Cevaplı Pediatri hemşireliği çalışma kâğıdı

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

1. AIt shows brain damage and needs a scan
2. BIt shows the baby is in pain
3. CIt is a normal finding at this age
4. DIt is a sign of spinal cord compression

Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?

1. AIt makes contraceptive pills fail
2. BIt stops ovulation permanently
3. CIt causes heavy periods
4. DIt causes serious birth defects

Which health problem is common in babies with Down syndrome and is looked for soon after birth?

1. AClubfoot on both sides
2. BCongenital heart defects
3. CCataract only in old age
4. DCleft lip and palate

A medicine is prescribed at 10 mg/kg. The child weighs 18 kg and the liquid contains 120 mg in 5 mL. What volume should be given?

1. A1,5 mL
2. B15 mL
3. C3,75 mL
4. D7,5 mL

Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?

1. AGive an antihistamine and continue
2. BFinish the unit quickly, then report it
3. CSlow the transfusion and give paracetamol (acetaminophen)
4. DStop the transfusion

Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?

1. AEpisodes of crying with red-currant jelly stools
2. BHigh fever with a stiff neck and a purple rash
3. CSudden projectile vomiting with a palpable olive-shaped mass
4. DChronic diarrhoea, a swollen abdomen, irritability and poor weight gain

A baby born to a mother who used opioids in pregnancy has a high-pitched cry, tremors, sneezing and poor feeding. Which plan is best?

1. ALow-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool
2. BGive naloxone to reverse the effects of the opioid
3. CDelay all feeds until the tremors and sneezing have settled
4. DKeep the baby in a bright, busy area of the unit and stimulate them often to keep them awake

A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?

1. AA need for new glasses because of eye strain
2. BViral gastroenteritis
3. CA brain tumour with raised intracranial pressure
4. DMigraine caused by stress at school