Multiple Choice Flashcards

1
Q

Linda’s husband will offer their baby bottled breast milk once a day when Linda returns to work. Which of the following would you teach him?
A) he should stop feeding bottled milk if the baby has lose yellow stools
B) end should microwave the milk for a full minute to be certain it is sterile
C) he should prop the bottle so the away continues to enjoy breastfeeding
D) after the baby drinks from a bottle, discard any milk still left in the bottle

A

A) he should stop feeding bottled milk if the baby has lose yellow stools
B) end should microwave the milk for a full minute to be certain it is sterile
C) he should prop the bottle so the away continues to enjoy breastfeeding
D) after the baby drinks from a bottle, discard any milk still left in the bottle*

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2
Q

How does breast milk help prevent infection in a newborn?
A) it is rich in fatty acid, so bacteria are destroyed by it
B) it is always flowing forwards in the breast, so it is not static
C) it contains maternal antibodies and viral binding factors
D) It is low in lactose, so it becomes a poor culture medium

A

A) it is rich in fatty acid, so bacteria are destroyed by it
B) it is always flowing forwards in the breast, so it is not static
C) it contains maternal antibodies and viral binding factors
D) It is low in lactose, so it becomes a poor culture medium

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3
Q
Newborns need more fluid than adults, because their extra cellular fluid component differs from that of adults. How much of a newborn's body weight is  extra cellular fluid?
A) 20%, compared with 35% in an adult
B) 35%, compared with 20% in an adult
C) 50%, compared with 70% in an adult
D) 70%, compared with 40% in an adult
A

A) 20%, compared with 35% in an adult
B) 35%, compared with 20% in an adult*
C) 50%, compared with 70% in an adult
D) 70%, compared with 40% in an adult

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4
Q

Beth Philips, like all newborns, can lose body heat by conduction. Under which condition is conduction most apt to occur?
A) the nursery is cooled by air conditioning
B) the infant is wet from amniotic fluid
C) There is a breeze from an open window
D) Beth is placed in a cold bassinet

A

A) the nursery is cooled by air conditioning
B) the infant is wet from amniotic fluid
C) There is a breeze from an open window
D) Beth is placed in a cold bassinet*

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5
Q

A Moro reflex is the single best assessment of the neurological ability in a newborn. What is the best way to test this reflex?
A) Observe Beth while she is on her abdomen to see whether she can turn her head.
B) lift Beth’s head while she is supine and allow it to fall back 2.5cm
C) Shake Beth’s cot until she responds by flailing her arms
D) make a sharp noise, such as clapping your hands, to wake Beth

A

A) Observe Beth while she is on her abdomen to see whether she can turn her head.
B) lift Beth’s head while she is supine and allow it to fall back 2.5cm*
C) Shake Beth’s cot until she responds by flailing her arms
D) make a sharp noise, such as clapping your hands, to wake Beth

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6
Q
Beth Phillips has milia on her nose. What is the necessary therapy for this?
A) Ice packs to reduce inflammation
B) warm heat to increase circulation
C) no therapy is necessary for milia
D) lancing the lesions so they drain
A

A) Ice packs to reduce inflammation
B) warm heat to increase circulation
C) no therapy is necessary for milia*
D) lancing the lesions so they drain

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7
Q

Beth Phillips had Apgar scores of 6 at 1 minute of age and 8 at 5 minutes of age. What are the 5 components of the Agar score?
A) Heart rate, respiratory effort, muscle tone, reflex irritability and colour
B) respiratory rate, abdominal tone, reflex irritability, colour and head circumference
C) Colour, breathing rate, cry, amount of brown fat and response to adult voice
D) abdominal tone, persistence, gastric acidity, arterial pressure and response to pain.

A

A) Heart rate, respiratory effort, muscle tone, reflex irritability and colour*
B) respiratory rate, abdominal tone, reflex irritability, colour and head circumference
C) Colour, breathing rate, cry, amount of brown fat and response to adult voice
D) abdominal tone, persistence, gastric acidity, arterial pressure and response to pain.

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8
Q
Cassandra is preparing to take her new daughter home. On about what day of life can she expect her baby's umbilical cord to fall off?
A) day 1
B) days 2 to 3
C) days 6 to 10
D) day 30
A

A) day 1
B) days 2 to 3
C) days 6 to 10*
D) day 30

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9
Q

Discharge planning for the child with asthma:

a) is only done by the asthma nurse
b) is also the responsibility of the ward nurse looking after the pt
c) only occurs at a time of discharge
d) is a waste of time due to poor compliance rates

A

Discharge planning for the child with asthma:

a) is only done by the asthma nurse
b) is also the responsibility of the ward nurse looking after the pt*
c) only occurs at a time of discharge
d) is a waste of time due to poor compliance rates

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10
Q

Children with asthma have abnormally sensitive airways in their lungs.
True False

A

Children with asthma have abnormally sensitive airways in their lungs.
True * False

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11
Q

Asthma is often found in more than one member of a family.

