ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Which vaccine has made acute epiglottitis much less common in children?

1. AHaemophilus influenzae type b (Hib) vaccine
2. BPneumococcal conjugate vaccine
3. CMeasles–mumps–rubella (MMR) vaccine
4. DRotavirus vaccine given by mouth

The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?

1. AIt is caused by the cord being cut too short
2. BIt needs emergency surgery within a few days
3. CStrapping it tightly with a binder every day makes it close faster
4. DMost close on their own; do not tape a coin over it

What is the main feature of immune thrombocytopenia (ITP) in a child?

1. AA low platelet count with bruising and petechiae
2. BA missing clotting factor with bleeding into joints
3. CA low white cell count with repeated infections
4. DA high red cell count with headache and flushing

A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?

1. AGive the prescribed rescue medicine and call for emergency help
2. BWait another 15 minutes, because most seizures stop on their own
3. CHold the child's arms and legs firmly to stop the movements
4. DPut a tongue depressor between the child's teeth

A child has impetigo. Which advice helps to stop it spreading?

1. APick the crusts off daily so the skin heals faster
2. BCover the crusts with a thick layer of petroleum jelly and leave them
3. CShare flannels and towels so the whole family is treated
4. DUse separate towels, wash hands often and keep nails short

เด็กอายุ 9 เดือนมีอาการร้องไห้รุนแรงเป็นพัก ๆ ร่วมกับงอเข่าขึ้น และถ่ายอุจจาระที่เหมือนเยลลี่ลูกเกดแดง สาเหตุที่น่าจะเป็นคืออะไร?

1. Aลำไส้กลืนกัน (intussusception)
2. Bpyloric stenosis
3. Cโรคเซลิแอค (coeliac disease)
4. Dท้องผูก

A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?

1. AExplaining to the child that the pool is dangerous
2. BArm floats whenever the child is near the pool
3. CA four-sided fence with a self-closing, self-latching gate, plus constant supervision
4. DSwimming lessons from age 2, so that close supervision is no longer needed

A child with a head injury now has rising blood pressure, a falling heart rate and irregular breathing. What does this indicate?

1. ADehydration that needs more fluids
2. BNormal recovery after a head injury
3. CPain from the injury that needs stronger, regular analgesia
4. DA late sign of raised intracranial pressure; an emergency