ใบงาน การพยาบาลเด็ก พร้อมเฉลย

How is congenital hypothyroidism treated?

1. ADaily levothyroxine, usually for life
2. BRemoval of the thyroid gland in infancy
3. CA single dose of radioactive iodine
4. DAn iodine-free diet from birth

Which practice most increases the risk of early childhood tooth decay?

1. APutting a baby to bed with a bottle of milk or juice
2. BHaving a first dental visit by about the first birthday
3. COffering water to drink between meals
4. DBrushing the teeth with a smear of fluoride toothpaste

How should an infant with gastro-oesophageal reflux be placed to sleep?

1. AOn the back, as for all babies
2. BSitting up in a car seat all night
3. COn the tummy to reduce reflux
4. DOn the left side, wedged with pillows

Which defect classically causes a continuous "machinery" murmur?

1. AIsolated pulmonary stenosis with an intact ventricular septum
2. BTetralogy of Fallot
3. CAtrial septal defect
4. DPatent ductus arteriosus

Which measure should be avoided in a sickle cell pain crisis?

1. AWarm packs and gentle positioning
2. BRegular pain assessment and analgesia
3. CGenerous fluids by mouth or IV
4. DCold packs on the painful area

A child with a myelomeningocele has a neurogenic bladder. Which management is usual?

1. ARestricting fluids to reduce urine volume
2. BA permanent catheter left in place for life
3. CClean intermittent catheterisation
4. DWaiting for bladder control to develop naturally

Which phone call should the nurse return first?

1. AA parent asking when the next routine vaccines are due
2. BA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
3. CA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
4. DA parent of a 3-year-old with a runny nose and a mild cough for 2 days

A 9-year-old is being treated for an acute asthma attack. Which finding shows that treatment is working?

1. AThe child is now sitting bolt upright, leaning on the arms
2. BThe heart rate has risen further after each dose of salbutamol
3. CThe wheeze has disappeared and the child is now very drowsy
4. DSlower breathing, easier speech and less use of the neck and chest muscles