1.Easy
What happens in the rooting reflex of a newborn?
- AWhen the palm is touched, the baby grasps the finger tightly and holds on
- BWhen the sole is stroked, the toes fan out
- CWhen the baby is startled, the arms fling outwards and then come together
- DWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
2.Easy
Why is vitamin K given to newborns shortly after birth?
- ATo prevent bacterial eye infection after birth
- BTo prevent vitamin K deficiency bleeding
- CTo prevent jaundice in the first week of life
- DTo protect against hepatitis B infection
3.Easy
What do Tanner stages describe?
- AThe stages of grief that families go through after a death
- BThe stages of language development in infancy
- CThe stages of moral reasoning in children
- DThe stages of physical development during puberty
4.Medium
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
- AScreens are fine as long as the volume is low
- BBackground TV helps language development
- CUp to 2 hours a day of educational TV programmes is beneficial for language
- DAvoid screen media, apart from video calls with family
5.Medium
A topical anaesthetic cream (lidocaine–prilocaine) is planned before a cannula insertion. What is important?
- AApply it well in advance, usually about 60 minutes, under an occlusive dressing
- BRub it firmly into the skin and wipe it off after about 1 minute, without a dressing
- CApply it to broken skin for faster effect
- DApply it just seconds before the needle
6.Medium
A child is sent home after a minor head injury. Which sign should parents report straight away?
- AWanting a nap at the usual time
- BRepeated vomiting
- CMild soreness at the site
- DA small bump on the forehead
7.Hard
A toddler with sickle cell disease suddenly becomes pale and lethargic, with a fast heart rate and an enlarging left upper abdomen. What should the nurse suspect?
- AA pain crisis in the abdominal muscles
- BA simple viral infection with mild anaemia
- CSplenic sequestration crisis, an emergency
- DConstipation causing abdominal swelling and discomfort
8.Hard
A 5-year-old insists that a tall, thin glass holds more juice than a short, wide glass, although he saw the same amount poured into each. What explains this?
- AHe has not yet developed conservation, which is typical of the preoperational stage
- BHe is showing abstract reasoning typical of the formal operational stage
- CHe has a visual problem and needs an eye examination
- DIt is a sign of intellectual disability that needs assessment
Answer key
- 1. D · When the cheek is stroked, the baby turns towards the touch and opens the mouth
- 2. B · To prevent vitamin K deficiency bleeding
- 3. D · The stages of physical development during puberty
- 4. D · Avoid screen media, apart from video calls with family
- 5. A · Apply it well in advance, usually about 60 minutes, under an occlusive dressing
- 6. B · Repeated vomiting
- 7. C · Splenic sequestration crisis, an emergency
- 8. A · He has not yet developed conservation, which is typical of the preoperational stage
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