ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

1. AIntravenous immunoglobulin (IVIG)
2. BInsulin and fluids
3. COral antibiotics for 10 days
4. DAntiviral medicine such as aciclovir

Which finding on examination is typical of pyloric stenosis?

1. AA tender mass in the left lower abdomen
2. BAn olive-shaped mass in the upper abdomen
3. CA swollen abdomen with no bowel sounds at all
4. DA soft bulge at the belly button when crying

Which signs suggest a urinary tract infection in an infant?

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

Which defect classically causes a continuous "machinery" murmur?

1. AAtrial septal defect
2. BIsolated pulmonary stenosis with an intact ventricular septum
3. CPatent ductus arteriosus
4. DTetralogy of Fallot

A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?

1. AWeight gain of more than 10 kg in the first month
2. BA sudden rise in blood glucose
3. CWorsening mood or new suicidal thoughts
4. DA drop in the platelet count

เด็กถึงกำหนดรับวัคซีนหลายชนิดที่แตกต่างกันในการมาพบครั้งเดียว หลักการทั่วไปคืออะไร?

1. Aให้ครึ่งขนาดของแต่ละชนิดกระจายไปหลายสัปดาห์
2. Bผสมวัคซีนทั้งหมดในกระบอกฉีดยาเดียว
3. Cให้ได้เพียงหนึ่งวัคซีนต่อเดือน
4. Dให้ได้ในการมาพบครั้งเดียวกัน โดยฉีดคนละตำแหน่ง

A toddler with sickle cell disease suddenly becomes pale and lethargic, with a fast heart rate and an enlarging left upper abdomen. What should the nurse suspect?

1. ASplenic sequestration crisis, an emergency
2. BA simple viral infection with mild anaemia
3. CA pain crisis in the abdominal muscles
4. DConstipation causing abdominal swelling and discomfort

Newborn screening shows congenital hypothyroidism. The parents ask why a baby who looks well needs treatment. What is the best answer?

1. AThe baby could pass the condition to other children in the family
2. BThe baby will develop diabetes if the thyroid is not treated now
3. CWithout early treatment it can cause lasting learning disability and poor growth
4. DTreatment is only cosmetic, to prevent a swollen neck (goitre) developing later in childhood