Сестринское дело в педиатрии: лист заданий с ответами

Which clotting factor is missing or low in haemophilia A?

1. AFactor VIII
2. BFactor XIII
3. CFactor VII
4. DFactor IX

Which finding is typical of impetigo?

1. AA target-shaped rash with a dusky, pale centre on the palms
2. BTiny burrows between the fingers
3. CHoney-coloured crusts, often around the nose and mouth
4. DSilvery scales on the elbows and knees

What is the HEADSS (or HEEADSSS) assessment used for?

1. AA structured psychosocial interview with adolescents
2. BA scale for scoring dehydration in infants
3. CA pain score for children who cannot speak
4. DA screening test for newborn hearing before discharge

A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?

1. ALeave her alone in a dark room to sleep it off
2. BPlace her in the recovery position and monitor airway and breathing
3. CWake her fully every few minutes and ask her to stand up and walk around
4. DGive her a drink straight away to prevent dehydration

How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?

1. AOnly by nasogastric tube for the first month at home
2. BNot until 10 days after surgery, when the wound has healed
3. CWith large, full-volume feeds straight away to make up for the weight lost
4. DWithin hours, increasing gradually as per protocol; some vomiting can be expected

Какому ребёнку, как правило, нельзя вводить живую вакцину, например КПК?

1. AРебёнку с лёгкой простудой
2. BРебёнку с тяжёлым иммунодефицитом, например во время химиотерапии
3. CРебёнку, у брата или сестры которого простуда
4. DРебёнку, который сейчас принимает пероральные антибиотики по поводу неосложнённого отита

A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?

1. ANo action is needed, because head bleeds are rare in haemophilia
2. BWatch him at home for a week and bring him in only if he vomits or has a headache
3. CSeek urgent care, as factor replacement may be needed before symptoms appear
4. DGive aspirin for the pain and apply ice to the bump

After cardiac catheterisation through the femoral artery, the nurse sees blood soaking through the dressing. What should the nurse do first?

1. AApply firm, direct pressure just above the puncture site and call for help
2. BLift the leg up and bend the knee and hip to slow the blood flow to the site
3. CRemove the dressing to look at the wound more closely
4. DRecord the amount of blood and recheck in 30 minutes