Сестринское дело в педиатрии: лист заданий с ответами

By about what age does the Moro (startle) reflex normally disappear?

1. AAbout 2 to 4 weeks
2. BAbout 4 to 6 months
3. CAbout 2 to 3 years
4. DAbout 12 to 15 months

How is sickle cell disease inherited?

1. AAutosomal dominant
2. BX-linked recessive
3. CAutosomal recessive
4. DNot inherited; it is acquired

Which pattern is typical of roseola infantum?

1. AA bright red rash on both cheeks, like a slap
2. BA rash that appears first, followed by a whole week of high fever and cough
3. CHigh fever for a few days, then a pink rash as the fever settles
4. DItchy blisters in crops that crust over within days

In acute post-streptococcal glomerulonephritis, which assessment is especially important?

1. ASerum bilirubin
2. BBlood pressure
3. CPeak flow
4. DBlood glucose

A child has just spilled hot tea on his arm. What is the correct first aid?

1. ASpread butter or toothpaste on the burn
2. BHold ice directly on the burn for about an hour to stop the pain
3. CBurst any blisters to let the heat out
4. DCool the burn under cool running water for about 20 minutes

Which signs in a 2-day-old baby suggest sepsis?

1. ASmall white spots on the nose and a pink face
2. BHiccups after feeds with a strong, lusty cry between feeds
3. CRegular feeding with six wet nappies a day
4. DUnstable temperature, poor feeding, lethargy and breathing difficulty

A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?

1. AReport them straight away to the safeguarding team as suspected physical abuse
2. BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
3. CApply cold packs several times a day to reduce the discoloration
4. DRequest urgent clotting tests and a full blood count to look for a bleeding disorder

A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?

1. AThe fracture is too small to need treatment and will heal by itself
2. BBabies of this age often crawl and fall
3. CThe explanation does not fit the baby's stage of development
4. DThigh fractures are common in young infants with soft bones