Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
A1000 mL per day
B500 mL per day
C2000 mL per day
D1500 mL per day
2.Лёгкая
How is congenital clubfoot (talipes equinovarus) usually treated first?
AMassage alone, with no casts or braces
BWaiting until school age and then operating on the bones of the foot
CGentle manipulation and serial casting (the Ponseti method)
DSpecial shoes worn only at night from age 5
3.Лёгкая
How deep should chest compressions be during CPR on a child?
AJust enough to see the chest move slightly
BAt least one third of the depth of the chest
CAbout one tenth of the depth of the chest
DAs deep as possible, until the ribs can be felt to give
4.Средняя
How should an infant with heart failure be fed?
ASmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
BStop the feed when the baby tires and wait until the next scheduled feed
CLying flat on the back so the baby does not need to hold the head up
DLarge feeds every 6 hours so the baby can rest in between
5.Средняя
What is a normal capillary refill time in a child?
A2 seconds or less
B15 to 20 seconds
C8 to 10 seconds
D5 seconds or less
6.Средняя
How can acute rheumatic fever be prevented?
ABy prompt antibiotic treatment of streptococcal sore throat
BBy giving aspirin for every fever
CBy routine MMR vaccination in infancy
DBy avoiding dairy products and cold drinks during every cold or cough
7.Сложная
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
AAsk his parents to stay with him at all times and make decisions for him
BMove him to a room with toddlers so the ward is less lonely
CArrange contact with friends and let him control parts of his daily routine
DSet a strict timetable for him that staff decide without his input
8.Сложная
The parent of a child on chemotherapy calls to say the child has a temperature of 38,5 °C (101,3 °F). What is the correct advice?
AWait until the next clinic visit, as fever is common
BBring the child to hospital straight away for assessment and IV antibiotics
CGive a cool bath and keep the child at home
DGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
Ответы
1. A · 1000 mL per day
2. C · Gentle manipulation and serial casting (the Ponseti method)
3. B · At least one third of the depth of the chest
4. A · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
5. A · 2 seconds or less
6. A · By prompt antibiotic treatment of streptococcal sore throat
7. C · Arrange contact with friends and let him control parts of his daily routine
8. B · Bring the child to hospital straight away for assessment and IV antibiotics
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