Pediatric nursing worksheet with answers

Which practice most increases the risk of early childhood tooth decay?

1. AOffering water to drink between meals
2. BHaving a first dental visit by about the first birthday
3. CBrushing the teeth with a smear of fluoride toothpaste
4. DPutting a baby to bed with a bottle of milk or juice

What is the usual normal range for the platelet count?

1. AAbout 1,500 to 4,000 × 10⁹/L
2. BAbout 150 to 400 × 10⁹/L
3. CAbout 4 to 11 × 10⁹/L
4. DAbout 15 to 40 × 10⁹/L

Which finding suggests hydrocephalus in an infant?

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

How should oral rehydration solution be given to a child with mild to moderate dehydration who is vomiting?

1. AMixed with fruit juice to improve the taste
2. BOnly after the vomiting has stopped for 24 hours, to avoid further losses
3. CIn small amounts, frequently, for example with a spoon or syringe
4. DAs one large drink every few hours

How should an infant with heart failure be fed?

1. ALarge feeds every 6 hours so the baby can rest in between
2. BSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
3. CLying flat on the back so the baby does not need to hold the head up
4. DStop the feed when the baby tires and wait until the next scheduled feed

A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?

1. AGive glucagon and call emergency services
2. BGive a glass of orange juice by mouth
3. CLet the child sleep and check again in an hour
4. DGive the child's usual dose of insulin

The nurse has taught the parents of a 1-year-old about car safety. Which statement shows a need for further teaching?

1. A"We will not put her in the seat wearing a thick, padded coat."
2. B"We will make sure the harness is snug, with no slack at the shoulders."
3. C"Her rear-facing seat can go in the front passenger seat with the airbag switched on."
4. D"We will keep her rear-facing for as long as her seat allows."

Which child should the nurse see first?

1. AA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
2. BA 4-year-old with asthma who can say only one or two words between breaths
3. CA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
4. DA 2-year-old with croup who has a barking cough but no stridor at rest