ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Which simple test is used to screen for scoliosis?

1. ABabinski test
2. BAdams forward bend test
3. COrtolani test
4. DRomberg test with the eyes closed

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

1. AInsulin resistance caused mainly by obesity and inactivity
2. BA lack of glucagon from the alpha cells of the pancreas
3. CAutoimmune destruction of the insulin-producing beta cells
4. DToo much insulin being produced by an overactive pancreas

Which congenital heart defect causes cyanosis?

1. APatent ductus arteriosus
2. BTransposition of the great arteries
3. CSmall ventricular septal defect with a left-to-right shunt
4. DAtrial septal defect

Which finding is expected in a healthy 4-month-old?

1. APulls to stand while holding on to furniture
2. BHolds the head steady when held upright, with little or no head lag
3. CSays two or three clear words with meaning
4. DSits steadily without support for several minutes while playing with toys

Until when is a child with chickenpox usually considered infectious?

1. AUntil all the blisters have crusted over
2. BOnly during the day before the rash appears
3. CUntil the fever has gone for 24 hours
4. DFor 6 weeks after the rash appears

Which advice is first-line for a school-age child with functional constipation?

1. AMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
2. BAvoiding the toilet at school until the problem has settled
3. CCutting out all fruit and vegetables to soften the stools
4. DDaily enemas given at home by the parents for several months, without other changes

พ่อแม่ปฏิเสธวัคซีนที่แนะนำให้ทารกของตนเพราะกลัวผลข้างเคียง แนวทางการพยาบาลเบื้องต้นที่ดีที่สุดคืออะไร?

1. Aบอกพ่อแม่ว่าคลินิกจะไม่รักษาเด็กอีกเว้นแต่จะให้วัคซีน
2. Bให้วัคซีนอยู่ดีขณะที่พ่อแม่ไม่ทันสังเกต
3. Cหลีกเลี่ยงหัวข้อนี้ในการมาพบครั้งต่อไป
4. Dรับฟังข้อกังวล ให้ข้อมูลที่ชัดเจนตามหลักฐานเชิงประจักษ์ และบันทึกการสนทนา

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt lowers the red cell count and causes severe anaemia
2. BIt causes the heart defect to close on its own
3. CIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
4. DIt makes the blood even thicker and raises the risk of stroke and thrombosis