Pediatric nursing worksheet with answers

What is Gowers' sign?

1. AUsing the hands to "walk up" the legs to stand up from the floor
2. BA sudden startle with the arms flung outwards
3. CFlexing the hips and knees when the neck is bent forward by the examiner
4. DFanning of the toes when the sole of the foot is stroked

At which times after birth is the Apgar score routinely assessed?

1. AAt 10 minutes and at 30 minutes
2. BOnly once, at 24 hours of age
3. CAt birth and again at 1 hour
4. DAt 1 minute and at 5 minutes

According to atraumatic care, where should a painful procedure such as a blood test be done?

1. AIn the waiting room in front of other children
2. BIn the playroom so the child feels relaxed
3. CIn the child's bed so they do not need to move
4. DIn a treatment room, not in the child's bed

A toddler refuses a liquid medicine. Which approach is appropriate?

1. AMix it with a small spoonful of food, if the pharmacist says this is safe
2. BHold the child's nose firmly until he has to open his mouth to breathe
3. CTell the child it is a sweet so that he takes it happily
4. DMix it into a full bottle of milk or juice for the whole day

Which growth chart finding in a 10-month-old most needs further evaluation?

1. AHead circumference that follows the 75th percentile curve
2. BLength on the 50th percentile and weight on the 40th percentile
3. CWeight that has fallen across two major percentile lines since the last visits
4. DWeight that has stayed on the 10th percentile since birth

How should a 4-month-old be protected from the sun?

1. AExpose the baby to midday sun for vitamin D, then cover up
2. BApply a thick layer of high-factor sunscreen and allow full sun
3. CUse a sunbed for a few minutes to build a protective tan
4. DKeep the baby out of direct sun, in the shade, with light clothing and a hat

Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?

1. ANormal transition; no further checks are needed
2. BA faulty probe or a cold foot; repeat the whole test at the 6-week check
3. CAn abnormal screen that must be followed up promptly under the screening protocol
4. DA normal result, because foot readings are always lower

A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?

1. AA rare genetic disorder that needs more tests at once
2. BThe child is pretending to be ill to avoid school
3. CThe ward environment or hospital food is causing the symptoms
4. DFabricated or induced illness; follow safeguarding procedures