Phiếu bài tập Điều dưỡng nhi khoa có đáp án

Which five signs make up the Apgar score?

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

Why are infants and young children more likely than adults to get middle ear infections (otitis media)?

1. ATheir Eustachian tubes are shorter, wider and more horizontal
2. BTheir eardrums are thicker and cannot move with pressure changes
3. CThey make more earwax, which traps bacteria in the middle ear
4. DTheir ear canals are longer and narrower than those of adults

Theo chăm sóc không gây tổn thương (atraumatic care), thủ thuật gây đau như lấy máu nên thực hiện ở đâu?

1. ATrong phòng chơi để trẻ cảm thấy thư giãn
2. BTrong phòng chờ trước mặt các trẻ khác
3. CTrong phòng thủ thuật, không phải trên giường của trẻ
4. DTrên giường của trẻ để trẻ không phải di chuyển

A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?

1. AApply powder and lotion under the straps to protect the skin
2. BTake it off every night so the baby can sleep more comfortably and move freely
3. CTighten the straps each week as the baby grows
4. DKeep it on as instructed, do not adjust the straps and check the skin daily

Which group of findings suggests Kawasaki disease?

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

Điều nào là chống chỉ định thật sự với liều tiếp theo của cùng một vaccine?

1. AĐỏ và đau tại chỗ tiêm sau liều trước
2. BTiền sử dị ứng trong gia đình
3. CPhản vệ sau liều trước của vaccine đó
4. DSốt nhẹ sau liều trước

A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?

1. AMMR can be given safely the same day as the next IVIG dose
2. BIVIG makes vaccines unnecessary, so MMR can be skipped
3. CLive vaccines are usually delayed for several months after IVIG
4. DMMR should be given early, because IVIG weakens the immune system

The parents of a 5-year-old refuse a life-saving blood transfusion for religious reasons. What generally happens?

1. AThe team must withhold it, because parents always have the final say in every case
2. BThe nurse gives the transfusion secretly while the parents are out of the room, to save time
3. CRespect beliefs where possible, explore alternatives and seek legal authority if needed
4. DThe team waits until the child is old enough to make the decision for himself