ใบงาน การพยาบาลเด็ก พร้อมเฉลย

อัตราการเต้นของหัวใจช่วงใดเป็นลักษณะทั่วไปของทารกแรกเกิดที่แข็งแรงขณะพัก?

1. Aประมาณ 200 ถึง 260 ครั้งต่อนาที
2. Bประมาณ 110 ถึง 160 ครั้งต่อนาที
3. Cประมาณ 70 ถึง 110 ครั้งต่อนาที
4. Dประมาณ 60 ถึง 100 ครั้งต่อนาที

Which signs suggest a urinary tract infection in an infant?

1. APain in the lower back that the baby points to
2. BClear complaints of burning and stinging when passing urine
3. CFever, poor feeding, vomiting and irritability
4. DA clear runny nose and a mild cough

Which is the most common congenital heart defect?

1. AVentricular septal defect
2. BCoarctation of the aorta
3. CTetralogy of Fallot
4. DTransposition of the great arteries

A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?

1. AVitamin B12 deficiency
2. BLactose intolerance
3. CIron-deficiency anaemia
4. DSickle cell disease

A child with suspected measles is admitted. Which precaution is most important?

1. ANo special precautions once the rash appears
2. BDroplet precautions in a shared bay
3. CAirborne precautions, ideally in a negative-pressure room
4. DContact precautions only, with gloves

A child with ITP has a low platelet count. Which advice is correct?

1. AAvoid contact sports and medicines such as ibuprofen and aspirin
2. BTake aspirin for any pain to thin the blood
3. CUse a hard toothbrush and floss firmly to keep the gums healthy
4. DPlay rugby and football as normal to stay active

A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?

1. ACompartment syndrome; report it at once
2. BItching under the cast; give an antihistamine
3. CNormal pain after a fracture; give more time
4. DAnxiety; distract the child with play

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt lowers the red cell count and causes severe anaemia
2. BIt causes the heart defect to close on its own
3. CIt makes the blood even thicker and raises the risk of stroke and thrombosis
4. DIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water