Pediatric nursing worksheet with answers

How deep should chest compressions be during CPR on a child?

1. AAt least one third of the depth of the chest
2. BJust enough to see the chest move slightly
3. CAbout one tenth of the depth of the chest
4. DAs deep as possible, until the ribs can be felt to give

Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?

1. AIt stops ovulation permanently
2. BIt makes contraceptive pills fail
3. CIt causes heavy periods
4. DIt causes serious birth defects

Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?

1. ABecause the spleen stops working
2. BBecause the heart makes red blood cells
3. CTo compensate for chronic hypoxia
4. DBecause of too much iron in the diet

A child with suspected epiglottitis is drooling and sitting forward. Which action must be avoided?

1. AAllowing the child to sit in the position they choose
2. BExamining the throat with a tongue depressor
3. CCalling a team skilled in airway management
4. DKeeping the child with a parent

A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?

1. ALactose intolerance
2. BVitamin B12 deficiency
3. CIron-deficiency anaemia
4. DSickle cell disease

Which is the most accurate way to monitor fluid status in an infant with gastroenteritis?

1. AMeasuring head circumference
2. BChecking hair texture
3. CAsking the parent each day whether the child seems thirsty or tired
4. DDaily weight on the same scale, together with wet nappy counts

Two healthcare rescuers are giving CPR to an infant. Which compression technique is recommended?

1. ACompressions with one finger over the upper sternum
2. BBoth hands placed one on top of the other over the upper abdomen
3. CThe two-thumb technique with the hands encircling the chest
4. DBoth hands interlocked over the centre of the chest, with arms straight

The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?

1. AThe baby should sleep through the night without waking for feeds
2. BThe baby should feed for exactly 10 minutes on each side at every feed, day and night
3. CHer breasts should always feel full and hard between feeds
4. DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain