ใบงาน การพยาบาลเด็ก พร้อมเฉลย

What is the most common cause of Down syndrome?

1. AInfection with rubella in early pregnancy
2. BA missing X chromosome in a girl
3. CAn extra copy of chromosome 21 (trisomy 21)
4. DA single gene inherited from both carrier parents

What is the main purpose of supervised "tummy time" for babies who are awake?

1. ATo reduce the risk of sudden infant death during sleep
2. BTo help the baby sleep for longer periods at night
3. CTo improve digestion and reduce colic and wind after every feed of the day
4. DTo strengthen neck, shoulder and arm muscles and help prevent a flat head

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

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

Which diet is usually recommended for a child with cystic fibrosis?

1. AA low-protein diet to reduce the work of the pancreas
2. BA low-salt diet to protect the heart and kidneys from damage later in life
3. CA high-energy, high-fat diet with fat-soluble vitamin supplements
4. DA low-fat diet to reduce greasy stools and abdominal pain

How is urine output measured in an infant wearing nappies?

1. ASqueeze the nappy out into a measuring jug and read the volume
2. BEstimate it from how heavy the nappy feels in the hand
3. CCount only the number of nappy changes in each shift
4. DWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL

A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?

1. AAbout 2 mL per hour
2. BAbout 20 mL per hour
3. CAny amount, as long as the child is drinking
4. DAbout 5 mL per hour

In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?

1. AShe can never receive contraception without written consent from a parent
2. BThe nurse must inform her parents and her school straight away
3. CShe may consent herself if judged competent (Gillick and Fraser)
4. DContraception may only be given once she reaches the age of 18

An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?

1. AAsk detailed, leading questions to find out exactly what happened
2. BListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
3. CPromise to keep the secret, so that she keeps trusting the nurse and tells more later
4. DPhone the uncle straight away to ask for his side of the story before reporting anything