Сестринское дело в педиатрии: лист заданий с ответами

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1.Лёгкая

Какой диапазон ЧСС в покое типичен для ребёнка школьного возраста (примерно от 6 до 12 лет)?

  1. AОколо 150–200 ударов в минуту
  2. BОколо 40–60 ударов в минуту
  3. CОколо 70–120 ударов в минуту
  4. DОколо 120–170 ударов в минуту
2.Лёгкая

At which times after birth is the Apgar score routinely assessed?

  1. AAt 10 minutes and at 30 minutes
  2. BAt 1 minute and at 5 minutes
  3. CAt birth and again at 1 hour
  4. DOnly once, at 24 hours of age
3.Лёгкая

Which finding in a jaundiced 3-week-old suggests biliary atresia?

  1. APale, watery urine and frequent wet nappies
  2. BGreen stools after starting iron drops
  3. CPale, clay-coloured stools and dark urine
  4. DBright yellow, seedy stools
4.Средняя

How is threadworm (pinworm) infection usually confirmed?

  1. AAn abdominal X-ray to look for the worms in the gut
  2. BA tape test on the skin around the anus first thing in the morning
  3. CA urine sample collected in the evening
  4. DA blood test for worm antibodies taken an hour after an evening meal
5.Средняя

У 9-месячного ребёнка приступы сильного плача с подтянутыми к животу коленями и стул, похожий на малиновое желе. Какова вероятная причина?

  1. AЗапор
  2. BПилоростеноз
  3. CЦелиакия
  4. DИнвагинация кишечника
6.Средняя

A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?

  1. AFind out what prompted the question, then answer honestly and simply, with the family
  2. BTell the child firmly that this will not happen
  3. CChange the subject quickly so the child is not upset
  4. DTell the child that only the doctor is allowed to talk about this subject with children
7.Сложная

Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?

  1. AWait 30 minutes for the first dose of adrenaline to take its full effect
  2. BGive an oral antihistamine and a steroid instead of more adrenaline
  3. CGive a further dose of IM adrenaline as per protocol and call for advanced help
  4. DSit the child up and walk her around to raise the blood pressure
8.Сложная

A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?

  1. AMMR should be given early, because IVIG weakens the immune system
  2. BIVIG makes vaccines unnecessary, so MMR can be skipped
  3. CMMR can be given safely the same day as the next IVIG dose
  4. DLive vaccines are usually delayed for several months after IVIG

Ответы

  1. 1. C · Около 70–120 ударов в минуту
  2. 2. B · At 1 minute and at 5 minutes
  3. 3. C · Pale, clay-coloured stools and dark urine
  4. 4. B · A tape test on the skin around the anus first thing in the morning
  5. 5. D · Инвагинация кишечника
  6. 6. A · Find out what prompted the question, then answer honestly and simply, with the family
  7. 7. C · Give a further dose of IM adrenaline as per protocol and call for advanced help
  8. 8. D · Live vaccines are usually delayed for several months after IVIG

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