Pediatric nursing worksheet with answers

How is congenital clubfoot (talipes equinovarus) usually treated first?

1. ASpecial shoes worn only at night from age 5
2. BWaiting until school age and then operating on the bones of the foot
3. CGentle manipulation and serial casting (the Ponseti method)
4. DMassage alone, with no casts or braces

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. CPutting a baby to bed with a bottle of milk or juice
4. DBrushing the teeth with a smear of fluoride toothpaste

Where is the pain of appendicitis typically felt once it has localised?

1. AIn the right lower abdomen
2. BIn the left lower abdomen
3. CIn the upper middle abdomen only
4. DAround the left shoulder blade

A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?

1. AArrange prompt medical review, as infection from the birth canal is possible
2. BReassure the parents that sticky eyes are always harmless in the first weeks of life
3. CApply an over-the-counter steroid eye ointment
4. DClean the eye with breast milk and review in a week

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

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

How is urine output measured in an infant wearing nappies?

1. ACount only the number of nappy changes in each shift
2. BEstimate it from how heavy the nappy feels in the hand
3. CWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
4. DSqueeze the nappy out into a measuring jug and read the volume

A child is admitted with fever, neck stiffness and a non-blanching rash. Which action is the priority?

1. AStart droplet precautions and get urgent medical review so antibiotics are not delayed
2. BGive an antipyretic and recheck in 4 hours
3. CPlace the child in a shared bay with other children and recheck the rash and temperature in 4 hours
4. DWait for a lumbar puncture before any treatment

The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?

1. AGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
2. BBring the child to hospital straight away for assessment and IV antibiotics
3. CGive a cool bath and keep the child at home
4. DWait until the next clinic visit, as fever is common