Pediatric nursing worksheet with answers

What is the purpose of newborn blood spot screening, for example for phenylketonuria?

1. ATo find the baby's blood group for transfusion
2. BTo measure the baby's iron stores
3. CTo detect treatable disorders early, before symptoms appear
4. DTo test for infections caught during birth

Which factors increase the risk of retinopathy of prematurity?

1. APhototherapy for jaundice given without the use of eye shields
2. BVery preterm birth and exposure to high oxygen levels
3. CBeing born after 42 weeks with a large birth weight
4. DBeing born by caesarean section at term

Why should honey not be given to babies under 12 months?

1. AIt can contain spores that cause infant botulism
2. BIt causes tooth decay within days in a baby's new teeth
3. CIt is too low in calories
4. DIt causes jaundice

Which factor can make a pulse oximeter reading inaccurate in a child?

1. ALying on the back instead of sitting up
2. BHolding a parent's hand during the reading
3. CHaving eaten a meal in the last hour
4. DCold hands, movement or a poorly fitting probe

Which stool pattern is typical of Hirschsprung disease in an older child?

1. APale, bulky, fatty stools that float and are hard to flush, with a large appetite
2. BFrequent bloody diarrhoea with fever after eating chicken
3. CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
4. DNormal stools with occasional itching around the anus at night

Which finding is an early sign of shock in a child?

1. AA warm, flushed child with a strong, bounding pulse
2. BSlow, deep breathing with a normal heart rate
3. CLow blood pressure with a slow heart rate and pauses in breathing
4. DA fast heart rate with a prolonged capillary refill

The nurse has taught the parents of a child with epilepsy. Which statement shows a need for further teaching?

1. A"I'll time the seizure and give the rescue medicine if it lasts too long."
2. B"I'll put a spoon in his mouth so he doesn't bite or swallow his tongue."
3. C"I'll move hard objects away and put something soft under his head."
4. D"When the jerking stops, I'll turn him onto his side."

Which finding helps to distinguish epiglottitis from croup?

1. AA hoarse voice with mild fever and a runny nose
2. BDrooling, high fever and a toxic look, without a barking cough
3. CSymptoms that improve within hours after a single dose of oral corticosteroid
4. DA barking cough that is worse at night after a cold