Forms and methods of self-control
Test tasks
1. Basic organ of hemopoesis after birth is:
A. spleen
B. liver
C. lymph nodes
D. marrow*
E. reticular formation
2. Basic organ of hemopoesis in the intrauterine period
A. spleen
B. reticular formation
C. liver*
D. marrow
E. lymph nodes
3. Indexes of red blood in new-born children at first hours after birth:
A. Hb – 120 g/l, Er.-4,0 Т/l
B. Hb – 180 – 240 g/l, Er. - 5,6-7,5 Т/l*
C. Hb – 110 g/l, Er.-3,0 Т/l
D. Hb – 80 g/l, Er.-2,7 Т/l
E. Hb – 260 g/l, Er.-9,1 Т/l
4. Amount of leucocytes in the peripheral blood in children of the first 5 days of life
A. 15-20 G/l*
B. 5-6 G/l
C. 8-10 G/l
D. 30-40 G/l
E. 3-4 G/l
5. Leukocyte formula of new-born children in age 5-6 days
A. neutrophils – 60, lymphocytes – 30 %
B. neutrophils – 26, lymphocytes – 60 %
C. neutrophils – 44, lymphocytes – 45 % *
D. neutrophils – 36, lymphocytes – 51 %
E. neutrophils -30, lymphocytes – 60%
Clinical situation tasks
1. A child 5 years became ill sharply, in the morning mother revealed the purple-dark blue spots of different sizes (from 0,5 to 3 cm in a diameter) on a trunk and extremities, nasal bleeding appeared. The temperature of body was normal. In the peripheral blood Er.- 3,3T/l, Hb –118 g/l, CI –0,8, Tromb.- 30 000 /l.
Define clinic-hematological syndrome.
2. In 2 year child the pallor of skin and mucous is marked, dystrophy of nails, hairs, anorexia, infringement of taste. In a peripheral blood: Er.-2,8 T/l, Нв. –84 g/l, CI - 0,56, Leuc. – 6,2 G/l, Tromb.– 220 000/l,
Define clinic-hematological syndrome.
3. 4 years old child has lemon color of skin, weakness, bad appetite, liver goes out from a costal arc on 3 cm., spleen – on 5 cm. In a peripheral blood: Er. – 2,7 T/l, Нв. – 82 g/l, CI – 1,1, Leuc. – 6,0 G/l, ESR – 6 mm
Define clinic-hematological syndrome.
Answers :
Task 1.
Hemorrhagic syndrome
Task 2.
Anemic syndrome
Task 3.
Hemolytic syndrome (hemolytic anemia)
Hardwares and materials of providing of training.
1. Tables:
“Intrauterine stages of hemopoesis”
“Physiology crosses of white blood in children”
“Peripheral lymph nodes”
2. Charts:
“Indexes of red blood in children of different age”
“Indexes of white blood in children of different age”
Set of test tasks of initial control
2. Methodical developments :
“Method of examination of the system of blood in children”
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Information sources.
А) Basic:
1. Kapitan T. Propedeutics of children’s diseases and nursing of the child. – Vinnitsa, 2006. – P. 482-567
B) Additional:
1. Мазурин А.В., Воронцов И.М. Пропедевтика детских болезней. М: Медицина. 1985г. – с.238-263.
Program of self-preparation of students to the theme:
1. To study basic and additional information sources accordant to the theme of training.
2. To be able to conduct the method of examination of the system of blood in children: palpation of lymph nodes
3. To be able to execute the care of children with the defeat of the system of blood.
4. To pay attention and learn the basic pathological syndromes of defeats of the system of blood in children.
TYPES OF INDEPENDENT WORK OF STUDENTS (IWS) AND ITS CONTROL
| № | THEME | Amount of hours | Type of control |
| 1. | Preparation to practical trainings is theoretical preparation and working of practical skills | 17 | Current control on practical trainings |
| 2. | Independent working of themes which do not enter to the plan of audience trainings: | ||
| a. | Energy exchange in children | 1 | Final module control |
| b. | Protein metabolism in children. | 1 | Final module control |
| c. | carbohydrate exchange in children | 1 | Final module control |
| d. | Fat metabolism in children. | 1 | Final module control |
| e. | Water-electrolyte exchange in children. | 1 | Final module control |
| f. | Vitamins, their values for development of child. | 1 | Final module control |
| 3. | Writing of case history | 2 | Final module control |
| 4. | Preparation to the final module control | 5 | Final module control |
| TOTAL | 30 |
DISTRIBUTING OF THE POINTS APPROPRIATED TO STUDENTS
| № | Module 2 (current educational activity) | Maximal amount of points | ||
| Semantic module 4 | ||||
| 1. | Theme 1 | 8 | ||
| Semantic module 5 | ||||
| 2. | Theme 2 | 8 | ||
| 3. | Тема3 | 8 | ||
| Semantic module 6 | ||||
| 4. | Theme 4 | 8 | ||
| 5. | Theme 5 | 8 | ||
| 6. | Theme 6 | 8 | ||
| Semantic module 7 | ||||
| 7. | Theme 7 | 8 | ||
| 8. | Theme 3 | 8 | ||
| 9. | Theme 9 | 8 | ||
| Semantic module 8 | ||||
| 10. | Theme 10 | 8 | ||
| 11. | Theme 11 | 8 | ||
| Semantic module 9 | ||||
| 12. | Theme 12 | 8 | ||
| Semantic module 10 | ||||
| 13. | Theme 13 | 8 | ||
| Semantic module 11 | ||||
| 14. | Theme 14 | 8 | ||
| 15. | Theme 15 | 8 | ||
| Total for semantic modules
| 120 | |||
| Final module control, in that number: | 80 | |||
| practical preparation | ||||
| theoretical preparation | ||||
| TOTAL sum of points | 200 | |||
Note: At mastering of theme after the traditional system of marks the student receives: for «5» — 8 points, for «4» — 6 points, for «З» — 4 points, for «2» - 0 points.
Maximal amount of points for current educational activity of student - 120
A student can be admitted to the final module control in the case of implementation of requirements of present tutorial and in time, if current educational activity not less than 60 points (15 х 4).
The final module control set off to the student, if he collected not less than 50 points from 80 points.
Module 3. Feeding of children of early age
Semantic module 14. Breast feeding of children
Concrete aims:
• To collect anamnesis of feeding of child of breast age and estimate it.
• To expect daily volume of meal to the child, depending on age.
• To expect the necessary amount of meal on one feeding, depending on age of baby.
• To make one-day menu for the child of breast age on the natural feeding.
• To estimate daily ration of feed of child and conduct its correction (at a necessity).
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