Pediatric nursing worksheet with answers

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

1. AAround 18 months
2. BAround 3 years
3. CAt birth in most babies
4. DAround 6 months

Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?

1. A2000 mL per day
2. B1500 mL per day
3. C500 mL per day
4. D1000 mL per day

Which health problem is common in babies with Down syndrome and is looked for soon after birth?

1. ACleft lip and palate
2. BClubfoot on both sides
3. CCongenital heart defects
4. DCataract only in old age

A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?

1. AApply powder and lotion under the straps to protect the skin
2. BKeep it on as instructed, do not adjust the straps and check the skin daily
3. CTake it off every night so the baby can sleep more comfortably and move freely
4. DTighten the straps each week as the baby grows

A school-age child with asthma uses an inhaled corticosteroid every day. What should the nurse teach?

1. ASwallow the powder with water
2. BRinse the mouth after each dose and use a spacer
3. CUse it only during an asthma attack
4. DStop it as soon as symptoms improve

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. CAny visitor may press it if the child seems uncomfortable
4. DParents should press the button whenever the child is asleep

A child is admitted with fever, neck stiffness and a non-blanching rash. Which action is the priority?

1. AStart droplet precautions and get urgent medical review so antibiotics are not delayed
2. BGive an antipyretic and recheck in 4 hours
3. CWait for a lumbar puncture before any treatment
4. DPlace the child in a shared bay with other children and recheck the rash and temperature in 4 hours

A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?

1. AFormal operational level
2. BPostconventional level
3. CConventional level
4. DPreconventional level