ใบงาน การพยาบาลเด็ก พร้อมเฉลย

Where does neuroblastoma most often start?

1. AIn the adrenal gland
2. BIn the lining of the bladder
3. CIn the bone marrow of the pelvis
4. DIn the white matter of the brain

Which finding inside the mouth is typical of early measles?

1. AA thick white coating on the tongue and cheeks that can be wiped off
2. BPainful blisters on the tongue, gums and palate
3. CA bright red "strawberry" tongue with large papillae
4. DKoplik spots: small white spots on the inside of the cheeks

Where should eye drops be placed for a child?

1. AInto the pocket of the lower eyelid
2. BInto the inner corner of the eye
3. COnto the upper eyelid while the eye is shut
4. DDirectly onto the centre of the cornea

Which medicine may be used to close a patent ductus arteriosus in a preterm baby?

1. ASalbutamol
2. BIntravenous furosemide infusion
3. CProstaglandin E1
4. DIbuprofen or indomethacin

When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?

1. AOnly at bedtime, lying flat after the evening meal
2. BOnly on days when the child has a fever
3. CStraight after a large meal, when the child has more energy
4. DBefore meals, or well after eating

After a cardiac catheterisation through the femoral artery, which assessment is essential?

1. AUrine specific gravity at every void
2. BBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
3. CPupil size and reaction every 15 minutes
4. DPulse, colour, warmth and sensation of the leg below the puncture site

After cardiac catheterisation through the femoral artery, the nurse sees blood soaking through the dressing. What should the nurse do first?

1. ARemove the dressing to look at the wound more closely
2. BRecord the amount of blood and recheck in 30 minutes
3. CLift the leg up and bend the knee and hip to slow the blood flow to the site
4. DApply firm, direct pressure just above the puncture site and call for help

In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?

1. AShe may consent herself if judged competent (Gillick and Fraser)
2. BThe nurse must inform her parents and her school straight away
3. CShe can never receive contraception without written consent from a parent
4. DContraception may only be given once she reaches the age of 18