ใบงาน การพยาบาลเด็ก พร้อมเฉลย

How is congenital hypothyroidism treated?

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

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

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

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. CQuickly with a syringe aimed at the back of the throat
4. DSlowly, by oral syringe, into the cheek

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

1. AA permanent catheter left in place for life
2. BRestricting fluids to reduce urine volume
3. CWaiting for bladder control to develop naturally
4. DClean intermittent catheterisation

After a cardiac catheterisation through the femoral artery, which assessment is essential?

1. ABowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
2. BPulse, colour, warmth and sensation of the leg below the puncture site
3. CPupil size and reaction every 15 minutes
4. DUrine specific gravity at every void

Which drink is best for a child with mild dehydration from gastroenteritis?

1. AUndiluted apple juice
2. BOral rehydration solution
3. CCola or other fizzy drinks
4. DSports drinks

พยาบาลควรตั้งคำถามกับคำสั่งใดสำหรับเด็กที่มีภาวะนิวโทรฟิลต่ำ (neutropenia) หลังเคมีบำบัด?

1. Aรายงานอุณหภูมิ 38 °C ขึ้นไปทันที
2. Bวัดอุณหภูมิทางทวารหนักทุก 4 ชั่วโมง
3. Cติดตามอุณหภูมิทางรักแร้หรือทางปาก
4. Dล้างมืออย่างระมัดระวังก่อนสัมผัสทุกครั้ง

A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?

1. AWatch him at home for a week and bring him in only if he vomits or has a headache
2. BNo action is needed, because head bleeds are rare in haemophilia
3. CGive aspirin for the pain and apply ice to the bump
4. DSeek urgent care, as factor replacement may be needed before symptoms appear