ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Why is circumcision avoided in a baby boy with hypospadias?

1. AThe foreskin may be needed for the repair
2. BThe urethral opening moves to the tip by itself if the foreskin is left
3. CBabies with hypospadias usually have a bleeding disorder
4. DIt greatly increases the risk of urine infection in the first month

Which simple test is used to screen for scoliosis?

1. ABabinski test
2. BRomberg test with the eyes closed
3. COrtolani test
4. DAdams forward bend test

Why are infants and young children more likely than adults to get middle ear infections (otitis media)?

1. AThey make more earwax, which traps bacteria in the middle ear
2. BTheir eardrums are thicker and cannot move with pressure changes
3. CTheir ear canals are longer and narrower than those of adults
4. DTheir Eustachian tubes are shorter, wider and more horizontal

A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?

1. AViral croup
2. BA first attack of asthma
3. CAn inhaled foreign body
4. DBronchiolitis

A child is receiving IV morphine. Which assessments are most important?

1. APeak flow and inhaler technique
2. BBlood glucose and urine ketones
3. CHead circumference and fontanelle tension
4. DRespiratory rate and level of sedation

How is threadworm (pinworm) infection usually confirmed?

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

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

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

A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?

1. AArrange contact with friends and let him control parts of his daily routine
2. BAsk his parents to stay with him at all times and make decisions for him
3. CSet a strict timetable for him that staff decide without his input
4. DMove him to a room with toddlers so the ward is less lonely