Pediatric nursing worksheet with answers

A sunken anterior fontanelle in an infant suggests:

1. ARaised intracranial pressure
2. BFever
3. CNormal crying
4. DDehydration

At about what age does a baby's first tooth usually appear?

1. AAround 18 months
2. BAround 3 years
3. CAt birth in most babies
4. DAround 6 months

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

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

If the MMR and varicella vaccines are not given on the same day, what is the general rule?

1. ASeparate them by at least 1 week
2. BNever give both vaccines in the same year
3. CGive the second within 24 hours of the first
4. DSeparate them by at least 4 weeks

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

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

Which stool pattern is typical of Hirschsprung disease in an older child?

1. ANormal stools with occasional itching around the anus at night
2. BFrequent bloody diarrhoea with fever after eating chicken
3. CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
4. DPale, bulky, fatty stools that float and are hard to flush, with a large appetite

A school-age child takes methylphenidate for ADHD. Which teaching point is most important?

1. AStop it on school days only
2. BDouble the dose on days with tests at school to improve concentration further
3. CTake it at bedtime to help sleep
4. DTake the dose in the morning, and monitor appetite, sleep and growth

A 2-month-old is brought in with bruises on both cheeks. The parent says the baby "bumps into things". What should the nurse do?

1. AAccuse the parent of abuse in front of other families
2. BDocument the findings objectively and follow the safeguarding procedure to report the concern
3. CAccept the explanation because babies often bump into things
4. DTell the parent that a report will be made, then let them take the baby home before it is reviewed