Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
AIt causes serious birth defects
BIt stops ovulation permanently
CIt causes heavy periods
DIt makes contraceptive pills fail
2.Лёгкая
How is Duchenne muscular dystrophy inherited?
AIt is not inherited and is caused by an infection
BAutosomal dominant, affecting both sexes equally
CX-linked recessive, so it mainly affects boys
DAutosomal recessive, mainly affecting girls
3.Лёгкая
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
ABecause of too much iron in the diet
BBecause the heart makes red blood cells
CTo compensate for chronic hypoxia
DBecause the spleen stops working
4.Средняя
Which activity best supports a 9-year-old during a long hospital stay?
ASchoolwork and contact with classmates, plus games or hobbies
BPlaying with baby toys in the toddler playroom with younger children
CStaying in bed with no visitors to rest
DWatching television alone for most of the day
5.Средняя
Until when is a child with chickenpox usually considered infectious?
AUntil the fever has gone for 24 hours
BFor 6 weeks after the rash appears
COnly during the day before the rash appears
DUntil all the blisters have crusted over
6.Средняя
Which advice best prevents dog bites in young children?
AChoose a small breed, as small dogs never bite
BTeach the child to stare into the dog's eyes to show who is in charge
CNever leave a young child alone with a dog, even the family pet
DLet the child hug the dog while it eats so it gets used to children
7.Сложная
Which finding in an infant with suspected reflux needs prompt medical review?
AHiccups after feeds that settle on their own
BPoor weight gain, refusing feeds and blood in the vomit
CSmall posseting after feeds in a contented, growing baby
DSpitting up more after a large feed
8.Сложная
The nurse has taught the family of a 7-year-old with coeliac disease. Which statement shows a need for further teaching?
A"We will check food labels for wheat, barley and rye."
B"Plain rice and potatoes are fine for him."
C"He can eat normal bread at weekends if he's strict in the week."
D"We will use a separate toaster for his gluten-free bread."
Ответы
1. A · It causes serious birth defects
2. C · X-linked recessive, so it mainly affects boys
3. C · To compensate for chronic hypoxia
4. A · Schoolwork and contact with classmates, plus games or hobbies
5. D · Until all the blisters have crusted over
6. C · Never leave a young child alone with a dog, even the family pet
7. B · Poor weight gain, refusing feeds and blood in the vomit
8. C · "He can eat normal bread at weekends if he's strict in the week."
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