ใบงาน การพยาบาลเด็ก พร้อมเฉลย

How is congenital clubfoot (talipes equinovarus) usually treated first?

1. AWaiting until school age and then operating on the bones of the foot
2. BGentle manipulation and serial casting (the Ponseti method)
3. CMassage alone, with no casts or braces
4. DSpecial shoes worn only at night from age 5

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

1. AIt shows the baby is in pain
2. BIt is a normal finding at this age
3. CIt is a sign of spinal cord compression
4. DIt shows brain damage and needs a scan

How should liquid medicine be given to an infant?

1. AMixed into a full bottle of milk
2. BWith a household teaspoon from the kitchen drawer
3. CSlowly, by oral syringe, into the cheek
4. DQuickly with a syringe aimed at the back of the throat

เด็กคนใดโดยทั่วไปไม่ควรได้รับวัคซีนเชื้อเป็น เช่น MMR?

1. Aเด็กที่เป็นหวัดเล็กน้อย
2. Bเด็กที่พี่น้องเป็นหวัด
3. Cเด็กที่กำลังรับประทานยาปฏิชีวนะรักษาหูอักเสบที่ไม่ซับซ้อน
4. Dเด็กที่ภูมิคุ้มกันถูกกดอย่างรุนแรง เช่น ระหว่างเคมีบำบัด

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

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

Which group of findings suggests Kawasaki disease?

1. AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
2. BHigh fever for 3 days, then a pink rash as the fever settles
3. CLow-grade fever, a barking cough and stridor that are worse at night
4. DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days

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

Which statement by the parent of a child with peanut allergy shows a need for further teaching?

1. A"I'll call an ambulance every time I use the auto-injector, even if she seems to recover quickly."
2. B"If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
3. C"I'll read food labels for peanuts every time I shop."
4. D"I'll check the use-by date on her auto-injectors regularly and replace them before they expire."