign may be the first clue to retinoblastoma in a young child?

1. AA white pupil in photos instead of the usual red reflex
2. BTears running down the cheek on one side
3. CRed, itchy eyes with a sticky yellow discharge
4. DA droopy upper eyelid that appears after a cold

В каком возрасте обычно формируется пинцетный захват (поднимание мелких предметов большим и указательным пальцами)?

1. AОколо 3 месяцев
2. BОколо 2 лет
3. CОколо 18 месяцев
4. DОколо 9–10 месяцев

Which advice is first-line for a school-age child with functional constipation?

1. ACutting out all fruit and vegetables to soften the stools
2. BMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
3. CDaily enemas given at home by the parents for several months, without other changes
4. DAvoiding the toilet at school until the problem has settled

Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?

1. ACarrying out the admission assessment of a new patient
2. BAssessing pain after surgery and choosing the analgesia
3. CTeaching a parent how to give insulin injections
4. DMeasuring and recording the vital signs of a stable child

Which phone call should the nurse return first?

1. AA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
2. BA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
3. CA parent asking when the next routine vaccines are due
4. DA parent of a 3-year-old with a runny nose and a mild cough for 2 days

У 4-летнего ребёнка высокая температура, слюнотечение, он сидит, наклонившись вперёд и вытянув шею, и выглядит встревоженным. Что медсестра должна сделать первым?

1. AУстановить внутривенную канюлю до вызова помощи
2. BУложить ребёнка плашмя и шпателем осмотреть горло, чтобы подтвердить отёк
3. CСохранять спокойствие ребёнка и вертикальное положение рядом с родителем и вызвать бригаду, владеющую навыками обеспечения проходимости дыхательных путей
4. DВзять мазок из горла для определения возбудителя