Сестринское дело в педиатрии: лист заданий с ответами

Why is circumcision avoided in a baby boy with hypospadias?

1. AThe urethral opening moves to the tip by itself if the foreskin is left
2. BThe foreskin may be needed for the repair
3. CIt greatly increases the risk of urine infection in the first month
4. DBabies with hypospadias usually have a bleeding disorder

Which four features make up tetralogy of Fallot?

1. APatent ductus arteriosus, VSD, ASD and transposition of the great arteries
2. BASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
3. CVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
4. DVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium

What causes respiratory distress syndrome in preterm babies?

1. AA lack of surfactant in the immature lungs
2. BA viral infection caught from the mother
3. CAn allergy to the oxygen used in the incubator
4. DInhaling meconium-stained fluid during birth

When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?

1. AStraight after a large meal, when the child has more energy
2. BBefore meals, or well after eating
3. COnly at bedtime, lying flat after the evening meal
4. DOnly on days when the child has a fever

Какая немедикаментозная мера уменьшает процедурную боль у новорождённых, например при проколе пятки?

1. AОставить ребёнка одного в кроватке
2. BХолодная вода на пятку перед проколом
3. CГрудное вскармливание, контакт «кожа к коже» или пероральная сахароза
4. DЖдать, пока ребёнок уснёт, без какого-либо другого утешения

What should the nurse do before giving a dose of digoxin to an infant?

1. ACount the radial pulse for 15 seconds and multiply by four
2. BCount the apical pulse for a full minute and check it against the prescribed limits
3. CMeasure the blood pressure and give the dose only if it is above the normal range
4. DMeasure the temperature and give the dose only if there is no fever

Which child should the nurse see first?

1. AA 2-year-old with croup who has a barking cough but no stridor at rest
2. BA 4-year-old with asthma who can say only one or two words between breaths
3. CA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
4. DA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol

The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?

1. A"We'll learn how to feel her tummy for an enlarged spleen."
2. B"In summer she can drink less so she doesn't need the toilet at school."
3. C"We'll dress her warmly before she goes out in cold weather."
4. D"We'll call the hospital straight away if she has a fever."