1.Easy
Which sign suggests heart failure in an infant?
- AA slow heart rate at rest
- BSlow breathing with long pauses
- CSweating and tiring during feeds
- DFeeding eagerly and finishing every bottle quickly
2.Easy
Which axillary temperature range is normal for a newborn?
- AAbout 35.0 to 36.0 °C (95.0 to 96.8 °F)
- BAbout 34.0 to 35.0 °C (93.2 to 95.0 °F)
- CAbout 36.5 to 37.5 °C (97.7 to 99.5 °F)
- DAbout 37.8 to 38.5 °C (100.0 to 101.3 °F)
3.Easy
Which practice most increases the risk of early childhood tooth decay?
- AHaving a first dental visit by about the first birthday
- BPutting a baby to bed with a bottle of milk or juice
- CBrushing the teeth with a smear of fluoride toothpaste
- DOffering water to drink between meals
4.Medium
How should oral rehydration solution be given to a child with mild to moderate dehydration who is vomiting?
- AOnly after the vomiting has stopped for 24 hours, to avoid further losses
- BAs one large drink every few hours
- CIn small amounts, frequently, for example with a spoon or syringe
- DMixed with fruit juice to improve the taste
5.Medium
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
- AGive the second within 24 hours of the first
- BSeparate them by at least 4 weeks
- CSeparate them by at least 1 week
- DNever give both vaccines in the same year
6.Medium
Before surgery for a myelomeningocele, how should the newborn's sac be protected?
- ALeave it uncovered to dry
- BCover it with a sterile, moist, non-adherent dressing and position the baby prone
- CLie the baby on the back with a soft ring around the sac to support it on the mattress
- DApply a tight dry bandage
7.Hard
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
- AAnimism, typical of preoperational thinking
- BAbstract reasoning, typical of formal operations
- CObject permanence, typical of the sensorimotor stage
- DConservation, typical of concrete operations
8.Hard
A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?
- AStop the physiotherapy, since she does not want it
- BTell her parents to supervise every session until she is 18
- CWarn her firmly that she will die soon if she does not do what she is told
- DExplore her reasons and plan treatment with her that fits her daily life
Answer key
- 1. C · Sweating and tiring during feeds
- 2. C · About 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 3. B · Putting a baby to bed with a bottle of milk or juice
- 4. C · In small amounts, frequently, for example with a spoon or syringe
- 5. B · Separate them by at least 4 weeks
- 6. B · Cover it with a sterile, moist, non-adherent dressing and position the baby prone
- 7. A · Animism, typical of preoperational thinking
- 8. D · Explore her reasons and plan treatment with her that fits her daily life
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