ใบงาน การพยาบาลเด็ก พร้อมเฉลย

For which child is a 0 to 10 numerical pain rating scale usually suitable?

1. AA newborn after a heel prick
2. BA 3-year-old who cannot yet count
3. CA 2-year-old with a recent fracture
4. DA child of about 8 years or older

Which feature is typical of whooping cough (pertussis) in an older child?

1. ABouts of coughing that end with a "whoop" on breathing in
2. BDrooling, a high fever and difficulty swallowing saliva
3. CA wheeze heard only on breathing out, with a runny nose
4. DA barking cough and a hoarse voice that are worse at night

The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?

1. AStrapping it tightly with a binder every day makes it close faster
2. BIt needs emergency surgery within a few days
3. CMost close on their own; do not tape a coin over it
4. DIt is caused by the cord being cut too short

Which signs suggest hypoglycaemia in a young child with diabetes?

1. AThirst, passing large amounts of urine and a fruity breath smell
2. BShakiness, sweating, pallor and a sudden change in behaviour
3. CA slow onset of dry skin and flushed cheeks over several days
4. DDeep, rapid breathing with abdominal pain and vomiting

Which finding at a 2-year check most needs a speech and language referral?

1. AThe child uses about 50 words or more
2. BThe child says "no" to most suggestions
3. CThe child is not yet combining any two words
4. DThe child prefers to play beside other toddlers

Which instruction about a child's new plaster cast is correct?

1. AKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
2. BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
3. CPush a knitting needle inside the cast to scratch an itch
4. DLet the child walk on a leg cast as soon as it is applied

A 5-year-old with leukaemia tells the nurse she is ill because she was naughty. What is the best response?

1. AAgree that being good may help her get better faster
2. BExplain the cell biology of leukaemia to her in detail
3. CReassure her clearly that nothing she did or thought made her ill
4. DIgnore the remark, as she is too young to understand

Two weeks after a ventriculoperitoneal shunt was inserted, an infant has a fever, irritability and redness along the shunt tract. What should the nurse suspect?

1. ATeething, which explains the fever and the irritability
2. BAn allergy to the hospital soap
3. CNormal healing; no action needed
4. DShunt infection; report it urgently