Pediatric nursing worksheet with answers

Which finding on examination is typical of pyloric stenosis?

1. AA swollen abdomen with no bowel sounds at all
2. BA soft bulge at the belly button when crying
3. CAn olive-shaped mass in the upper abdomen
4. DA tender mass in the left lower abdomen

Which finding suggests hydrocephalus in an infant?

1. AA sunken fontanelle with dry mucous membranes and few wet nappies
2. BA small head with a closed fontanelle at birth
3. CA flat area on the back of the head
4. DA rapidly increasing head circumference with a bulging fontanelle

Into which airway does an inhaled foreign body most often go?

1. AThe left main bronchus
2. BThe right main bronchus
3. CThe left upper lobe bronchus
4. DBoth main bronchi equally often

Which signs in a 2-day-old baby suggest sepsis?

1. AHiccups after feeds with a strong, lusty cry between feeds
2. BUnstable temperature, poor feeding, lethargy and breathing difficulty
3. CRegular feeding with six wet nappies a day
4. DSmall white spots on the nose and a pink face

Which advice is first-line for a school-age child with functional constipation?

1. ACutting out all fruit and vegetables to soften the stools
2. BAvoiding the toilet at school until the problem has settled
3. CDaily enemas given at home by the parents for several months, without other changes
4. DMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed

A child is sent home after a minor head injury. Which sign should parents report straight away?

1. ARepeated vomiting
2. BWanting a nap at the usual time
3. CA small bump on the forehead
4. DMild soreness at the site

A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?

1. APreterm babies never reach normal milestones, so no follow-up is needed
2. BMilestones are judged by corrected age, here about 3 months, so this is expected
3. CMilestones are always judged by chronological age, so he is 3 months behind
4. DHe is clearly delayed and needs urgent neurological referral

A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?

1. AVesicoureteral reflux
2. BHypospadias
3. CTesticular torsion on both sides
4. DNephrotic syndrome