Cevaplı Pediatri hemşireliği çalışma kâğıdı

Which signs suggest a urinary tract infection in an infant?

1. AA clear runny nose and a mild cough
2. BFever, poor feeding, vomiting and irritability
3. CPain in the lower back that the baby points to
4. DClear complaints of burning and stinging when passing urine

How should jaundice that first appears within the first 24 hours of life be regarded?

1. AAs pathological until proven otherwise; it needs prompt evaluation
2. BAs breast milk jaundice that is best treated by stopping breastfeeding
3. CAs harmless as long as the baby is feeding well
4. DAs normal physiological jaundice that needs no follow-up

Aile merkezli bakımın merkezinde hangi ilke yer alır?

1. AÇocuğun bakımı ve tedavisiyle ilgili kararları yalnızca personel verir
2. BEbeveynler tüm işlemler sırasında dışarı çıkmalıdır
3. CÇocuğun dinlenebilmesi için ziyaret sınırlandırılır
4. DEbeveynler ve aile, çocuğun bakımında ortaktır

A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?

1. AStop all insulin until the child is eating normally again, then restart at the usual dose
2. BGive double the usual insulin to prevent ketones
3. CKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
4. DGive insulin only if the child is vomiting

How can the nurse best support a child with autism on a children's ward?

1. APlace the child in the busiest bay near the nurses' station
2. BChange the nurse each shift so the child meets more people
3. CKeep routines predictable, reduce noise and use visual schedules
4. DExplain all procedures only at the very last minute to avoid days of worry

Which advice about screen use reflects common paediatric guidance for children under about 18 months?

1. ABackground TV helps language development
2. BAvoid screen media, apart from video calls with family
3. CScreens are fine as long as the volume is low
4. DUp to 2 hours a day of educational TV programmes is beneficial for language

A 9-year-old is being treated for an acute asthma attack. Which finding shows that treatment is working?

1. ASlower breathing, easier speech and less use of the neck and chest muscles
2. BThe child is now sitting bolt upright, leaning on the arms
3. CThe heart rate has risen further after each dose of salbutamol
4. DThe wheeze has disappeared and the child is now very drowsy

A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?

1. AThis shows breastfeeding has failed, so formula should replace breast milk from now on
2. BThis is within the usual range; observe a feed and follow the weight
3. CThis is severe dehydration and needs immediate IV fluids
4. DThis weight loss is only normal in formula-fed babies