Робочий аркуш «Педіатричне медсестринство» з відповідями

What is usually the first sign of puberty in girls?

1. AFirst menstrual period
2. BRapid weight loss
3. CUnderarm hair
4. DBreast budding

Which sign suggests heart failure in an infant?

1. ASlow breathing with long pauses
2. BSweating and tiring during feeds
3. CFeeding eagerly and finishing every bottle quickly
4. DA slow heart rate at rest

Which five signs make up the Apgar score?

1. AHeart rate, breathing effort, muscle tone, reflex response and colour
2. BOxygen saturation, temperature, reflexes, weight and feeding
3. CBreathing rate, blood glucose, length, muscle tone and cry
4. DHeart rate, blood pressure, temperature, weight and colour

Which finding is expected in a healthy 4-month-old?

1. ASays two or three clear words with meaning
2. BHolds the head steady when held upright, with little or no head lag
3. CSits steadily without support for several minutes while playing with toys
4. DPulls to stand while holding on to furniture

Which group of findings suggests Kawasaki disease?

1. ALow-grade fever, a barking cough and stridor that are worse at night
2. BHigh fever for 3 days, then a pink rash as the fever settles
3. CFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
4. DFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet

Why do young children with sickle cell disease usually take daily penicillin?

1. APenicillin prevents pain crises in cold weather
2. BPenicillin stops red cells from changing shape
3. CPoor spleen function puts them at high risk of pneumococcal infection
4. DSickle cells make the child allergic to most other antibiotics

A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?

1. AAn allergic reaction to steroids
2. BOrdinary oedema from the illness
3. CA muscle strain from walking
4. DDeep vein thrombosis

A 14-year-old took a large overdose of paracetamol (acetaminophen) 4 hours ago and says she feels fine. What should the nurse understand?

1. ALiver damage develops over days, so urgent acetylcysteine may still be needed
2. BSince she feels well, the overdose was too small to be harmful
3. CParacetamol is not toxic, so she only needs a psychiatric assessment
4. DTreatment is only useful if started within 30 minutes, so it is now too late to help