Сестринское дело в педиатрии: лист заданий с ответами
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1.Лёгкая
Why must a toddler never be left alone in the bath, even for a moment?
ASoap left on the skin irritates a toddler's skin
BA young child can drown silently in a few centimetres of water
CThe bath water cools quickly and causes hypothermia
DA toddler left alone gets bored, cries and tries to climb out of the bath
2.Лёгкая
Which food is a good source of iron for a toddler?
ALean red meat or iron-fortified cereal
BLarge amounts of cow's milk
CPlain white rice and pasta
DApple juice with every meal
3.Лёгкая
How do most preschool children understand death?
AAs permanent and something that will happen to everyone
BAs an abstract idea they can discuss in depth
CAs temporary or reversible, like being asleep or away
DAs a purely biological process, explained by science
4.Средняя
Which advice is first-line for a school-age child with functional constipation?
ACutting out all fruit and vegetables to soften the stools
BMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
CAvoiding the toilet at school until the problem has settled
DDaily enemas given at home by the parents for several months, without other changes
5.Средняя
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
AGive the second within 24 hours of the first
BNever give both vaccines in the same year
CSeparate them by at least 4 weeks
DSeparate them by at least 1 week
6.Средняя
How is urine output measured in an infant wearing nappies?
ASqueeze the nappy out into a measuring jug and read the volume
BWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
CEstimate it from how heavy the nappy feels in the hand
DCount only the number of nappy changes in each shift
7.Сложная
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
ABlood cultures and prompt IV antibiotics for possible osteomyelitis
BRest, ice and an elastic bandage for a sprained ankle, with review in a week
CA plaster cast and discharge home the same day
DMassage and physiotherapy to loosen the muscle
8.Сложная
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
AAn allergic reaction to the new high-energy formula started yesterday
BGood growth thanks to improved feeding
CDehydration due to sweating during feeds
DWorsening heart failure with fluid retention
Ответы
1. B · A young child can drown silently in a few centimetres of water
2. A · Lean red meat or iron-fortified cereal
3. C · As temporary or reversible, like being asleep or away
4. B · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
5. C · Separate them by at least 4 weeks
6. B · Weigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
7. A · Blood cultures and prompt IV antibiotics for possible osteomyelitis
8. D · Worsening heart failure with fluid retention
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