1.Easy
What is kangaroo care?
- ACarrying the baby in a front sling or carrier while doing the housework each day
- BA special incubator that copies the mother's heartbeat
- CWrapping the baby tightly in a blanket for sleep
- DSkin-to-skin contact between a parent and a baby, often a preterm baby
2.Easy
How does respiratory syncytial virus (RSV) mainly spread?
- AThrough contaminated food and drinking water
- BThrough the bites of insects such as mosquitoes
- COnly through the air over long distances, like measles
- DThrough droplets and contaminated hands and surfaces
3.Easy
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACongenital heart defects
- BClubfoot on both sides
- CCleft lip and palate
- DCataract only in old age
4.Medium
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
- AClean the eye with breast milk and review in a week
- BReassure the parents that sticky eyes are always harmless in the first weeks of life
- CApply an over-the-counter steroid eye ointment
- DArrange prompt medical review, as infection from the birth canal is possible
5.Medium
Which finding in a newborn suggests Hirschsprung disease?
- AFailure to pass meconium within 48 hours of birth
- BBright yellow, loose stools
- CA barking cough
- DProjectile vomiting at 4 weeks
6.Medium
At about what age do most children understand that death is permanent and happens to everyone?
- AAbout 9 to 10 years
- BNot until about 18 years
- CAbout 2 years
- DAbout 4 years
7.Hard
After a week in hospital without his parents, a 2-year-old has stopped crying for his mother, plays with the nurses and seems uninterested when she visits. Which stage of separation does this show?
- AProtest
- BDetachment
- CNormal adjustment with no distress
- DDespair
8.Hard
A school-age child takes methylphenidate for ADHD. Which teaching point is most important?
- AStop it on school days only
- BTake it at bedtime to help sleep
- CDouble the dose on days with tests at school to improve concentration further
- DTake the dose in the morning, and monitor appetite, sleep and growth
Answer key
- 1. D · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 2. D · Through droplets and contaminated hands and surfaces
- 3. A · Congenital heart defects
- 4. D · Arrange prompt medical review, as infection from the birth canal is possible
- 5. A · Failure to pass meconium within 48 hours of birth
- 6. A · About 9 to 10 years
- 7. B · Detachment
- 8. D · Take the dose in the morning, and monitor appetite, sleep and growth
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