ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Which symptoms are classic for new type 1 diabetes in a child?

1. AJoint pain, a rash on the face and hair loss
2. BThirst, frequent urination, weight loss and tiredness
3. CWeight gain, feeling cold and long-standing constipation
4. DA barking cough, fever and a hoarse voice

Why are undescended testes (cryptorchidism) corrected surgically in early childhood?

1. ABecause an undescended testis causes severe daily pain in infancy
2. BBecause an undescended testis leads to kidney failure if left untreated
3. CTo protect fertility and allow the testis to be checked for cancer
4. DTo stop the testis from producing too much testosterone in puberty

Where is the pain of appendicitis typically felt once it has localised?

1. AAround the left shoulder blade
2. BIn the left lower abdomen
3. CIn the right lower abdomen
4. DIn the upper middle abdomen only

How should an infant with heart failure be fed?

1. ALarge feeds every 6 hours so the baby can rest in between
2. BSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
3. CStop the feed when the baby tires and wait until the next scheduled feed
4. DLying flat on the back so the baby does not need to hold the head up

An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?

1. ASerum amylase and lipase
2. BSerum potassium
3. CSerum bilirubin
4. DPlatelet count

Which finding is an early sign of shock in a child?

1. ALow blood pressure with a slow heart rate and pauses in breathing
2. BA warm, flushed child with a strong, bounding pulse
3. CSlow, deep breathing with a normal heart rate
4. DA fast heart rate with a prolonged capillary refill

เด็กที่เป็นซิสติกไฟโบรซิสมีอุจจาระปริมาณมาก มัน กลิ่นเหม็น และน้ำหนักไม่ขึ้นแม้อยากอาหารดี สิ่งนี้น่าจะบ่งชี้ถึงอะไรมากที่สุด?

1. Aเป็นสิ่งที่พบได้ตามปกติและไม่ต้องทำอะไร
2. Bสัญญาณว่าปอดดีขึ้น
3. Cการดูดซึมไขมันไม่ดี ต้องทบทวนขนาดและเวลาของเอนไซม์ตับอ่อน
4. Dเด็กกินไขมันมากเกินไป จึงควรตัดไขมันทั้งหมดออกจากอาหาร

Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?

1. AInject air and listen over the stomach for a "whoosh"
2. BPlace the end of the tube in water and look for bubbles
3. CAsk the child whether the tube feels comfortable and check the length mark only
4. DCheck that aspirate from the tube is acidic, using the pH limit in local policy