Pediatric nursing worksheet with answers

In which of Piaget's stages does object permanence develop?

1. AFormal operational stage
2. BPreoperational stage
3. CSensorimotor stage
4. DConcrete operational stage

What are the three classic stages of separation anxiety in a hospitalised young child?

1. ACrying, sleeping, eating
2. BDenial, anger, acceptance
3. CProtest, despair, detachment
4. DFear, trust, independence

Which clotting factor is missing or low in haemophilia A?

1. AFactor XIII
2. BFactor VII
3. CFactor IX
4. DFactor VIII

A child with a myelomeningocele has a neurogenic bladder. Which management is usual?

1. AA permanent catheter left in place for life
2. BClean intermittent catheterisation
3. CWaiting for bladder control to develop naturally
4. DRestricting fluids to reduce urine volume

A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?

1. ATake it off every night so the baby can sleep more comfortably and move freely
2. BApply powder and lotion under the straps to protect the skin
3. CTighten the straps each week as the baby grows
4. DKeep it on as instructed, do not adjust the straps and check the skin daily

Which diet is usually recommended for a child with cystic fibrosis?

1. AA high-energy, high-fat diet with fat-soluble vitamin supplements
2. BA low-protein diet to reduce the work of the pancreas
3. CA low-salt diet to protect the heart and kidneys from damage later in life
4. DA low-fat diet to reduce greasy stools and abdominal pain

The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?

1. AHer breasts should always feel full and hard between feeds
2. BThe baby should feed for exactly 10 minutes on each side at every feed, day and night
3. CThe baby should sleep through the night without waking for feeds
4. DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain

An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?

1. APhone the uncle straight away to ask for his side of the story before reporting anything
2. BListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
3. CAsk detailed, leading questions to find out exactly what happened
4. DPromise to keep the secret, so that she keeps trusting the nurse and tells more later