Робочий аркуш «Педіатричне медсестринство» з відповідями

At which times after birth is the Apgar score routinely assessed?

1. AOnly once, at 24 hours of age
2. BAt birth and again at 1 hour
3. CAt 1 minute and at 5 minutes
4. DAt 10 minutes and at 30 minutes

What does the HbA1c blood test show in a child with diabetes?

1. AThe blood glucose at the exact moment of the test
2. BWhether ketones are present in the blood right now
3. CThe amount of insulin the pancreas is making on the day of the test
4. DThe average blood glucose over about the past 2–3 months

Which newborn scalp swelling typically crosses the suture lines?

1. APositional plagiocephaly
2. BCephalohaematoma
3. CCraniosynostosis
4. DCaput succedaneum

Which finding is an early sign of shock in a child?

1. AA warm, flushed child with a strong, bounding pulse
2. BA fast heart rate with a prolonged capillary refill
3. CLow blood pressure with a slow heart rate and pauses in breathing
4. DSlow, deep breathing with a normal heart rate

Which injury in an infant is most suggestive of physical abuse?

1. AA scraped knee in a 3-year-old
2. BPosterior rib fractures
3. CA greenstick fracture of the forearm after a fall from a slide
4. DA bruise on the shin of a walking toddler

Which measure should be avoided in a sickle cell pain crisis?

1. AGenerous fluids by mouth or IV
2. BRegular pain assessment and analgesia
3. CWarm packs and gentle positioning
4. DCold packs on the painful area

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

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

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