True False

A

Asthma is often found in more than one member of a family.

True * False

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12
Q

Reliever medication, given on a regular basis, is used to prevent attacks of asthma.

True False

A

Reliever medication, given on a regular basis, is used to prevent attacks of asthma.

True False *

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13
Q

Asthma cannot be cured.

True False

A

Asthma cannot be cured.

True * False

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14
Q

The best way to measure the severity of a child’s asthma is for a doctor to listen to his/her chest.

True False

A

The best way to measure the severity of a child’s asthma is for a doctor to listen to his/her chest.

True False *

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15
Q

Children with frequent asthma should have preventative medication.

True False

A

Children with frequent asthma should have preventative medication.

True * False

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16
Q

A severe asthma attack rarely comes on without warning.

True False

A

A severe asthma attack rarely comes on without warning.

True * False

17
Q

A wheeze in children is always consistent with a diagnosis of asthma.

True False

A

A wheeze in children is always consistent with a diagnosis of asthma.

True False*

18
Q

A positive response to broncholdilators is suggestive of an asthma diagnosis in children.

True False

A

A positive response to broncholdilators is suggestive of an asthma diagnosis in children.

True False*

19
Q

Which of these medications is NOT a medication used to relieve the symptoms of asthma?

a. Salbutamol
b. Theophylline
c. Atrovent
d. Beclomethasone

A

Which of these medications is NOT a medication used to relieve the symptoms of asthma?

a. Salbutamol
b. Theophylline
c. Atrovent
d. Beclomethasone*

20
Q

Inhaled corticosteroids

a. Are best distinguished by their brown/orange packaging
b. Can cause oral thrush
c. Reduce the need for reliever medication
d. All of the above

A

Inhaled corticosteroids

a. Are best distinguished by their brown/orange packaging
b. Can cause oral thrush
c. Reduce the need for reliever medication
d. All of the above*

21
Q

Use of theophylline should be monitored closely due to:

a. The patients preferences
b. Symptom control
c. Toxicity
d. Doctor’s preference

A

Use of theophylline should be monitored closely due to:

a. The patients preferences
b. Symptom control
c. Toxicity*
d. Doctor’s preference

22
Q

In an acute episode a 4 year old patient should receive how many puffs of Ventolin through his spacer for a full dose:

a. 2 puffs
b. 6 puffs
c. 12 puffs
d. Up to the discretion of the nurse

A

In an acute episode a 4 year old patient should receive how many puffs of Ventolin through his spacer for a full dose:

a. 2 puffs
b. 6 puffs*
c. 12 puffs
d. Up to the discretion of the nurse

23
Q

Spacer devices used to deliver inhaled medication to children with asthma:

a. Have been shown to be as effective as nebulisers.
b. Should be cleaned once per week in clean soapy water.
c. Are sent to HSSD for cleaning once no longer required.
d. All of the above

A

Spacer devices used to deliver inhaled medication to children with asthma:

a. Have been shown to be as effective as nebulisers.
b. Should be cleaned once per week in clean soapy water.
c. Are sent to HSSD for cleaning once no longer required.
d. All of the above*

24
Q
  1. Discharge planning for the child with asthma:
    a. Is only done by the Asthma Nurses.
    b. Is also the responsibility of the ward nurse looking after the patient.
    c. Only occurs at time of discharge.
    d. Is a waste of time due to poor compliance rates.
A
  1. Discharge planning for the child with asthma:
    a. Is only done by the Asthma Nurses.
    b. Is also the responsibility of the ward nurse looking after the patient.*
    c. Only occurs at time of discharge.
    d. Is a waste of time due to poor compliance rates.
25
Q

An infant is admitted with an upper respiratory tract infection and wheeze requiring salbutamol to support his/her respiratory effort. What paperwork would you give to the parents?

a. “The Wheezing Child” Bear Facts sheet
b. Information and demonstration on puffer technique
c. “Caring for your child’s asthma” handbook
d. a and b

A

An infant is admitted with an upper respiratory tract infection and wheeze requiring salbutamol to support his/her respiratory effort. What paperwork would you give to the parents?

a. “The Wheezing Child” Bear Facts sheet
b. Information and demonstration on puffer technique
c. “Caring for your child’s asthma” handbook
d. a and b*

