1.Easy
Which advice about infant sleep reduces the risk of sudden infant death?
- ALet the baby sleep on a sofa with a parent
- BPlace the baby on the back on a firm, flat surface without pillows or soft toys
- CUse soft pillows and bumpers to protect the baby
- DPlace the baby on the stomach on a soft mattress so that the baby cannot choke on milk
2.Easy
What does the HbA1c blood test show in a child with diabetes?
- AThe blood glucose at the exact moment of the test
- BThe amount of insulin the pancreas is making on the day of the test
- CWhether ketones are present in the blood right now
- DThe average blood glucose over about the past 2–3 months
3.Easy
What are the three classic stages of separation anxiety in a hospitalised young child?
- ADenial, anger, acceptance
- BFear, trust, independence
- CProtest, despair, detachment
- DCrying, sleeping, eating
4.Medium
Which instruction about preparing powdered infant formula is correct?
- AAdd extra water in hot weather so the baby gets more fluid
- BFollow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- CWarm bottles in the microwave, as long as they are shaken first
- DAdd an extra scoop of powder to each bottle to help a small baby gain weight faster
5.Medium
Until when is a child with chickenpox usually considered infectious?
- AFor 6 weeks after the rash appears
- BUntil all the blisters have crusted over
- CUntil the fever has gone for 24 hours
- DOnly during the day before the rash appears
6.Medium
Which signs suggest a child is ready to start toilet training?
- ASaying the first word
- BReaching the first birthday and being able to walk, whether or not the child shows any interest
- CBeing able to walk
- DStaying dry for about 2 hours, showing interest and being able to follow simple instructions
7.Hard
A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?
- ANephrotic syndrome
- BTesticular torsion on both sides
- CVesicoureteral reflux
- DHypospadias
8.Hard
A family insists on staying with their child during a painful procedure. What is the most appropriate response in family-centred care?
- AInsist that they wait outside in every case
- BAllow them to stay only if they stand in a corner and do not touch, hold or speak to the child
- CSupport their presence, prepare them for what they will see and give them a comforting role
- DTell them that their presence makes the child behave worse
Answer key
- 1. B · Place the baby on the back on a firm, flat surface without pillows or soft toys
- 2. D · The average blood glucose over about the past 2–3 months
- 3. C · Protest, despair, detachment
- 4. B · Follow the stated water-to-powder ratio exactly and do not warm bottles in a microwave
- 5. B · Until all the blisters have crusted over
- 6. D · Staying dry for about 2 hours, showing interest and being able to follow simple instructions
- 7. C · Vesicoureteral reflux
- 8. C · Support their presence, prepare them for what they will see and give them a comforting role
Full step-by-step solutions: practise this topic on examproblems.com.