ใบงาน การพยาบาลเด็ก พร้อมเฉลย

What is the main cause of type 1 diabetes in children?

1. AA lack of glucagon from the alpha cells of the pancreas
2. BAutoimmune destruction of the insulin-producing beta cells
3. CToo much insulin being produced by an overactive pancreas
4. DInsulin resistance caused mainly by obesity and inactivity

What is usually the first sign of puberty in girls?

1. ABreast budding
2. BRapid weight loss
3. CFirst menstrual period
4. DUnderarm hair

Which sign may be the first clue to retinoblastoma in a young child?

1. ARed, itchy eyes with a sticky yellow discharge
2. BTears running down the cheek on one side
3. CA droopy upper eyelid that appears after a cold
4. DA white pupil in photos instead of the usual red reflex

ข้อสังเกตใดในทารกแรกเกิดชี้ถึงโรคฮิร์ชสปรุง (Hirschsprung disease)?

1. Aไม่ถ่ายขี้เทาภายใน 48 ชั่วโมงหลังคลอด
2. Bไอเสียงเห่า
3. Cอาเจียนพุ่งที่ 4 สัปดาห์
4. Dอุจจาระเหลวสีเหลืองสด

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. AStop all medicines and wait to see if the symptoms pass
2. BDouble the preventer dose and do nothing else
3. CUse the reliever as the plan says and contact the doctor if it does not help
4. DGo straight to the emergency department without using any medicine first

Why do young children with sickle cell disease usually take daily penicillin?

1. APenicillin stops red cells from changing shape
2. BPenicillin prevents pain crises in cold weather
3. CSickle cells make the child allergic to most other antibiotics
4. DPoor spleen function puts them at high risk of pneumococcal infection

Which finding helps to distinguish epiglottitis from croup?

1. AA barking cough that is worse at night after a cold
2. BA hoarse voice with mild fever and a runny nose
3. CSymptoms that improve within hours after a single dose of oral corticosteroid
4. DDrooling, high fever and a toxic look, without a barking cough

A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?

1. AAnxiety; distract the child with play
2. BNormal pain after a fracture; give more time
3. CCompartment syndrome; report it at once
4. DItching under the cast; give an antihistamine