Pediatric nursing worksheet with answers

Why are breastfed infants often given a vitamin D supplement?

1. ABreast milk contains too little protein for growth
2. BVitamin D prevents newborn jaundice
3. CVitamin D prevents iron-deficiency anaemia
4. DBreast milk contains little vitamin D

A child due for vaccines has a mild cold and a temperature of 37.8 °C. What is the general principle?

1. AThe child must take antibiotics first
2. BThe child should receive only half the dose
3. CA mild illness is not a reason to delay vaccination
4. DVaccines must be postponed for 4 weeks until the child is well

At about what age does a baby's first tooth usually appear?

1. AAround 3 years
2. BAround 18 months
3. CAround 6 months
4. DAt birth in most babies

Which is a true contraindication to a further dose of the same vaccine?

1. ARedness and soreness at the injection site after a previous dose
2. BA low-grade fever after a previous dose
3. CAnaphylaxis after a previous dose of that vaccine
4. DA family history of allergies

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AOnly the child presses the button, unless a protocol says otherwise
2. BThe nurse should press it every 5 minutes, day and night, to keep the pain away
3. CParents should press the button whenever the child is asleep
4. DAny visitor may press it if the child seems uncomfortable

A parent asks how to care for a child with mild croup at home. Which advice is correct?

1. ALay the child flat in a cool room so the airway can relax
2. BKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
3. CHold the child over a bowl of hot, steaming water to loosen the cough
4. DGive an over-the-counter cough syrup every hour until the barking cough stops

A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?

1. AAbusive head trauma
2. BViral gastroenteritis
3. CMigraine
4. DNormal newborn retinal changes

A 6-year-old with sickle cell disease has a temperature of 39.0 °C. Why is this treated as urgent?

1. AFever is the normal start of every pain crisis
2. BIt is not urgent; fever is common in all children
3. CChildren with sickle cell disease have reduced spleen function and are at high risk of serious bacterial infection
4. DFever means a sickling crisis has started, so the child needs a blood transfusion straight away to replace the damaged cells