Pediatric nursing worksheet with answers

According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?

1. ATrust versus mistrust
2. BInitiative versus guilt
3. CIntimacy versus isolation
4. DIndustry versus inferiority

What is the most common cause of Down syndrome?

1. AA missing X chromosome in a girl
2. BA single gene inherited from both carrier parents
3. CAn extra copy of chromosome 21 (trisomy 21)
4. DInfection with rubella in early pregnancy

What causes respiratory distress syndrome in preterm babies?

1. AA lack of surfactant in the immature lungs
2. BInhaling meconium-stained fluid during birth
3. CAn allergy to the oxygen used in the incubator
4. DA viral infection caught from the mother

A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?

1. AWear it only at weekends and in the holidays, when it does not interfere with school
2. BWear it over thick clothing to make it more comfortable
3. CWear it for the prescribed hours each day, with a thin cotton shirt underneath
4. DWear it only when the back hurts, then take it off

A child is sent home after a minor head injury. Which sign should parents report straight away?

1. AMild soreness at the site
2. BA small bump on the forehead
3. CRepeated vomiting
4. DWanting a nap at the usual time

How is urine output measured in an infant wearing nappies?

1. AWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
2. BCount only the number of nappy changes in each shift
3. CEstimate it from how heavy the nappy feels in the hand
4. DSqueeze the nappy out into a measuring jug and read the volume

A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?

1. AThis shows breastfeeding has failed, so formula should replace breast milk from now on
2. BThis is within the usual range; observe a feed and follow the weight
3. CThis is severe dehydration and needs immediate IV fluids
4. DThis weight loss is only normal in formula-fed babies

A 3-year-old who was toilet trained starts wetting the bed during a hospital stay. The parents are worried. What should the nurse say?

1. ARegression is a common response to the stress of hospital and usually passes; do not punish the child
2. BThe child should be put back into nappies permanently, and toilet training should not be tried again for years
3. CThe child is being naughty and should be told off
4. DThis proves the child has a serious kidney disease