Pediatric nursing worksheet with answers

At about what age do most children say their first meaningful words?

1. AAbout 4 months
2. BAbout 2 years
3. CAbout 6 months
4. DAbout 12 months

What is the recommended chest compression rate during CPR on a child or infant?

1. A60 to 80 per minute
2. B140 to 160 per minute
3. C30 to 40 per minute
4. D100 to 120 per minute

How should jaundice that first appears within the first 24 hours of life be regarded?

1. AAs harmless as long as the baby is feeding well
2. BAs breast milk jaundice that is best treated by stopping breastfeeding
3. CAs normal physiological jaundice that needs no follow-up
4. DAs pathological until proven otherwise; it needs prompt evaluation

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. AGo straight to the emergency department without using any medicine first
2. BUse the reliever as the plan says and contact the doctor if it does not help
3. CStop all medicines and wait to see if the symptoms pass
4. DDouble the preventer dose and do nothing else

Which signs suggest a child is ready to start toilet training?

1. AReaching the first birthday and being able to walk, whether or not the child shows any interest
2. BStaying dry for about 2 hours, showing interest and being able to follow simple instructions
3. CSaying the first word
4. DBeing able to walk

Why are codeine and tramadol not recommended for children under 12 years?

1. ASome children metabolise them very quickly, causing dangerous breathing depression
2. BThey always cause allergies
3. CThey are too weak to relieve moderate pain, so stronger opioids are always preferred
4. DThey can only be given intravenously

A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?

1. AThis weight loss is only normal in formula-fed babies
2. BThis shows breastfeeding has failed, so formula should replace breast milk from now on
3. CThis is severe dehydration and needs immediate IV fluids
4. DThis is within the usual range; observe a feed and follow the weight

A 6-year-old with sickle cell disease has a temperature of 39.0 °C. Why is this treated as urgent?

1. AFever means a sickling crisis has started, so the child needs a blood transfusion straight away to replace the damaged cells
2. BFever is the normal start of every pain crisis
3. CChildren with sickle cell disease have reduced spleen function and are at high risk of serious bacterial infection
4. DIt is not urgent; fever is common in all children