Pediatric nursing worksheet with answers

Why are breastfed infants often given a vitamin D supplement?

1. ABreast milk contains little vitamin D
2. BBreast milk contains too little protein for growth
3. CVitamin D prevents iron-deficiency anaemia
4. DVitamin D prevents newborn jaundice

By about what age has a healthy infant typically doubled their birth weight?

1. A1 month
2. B2 years
3. C4 to 6 months
4. D12 months

Which test is used to diagnose cystic fibrosis?

1. AThe sweat chloride test
2. BA chest X-ray alone
3. CA urine glucose test
4. DA throat swab culture

A topical anaesthetic cream (lidocaine–prilocaine) is planned before a cannula insertion. What is important?

1. AApply it well in advance, usually about 60 minutes, under an occlusive dressing
2. BApply it to broken skin for faster effect
3. CApply it just seconds before the needle
4. DRub it firmly into the skin and wipe it off after about 1 minute, without a dressing

Which finding at a 2-year check most needs a speech and language referral?

1. AThe child prefers to play beside other toddlers
2. BThe child says "no" to most suggestions
3. CThe child is not yet combining any two words
4. DThe child uses about 50 words or more

Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?

1. AIt is mainly used for small burns of the hands, feet and face in children
2. BIt adjusts for the larger head and smaller legs of young children
3. CIt counts the number of blisters on the body
4. DIt measures the depth of the burn rather than its area

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

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

A conscious 3-year-old is choking on food and cannot cough, cry or speak. What should the nurse do?

1. AGive back blows and then abdominal thrusts, and call for help
2. BWait to see if the child coughs it up
3. CGive the child water to swallow
4. DDo a blind finger sweep of the mouth to hook out the piece of food