ใบงาน การพยาบาลเด็ก พร้อมเฉลย

How does respiratory syncytial virus (RSV) mainly spread?

1. AThrough the bites of insects such as mosquitoes
2. BOnly through the air over long distances, like measles
3. CThrough droplets and contaminated hands and surfaces
4. DThrough contaminated food and drinking water

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

Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?

1. AIntravenous indomethacin
2. BDigoxin
3. CProstaglandin E1
4. DFurosemide

A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?

1. AOffer small sips of sterile water to check whether the baby can swallow
2. BLay the baby flat and give the next feed slowly through a teat
3. CGive a full feed by bottle and observe for vomiting afterwards
4. DKeep the baby nil by mouth, raise the head and suction the upper pouch as needed

How should a 4-month-old be protected from the sun?

1. AApply a thick layer of high-factor sunscreen and allow full sun
2. BKeep the baby out of direct sun, in the shade, with light clothing and a hat
3. CExpose the baby to midday sun for vitamin D, then cover up
4. DUse a sunbed for a few minutes to build a protective tan

How can the nurse best support a child with autism on a children's ward?

1. AExplain all procedures only at the very last minute to avoid days of worry
2. BChange the nurse each shift so the child meets more people
3. CPlace the child in the busiest bay near the nurses' station
4. DKeep routines predictable, reduce noise and use visual schedules

A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?

1. AA plaster cast and discharge home the same day
2. BBlood cultures and prompt IV antibiotics for possible osteomyelitis
3. CRest, ice and an elastic bandage for a sprained ankle, with review in a week
4. DMassage and physiotherapy to loosen the muscle

Why is a pertussis (whooping cough) vaccine recommended during pregnancy?

1. AIt protects the fetus from developing heart defects
2. BIt prevents the mother from passing pertussis to the baby through breast milk
3. CIt replaces the need for the baby's own pertussis vaccines
4. DThe mother's antibodies cross the placenta and protect the baby in the first weeks of life