24. A four-year-old child is brought to a health center with a complaint in duration. On physical examination, the child has chest in drawing the min, pulse rate is 90/min and body temperature of 38^circ C What is the appropriate management for this child? (A)Refer urgently to hospital (B) Provide oral Amoxicillin for 5 days (C) Treat with Ampicillin and gentamycin (D) Counsel the mother to give fluid remedies 25. A 6-month-old HIV positive baby was admitted to a pediatric ward due to infection(C 15) characterized by abrupt onset of fever dry cough, tachypne cyanosis. Physical examination reveals seattered rales in the What is the most likely infectious disease that the patient exhibits? (A) Pneumocystis carin pneumonia (C) Millary Tuberculosis (B) Pulmonary Tuberculosis (D)Severe Pneumonia 26. A nursing team has prepared a nursing care plan to provide a holistic care to HIV infants. The mother has planned to stop breast feeding today. The team planned to do a ramd antibody test and appointed her for the next visit. What is the most appropriate time to do this test? (A) At birth (B) At 6 weeks (C) At 10 weeks (D) At 12 weeks 27. A pediatric nurse started giving essential new born care by neously. the baby thoroughly During drying, the nurse observed that the child breaths spontaneously. What is the next appropriate step the nurse should do in thecase of this new bom? (A) Cord care (C) Initiate breastfeeding immediately (B) Apply Tetracycline eye ointment (D) Place the baby in skin-to-skin contact 28. A five-day-old term neonate,with a diagnosis of neonatal sepsis, was admitted to a hospital.Prenatal history shows that the mother was febrile with offensive vaginal dischares before delivery. Mode of delivery was spontancous vaginal delivery. The nurse suspects the woman with sepsis. What is the most likely cause of this woman's problem? (A) Staphylococci (B) Escherichia coli (C) Haemophilus influenza (D) Group B streptococcus 29. A preterm baby has been admitted in the intensive care unit The care giver reported that the neonate had mild fever and difficulty of feeding.Base line temperature was 37.8^circ C pulse rate is 120min Also he has pale eye lid with yellow conjunctivitis. The nurses diagnosed the newborn with icterus neonatrum. What is the most likely criterion to diagnose this neonate'problem? (A) Mild fever (B) Pale eye lid (C) Difficulty of feeding (D)conjunctiva Cookin?

Question

24. A four-year-old child is brought to a health center with a complaint in duration. On physical examination, the child has chest in drawing the min, pulse rate is 90/min and body temperature of 38^circ C What is the appropriate management for this child? (A)Refer urgently to hospital (B) Provide oral Amoxicillin for 5 days (C) Treat with Ampicillin and gentamycin (D) Counsel the mother to give fluid remedies 25. A 6-month-old HIV positive baby was admitted to a pediatric ward due to infection(C 15) characterized by abrupt onset of fever dry cough, tachypne cyanosis. Physical examination reveals seattered rales in the What is the most likely infectious disease that the patient exhibits? (A) Pneumocystis carin pneumonia (C) Millary Tuberculosis (B) Pulmonary Tuberculosis (D)Severe Pneumonia 26. A nursing team has prepared a nursing care plan to provide a holistic care to HIV infants. The mother has planned to stop breast feeding today. The team planned to do a ramd antibody test and appointed her for the next visit. What is the most appropriate time to do this test? (A) At birth (B) At 6 weeks (C) At 10 weeks (D) At 12 weeks 27. A pediatric nurse started giving essential new born care by neously. the baby thoroughly During drying, the nurse observed that the child breaths spontaneously. What is the next appropriate step the nurse should do in thecase of this new bom? (A) Cord care (C) Initiate breastfeeding immediately (B) Apply Tetracycline eye ointment (D) Place the baby in skin-to-skin contact 28. A five-day-old term neonate,with a diagnosis of neonatal sepsis, was admitted to a hospital.Prenatal history shows that the mother was febrile with offensive vaginal dischares before delivery. Mode of delivery was spontancous vaginal delivery. The nurse suspects the woman with sepsis. What is the most likely cause of this woman's problem? (A) Staphylococci (B) Escherichia coli (C) Haemophilus influenza (D) Group B streptococcus 29. A preterm baby has been admitted in the intensive care unit The care giver reported that the neonate had mild fever and difficulty of feeding.Base line temperature was 37.8^circ C pulse rate is 120min Also he has pale eye lid with yellow conjunctivitis. The nurses diagnosed the newborn with icterus neonatrum. What is the most likely criterion to diagnose this neonate'problem? (A) Mild fever (B) Pale eye lid (C) Difficulty of feeding (D)conjunctiva Cookin?

Answer 1

24. (A) Refer urgently to hospitalExplanation: The child's symptoms, including chest indrawing, fever, and tachypnea, indicate a severe respiratory infection that requires urgent medical attention. Referring the child to a hospital is the most appropriate management to ensure proper diagnosis and treatment.25. (A) Pneumocystis carini pneumoniaExplanation: The symptoms described, such as abrupt onset of fever, dry cough, tachypnea, and cyanosis, along with scattered rales in the lungs, are consistent with Pneumocystis carini pneumonia, an opportunistic infection commonly seen in HIV-positive individuals.26. (B) At 6 weeksExplanation: The antibody test for HIV exposure in infants is typically done at 6 weeks of age to accurately determine the infant's HIV status. Testing at this time allows for early detection and appropriate management.27. (B) Apply Tetracycline eye ointmentExplanation: After ensuring the baby's spontaneous breathing, the next appropriate step is to apply Tetracycline eye ointment to prevent neonatal conjunctivitis, which is a common complication of maternal infection during delivery.28. (D) Group B streptococcusExplanation: The mother's febrile condition and offensive vaginal discharge before delivery, along with the mode of delivery, suggest a possible Group B streptococcus infection, which can lead to neonatal sepsis.29. (D) Yellow conjunctivaExplanation: The presence of yellow conjunctiva, or jaundice, is the most likely criterion to diagnose icterus neonatorum, a condition characterized by elevated bilirubin levels in newborns.

Question

Solution

Resposta