1.Easy
By about what age has a healthy infant typically doubled their birth weight?
- A2 years
- B4 to 6 months
- C12 months
- D1 month
2.Easy
Why is head circumference measured at routine checks in the first years of life?
- ATo estimate the child's future height
- BTo check for dehydration
- CTo calculate medication doses
- DTo monitor brain growth and detect abnormal head growth early
3.Easy
Which early sign may suggest autism in a toddler?
- ASaying "no" often and having tantrums at 2 years
- BBeing shy with strangers at 9 months
- CPreferring to play next to other toddlers rather than with them
- DNot pointing to show interest and little eye contact by about 18 months
4.Medium
Which sign shows that a baby is ready to start solid foods?
- AHas cut a first tooth
- BHas reached 6 weeks of age
- CStarts waking more often during the night and seems hungry after milk feeds
- DSits with support, holds the head steady and shows interest in food
5.Medium
What is a normal capillary refill time in a child?
- A15 to 20 seconds
- B2 seconds or less
- C8 to 10 seconds
- D5 seconds or less
6.Medium
Which group of findings is typical in a teenager with severe anorexia nervosa?
- ARapid growth, acne and an increased appetite
- BFast heart rate, high blood pressure and a high fever
- CSlow heart rate, low blood pressure and low body temperature
- DWeight gain, oedema and high blood pressure
7.Hard
A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?
- ANo action is needed, because head bleeds are rare in haemophilia
- BSeek urgent care, as factor replacement may be needed before symptoms appear
- CGive aspirin for the pain and apply ice to the bump
- DWatch him at home for a week and bring him in only if he vomits or has a headache
8.Hard
A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?
- AMilestones are always judged by chronological age, so he is 3 months behind
- BMilestones are judged by corrected age, here about 3 months, so this is expected
- CHe is clearly delayed and needs urgent neurological referral
- DPreterm babies never reach normal milestones, so no follow-up is needed
Answer key
- 1. B · 4 to 6 months
- 2. D · To monitor brain growth and detect abnormal head growth early
- 3. D · Not pointing to show interest and little eye contact by about 18 months
- 4. D · Sits with support, holds the head steady and shows interest in food
- 5. B · 2 seconds or less
- 6. C · Slow heart rate, low blood pressure and low body temperature
- 7. B · Seek urgent care, as factor replacement may be needed before symptoms appear
- 8. B · Milestones are judged by corrected age, here about 3 months, so this is expected
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