Pediatric nursing worksheet with answers

Which food is a good source of iron for a toddler?

1. APlain white rice and pasta
2. BApple juice with every meal
3. CLarge amounts of cow's milk
4. DLean red meat or iron-fortified cereal

What is the main purpose of supervised "tummy time" for babies who are awake?

1. ATo strengthen neck, shoulder and arm muscles and help prevent a flat head
2. BTo help the baby sleep for longer periods at night
3. CTo improve digestion and reduce colic and wind after every feed of the day
4. DTo reduce the risk of sudden infant death during sleep

What is the most common cause of Down syndrome?

1. AA single gene inherited from both carrier parents
2. BA missing X chromosome in a girl
3. CAn extra copy of chromosome 21 (trisomy 21)
4. DInfection with rubella in early pregnancy

Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?

1. A1000 mL per day
2. B1250 mL per day
3. C750 mL per day
4. D1500 mL per day

A toddler refuses a liquid medicine. Which approach is appropriate?

1. AHold the child's nose firmly until he has to open his mouth to breathe
2. BTell the child it is a sweet so that he takes it happily
3. CMix it with a small spoonful of food, if the pharmacist says this is safe
4. DMix it into a full bottle of milk or juice for the whole day

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

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

A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?

1. AReport them straight away to the safeguarding team as suspected physical abuse
2. BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
3. CApply cold packs several times a day to reduce the discoloration
4. DRequest urgent clotting tests and a full blood count to look for a bleeding disorder

An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?

1. AWorsening heart failure with fluid retention
2. BDehydration due to sweating during feeds
3. CAn allergic reaction to the new high-energy formula started yesterday
4. DGood growth thanks to improved feeding