ใบงาน การพยาบาลเด็ก พร้อมเฉลย

What is the main feature of immune thrombocytopenia (ITP) in a child?

1. AA missing clotting factor with bleeding into joints
2. BA low white cell count with repeated infections
3. CA low platelet count with bruising and petechiae
4. DA high red cell count with headache and flushing

Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?

1. ASleeping through feeds and passing pale stools
2. BA strong suck and rapid weight gain
3. CProjectile vomiting that starts at 4 weeks
4. DCoughing, choking and cyanosis

What is the first-line treatment for anaphylaxis in a child?

1. AOral paracetamol (acetaminophen)
2. BIM adrenaline (epinephrine)
3. CAn inhaled corticosteroid via a spacer
4. DAn oral antihistamine

The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?

1. AThe reading will be falsely high
2. BThe cuff will not inflate at all
3. CThe reading will be falsely low
4. DThe reading will be accurate but slower to obtain

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

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

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

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

เด็กอายุ 3 ปีที่ฝึกขับถ่ายได้แล้วเริ่มฉี่รดที่นอนระหว่างนอนโรงพยาบาล พ่อแม่กังวล พยาบาลควรพูดว่าอย่างไร?

1. Aการถดถอยเป็นการตอบสนองที่พบบ่อยต่อความเครียดจากโรงพยาบาลและมักผ่านไปเอง อย่าลงโทษเด็ก
2. Bนี่พิสูจน์ว่าเด็กเป็นโรคไตร้ายแรง
3. Cเด็กซนและควรดุ
4. Dควรให้เด็กกลับไปใส่ผ้าอ้อมถาวร และไม่ควรลองฝึกขับถ่ายอีกเป็นเวลาหลายปี

A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?

1. AThe fracture is too small to need treatment and will heal by itself
2. BThe explanation does not fit the baby's stage of development
3. CThigh fractures are common in young infants with soft bones
4. DBabies of this age often crawl and fall