Pediatric nursing worksheet with answers

Which factors increase the risk of retinopathy of prematurity?

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

At which times after birth is the Apgar score routinely assessed?

1. AAt 1 minute and at 5 minutes
2. BOnly once, at 24 hours of age
3. CAt birth and again at 1 hour
4. DAt 10 minutes and at 30 minutes

Which symptoms are classic for new type 1 diabetes in a child?

1. AJoint pain, a rash on the face and hair loss
2. BA barking cough, fever and a hoarse voice
3. CWeight gain, feeling cold and long-standing constipation
4. DThirst, frequent urination, weight loss and tiredness

In a large ventricular septal defect, in which direction does blood mainly flow through the defect?

1. AFrom left to right, increasing blood flow to the lungs
2. BFrom right to left, causing cyanosis from birth
3. CFrom the aorta into the pulmonary veins
4. DThere is no flow at all, because the pressures in both ventricles are always equal

An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?

1. ASerum potassium
2. BSerum bilirubin
3. CPlatelet count
4. DSerum amylase and lipase

Which non-drug technique suits a 5-year-old during a cannula insertion?

1. ADoing slow breathing exercises with a numeric scale
2. BBlowing bubbles or looking at a pop-up book
3. CBeing left alone so the child can concentrate
4. DReading a detailed leaflet about the procedure

Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?

1. ANormal transition; no further checks are needed
2. BAn abnormal screen that must be followed up promptly under the screening protocol
3. CA normal result, because foot readings are always lower
4. DA faulty probe or a cold foot; repeat the whole test at the 6-week check

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