Робочий аркуш «Педіатричне медсестринство» з відповідями

Which finding in a jaundiced 3-week-old suggests biliary atresia?

1. AGreen stools after starting iron drops
2. BPale, watery urine and frequent wet nappies
3. CBright yellow, seedy stools
4. DPale, clay-coloured stools and dark urine

What is the Ortolani test used to detect in a newborn?

1. ADevelopmental dysplasia of the hip
2. BClubfoot (talipes)
3. CHearing loss
4. DCongenital heart disease

Into which airway does an inhaled foreign body most often go?

1. AThe left upper lobe bronchus
2. BBoth main bronchi equally often
3. CThe right main bronchus
4. DThe left main bronchus

Which stool pattern is typical of Hirschsprung disease in an older child?

1. ANormal stools with occasional itching around the anus at night
2. BChronic constipation with thin, ribbon-like, foul-smelling stools and distension
3. CFrequent bloody diarrhoea with fever after eating chicken
4. DPale, bulky, fatty stools that float and are hard to flush, with a large appetite

A 13-year-old has a concussion during a football match. What is the correct advice?

1. ANo sport that day; return step by step once symptoms have gone
2. BContinue training as usual unless there was a loss of consciousness
3. CReturn to the match as soon as the headache improves
4. DAvoid all mental and physical activity, including school, for at least 2 months

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

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

Дитину госпіталізовано з гарячкою, ригідністю потилиці та висипом, що не блідне при натисканні. Яка дія є пріоритетом?

1. AПокласти дитину в спільну палату з іншими дітьми й повторно оцінити висип і температуру через 4 години
2. BЧекати на люмбальну пункцію перед будь-яким лікуванням
3. CДати жарознижувальне й повторно перевірити через 4 години
4. DЗапровадити краплинні запобіжні заходи й отримати терміновий огляд лікаря, щоб не затримати антибіотики

A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?

1. ATell her parents to supervise every session until she is 18
2. BExplore her reasons and plan treatment with her that fits her daily life
3. CWarn her firmly that she will die soon if she does not do what she is told
4. DStop the physiotherapy, since she does not want it