Pediatric nursing worksheet with answers

Why is head circumference measured at routine checks in the first years of life?

1. ATo estimate the child's future height
2. BTo monitor brain growth and detect abnormal head growth early
3. CTo calculate medication doses
4. DTo check for dehydration

What is the main cause of type 1 diabetes in children?

1. AAutoimmune destruction of the insulin-producing beta cells
2. BA lack of glucagon from the alpha cells of the pancreas
3. CInsulin resistance caused mainly by obesity and inactivity
4. DToo much insulin being produced by an overactive pancreas

By about what age does the posterior fontanelle usually close?

1. ABy about 18 months
2. BBy about 12 months
3. CBy about 2 months
4. DBy about 3 years

Until when is a child with chickenpox usually considered infectious?

1. AUntil the fever has gone for 24 hours
2. BFor 6 weeks after the rash appears
3. COnly during the day before the rash appears
4. DUntil all the blisters have crusted over

A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?

1. AWear it for the prescribed hours each day, with a thin cotton shirt underneath
2. BWear it only at weekends and in the holidays, when it does not interfere with school
3. CWear it only when the back hurts, then take it off
4. DWear it over thick clothing to make it more comfortable

How is urine output measured in an infant wearing nappies?

1. ACount only the number of nappy changes in each shift
2. BEstimate it from how heavy the nappy feels in the hand
3. CWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
4. DSqueeze the nappy out into a measuring jug and read the volume

The parents of a child who is being resuscitated ask to stay in the room. What is the best response?

1. AAllow them to stay only if they help with the compressions
2. BAllow them to stay if they wish, with a staff member to support and explain
3. CAsk them to leave, because their presence always harms the team's work
4. DTell them to wait outside in the corridor until the resuscitation is over

A toddler with croup now has stridor at rest, is agitated and has marked chest retractions. What is the priority?

1. ALay the child flat to rest
2. BExamine the throat with a tongue depressor to look for the cause of the noisy breathing
3. CSend the child home with cough medicine
4. DGet urgent medical help; this is severe croup that may need nebulised epinephrine