1.Easy
By about what age has a healthy infant typically doubled their birth weight?
- A4 to 6 months
- B1 month
- C12 months
- D2 years
2.Easy
At about what age does a baby's first tooth usually appear?
- AAround 3 years
- BAround 18 months
- CAround 6 months
- DAt birth in most babies
3.Easy
What is the main feature of mumps?
- AA high-pitched whoop after coughing fits
- BSwelling of the parotid salivary glands
- CA spreading rash that starts behind the ears
- DPainful ulcers on the hands, feet and mouth
4.Medium
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- APut a tongue depressor between the child's teeth
- BGive the prescribed rescue medicine and call for emergency help
- CHold the child's arms and legs firmly to stop the movements
- DWait another 15 minutes, because most seizures stop on their own
5.Medium
Which measures are central in managing a vaso-occlusive (pain) crisis in sickle cell disease?
- AIron supplements
- BStrict bed rest without analgesia
- CFluids, effective pain relief and oxygen if the child is hypoxic
- DFluid restriction to protect the kidneys and cold compresses on painful areas
6.Medium
Which finding is an early sign of shock in a child?
- AA fast heart rate with a prolonged capillary refill
- BLow blood pressure with a slow heart rate and pauses in breathing
- CSlow, deep breathing with a normal heart rate
- DA warm, flushed child with a strong, bounding pulse
7.Hard
A 3-week-old baby has a rectal temperature of 38.3 °C. The baby is feeding a little less than usual but looks well. What should the nurse advise?
- ANo urgent action, because fever in this age group is usually caused by teething or overdressing
- BDress the baby lightly and wait to see what happens
- CUrgent medical assessment, because fever in a young infant may be a sign of serious infection
- DGive an antipyretic and review in 3 days
8.Hard
Which finding in an infant with suspected reflux needs prompt medical review?
- ASmall posseting after feeds in a contented, growing baby
- BHiccups after feeds that settle on their own
- CSpitting up more after a large feed
- DPoor weight gain, refusing feeds and blood in the vomit
Answer key
- 1. A · 4 to 6 months
- 2. C · Around 6 months
- 3. B · Swelling of the parotid salivary glands
- 4. B · Give the prescribed rescue medicine and call for emergency help
- 5. C · Fluids, effective pain relief and oxygen if the child is hypoxic
- 6. A · A fast heart rate with a prolonged capillary refill
- 7. C · Urgent medical assessment, because fever in a young infant may be a sign of serious infection
- 8. D · Poor weight gain, refusing feeds and blood in the vomit
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