Pediatric nursing worksheet with answers

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

1. AIt shows the baby is in pain
2. BIt is a normal finding at this age
3. CIt is a sign of spinal cord compression
4. DIt shows brain damage and needs a scan

What is the general advice about rear-facing car seats for young children?

1. ATurn the seat forward as soon as the child can sit up without support, whatever the child's weight
2. BTurn the seat forward at 6 months for every child
3. CRear-facing seats are only needed for newborns
4. DKeep the child rear-facing for as long as possible, within the seat's height and weight limits

Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?

1. A1000 mL per day
2. B2000 mL per day
3. C500 mL per day
4. D1500 mL per day

Which advice best prevents dog bites in young children?

1. ATeach the child to stare into the dog's eyes to show who is in charge
2. BLet the child hug the dog while it eats so it gets used to children
3. CChoose a small breed, as small dogs never bite
4. DNever leave a young child alone with a dog, even the family pet

A family has a 2-year-old. Which advice about medicines at home is best?

1. AKeep daily medicines in a handbag so they are always at hand
2. BLock all medicines away, out of reach and sight, in child-resistant containers
3. CCall medicines "sweets" so the child is happy to take them
4. DRely on child-resistant caps alone, since toddlers are not strong enough to open them

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

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

A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?

1. AAbout 104 mL per hour
2. BAbout 50 mL per hour
3. CAbout 25 mL per hour
4. DAbout 67 mL per hour

A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?

1. AA rare genetic disorder that needs more tests at once
2. BFabricated or induced illness; follow safeguarding procedures
3. CThe child is pretending to be ill to avoid school
4. DThe ward environment or hospital food is causing the symptoms