26
Q

An Asthma Action Plan:

a. Must be filled out and discussed by a medical officer or Asthma Nurse.
b. Should be filled out for ALL children requiring ongoing treatment for symptoms.
c. Needs to be part of the discharge planning.
d. All of the above

A

An Asthma Action Plan:

a. Must be filled out and discussed by a medical officer or Asthma Nurse.
b. Should be filled out for ALL children requiring ongoing treatment for symptoms.
c. Needs to be part of the discharge planning.
d. All of the above*

27
Q

Which is the most appropriate pain assessment tool for a 13 year old?

a) Faces pain scale
b) Numerical pain scale
c) FLACC pain assessment tool
d) Visual analogue scale

A

Which is the most appropriate pain assessment tool for a 13 year old?

a) Faces pain scale
b) Numerical pain scale*
c) FLACC pain assessment tool
d) Visual analogue scale

28
Q

Which position is the recommended sleeping position for an infant?

a) Prone
b) On the side being supported by pillow
c) On the back with pillows each side to prevent rolling onto sides
d) On the back, no surrounding toys/pillows

A

Which position is the recommended sleeping position for an infant?

a) Prone
b) On the side being supported by pillow
c) On the back with pillows each side to prevent rolling onto sides
d) On the back, no surrounding toys/pillows*

29
Q

The World Health Organisation state the exclusive breastfeeding is recommended for what period?

a) 12 months
b) 9 months
c) 6 months
d) 3 months

A

The World Health Organisation state the exclusive breastfeeding is recommended for what period?

a) 12 months
b) 9 months
c) 6 months*
d) 3 months

30
Q

Failure to thrive, can be caused by which of the following?

a) Poor breast feeding technique
b) Congenital heart disease
c) Chronic respiratory disease
d) All of the above

A

Failure to thrive, can be caused by which of the following?

a) Poor breast feeding technique
b) Congenital heart disease
c) Chronic respiratory disease
d) All of the above*

31
Q

P in the AVPU scale means which of the following?

a) Responsive to parents voice
b) Responsive to painful stimuli
c) Orientated to place
d) Orientated to person

A

P in the AVPU scale means which of the following?

a) Responsive to parents voice
b) Responsive to painful stimuli*
c) Orientated to place
d) Orientated to person

32
Q

Which of the following are signs of dehydration in an infant?

a) Lethargic
b) Dry mucous membranes
c) Sunken anterior fontanel
d) All of the above

A

Which of the following are signs of dehydration in an infant?

a) Lethargic
b) Dry mucous membranes
c) Sunken anterior fontanel
d) All of the above*

33
Q

If a child is choking and has the ability to cough, you should carry out the following:

a) Perform the Heimlich Manoeuvre
b) Commence DRSABCD
c) Encourage the child to cough and continuously assess
d) Give 5 back blows then 5 chest thrusts

A

If a child is choking and has the ability to cough, you should carry out the following:

a) Perform the Heimlich Manoeuvre
b) Commence DRSABCD
c) Encourage the child to cough and continuously assess
d) Give 5 back blows then 5 chest thrusts*

34
Q

A CEWT score of 4-5 requires what action?

a) Ward doctor within 30 minutes and notify the shift coordinator
b) Increase frequency of observations and consider notifying shift coordinator
c) Registrar review within 15 minutes and notify shift coordinator
d) MET call, with review from MET Team within 5 minutes

A

A CEWT score of 4-5 requires what action?

a) Ward doctor within 30 minutes and notify the shift coordinator*
b) Increase frequency of observations and consider notifying shift coordinator
c) Registrar review within 15 minutes and notify shift coordinator
d) MET call, with review from MET Team within 5 minutes

35
Q

A CEWT score of 8 requires what action?

a) Ward doctor review within 30 minutes and notify the shift coordinator
b) Increase frequency of observations and consider notifying shift coordinator
c) Registrar review within 15 minutes and notify shift coordinator
d) MET call, with review from MET team within 5 minutes

A

A CEWT score of 8 requires what action?

a) Ward doctor review within 30 minutes and notify the shift coordinator
b) Increase frequency of observations and consider notifying shift coordinator
c) Registrar review within 15 minutes and notify shift coordinator
d) MET call, with review from MET team within 5 minutes*

36
Q

Which is the most appropriate pain assessment tool for an 18 month old child?

a) Faces pain scale
b) Numerical pain scale
c) FLACC pain assessment tool
d) Visual analogue scale

A

Which is the most appropriate pain assessment tool for an 18 month old child?

a) Faces pain scale
b) Numerical pain scale
c) FLACC pain assessment tool*
d) Visual analogue scale