ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Why is vitamin K given to newborns shortly after birth?

1. ATo protect against hepatitis B infection
2. BTo prevent bacterial eye infection after birth
3. CTo prevent vitamin K deficiency bleeding
4. DTo prevent jaundice in the first week of life

วัตถุประสงค์ของการคัดกรองทารกแรกเกิดด้วยเลือดจากส้นเท้า (newborn blood spot screening) เช่น โรคฟีนิลคีโตนูเรีย คืออะไร?

1. Aเพื่อหาหมู่เลือดของทารกสำหรับการให้เลือด
2. Bเพื่อวัดธาตุเหล็กสะสมของทารก
3. Cเพื่อตรวจพบความผิดปกติที่รักษาได้ตั้งแต่เนิ่น ๆ ก่อนที่จะมีอาการ
4. Dเพื่อตรวจการติดเชื้อที่ได้รับระหว่างคลอด

Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?

1. ABecause the spleen stops working
2. BTo compensate for chronic hypoxia
3. CBecause of too much iron in the diet
4. DBecause the heart makes red blood cells

A child has scabies. Which plan is correct?

1. AStop treatment as soon as the itch improves on the first day
2. BTreat the child and all close contacts at the same time, and wash bedding and clothes
3. CTreat only the child, as family members without itching are not infected
4. DTreat only the itchy areas of skin, not the whole body

Which signs suggest hypoglycaemia in a young child with diabetes?

1. AShakiness, sweating, pallor and a sudden change in behaviour
2. BDeep, rapid breathing with abdominal pain and vomiting
3. CThirst, passing large amounts of urine and a fruity breath smell
4. DA slow onset of dry skin and flushed cheeks over several days

Which finding suggests repeated self-induced vomiting?

1. ACalluses on the knuckles and loss of tooth enamel
2. BYellow skin, itching and dark urine
3. CSwelling of the ankles and puffy eyes
4. DA butterfly rash on the cheeks and patchy hair loss

Which long-term problems should be monitored in a child with a repaired cleft palate?

1. ABone density and fracture risk in the teenage years
2. BMiddle ear infections, hearing, speech and teeth
3. CKidney function and blood pressure
4. DGrowth hormone levels and puberty timing

A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?

1. AViral gastroenteritis
2. BMigraine
3. CNormal newborn retinal changes
4. DAbusive head trauma