Pediatric nursing worksheet with answers

Which pattern is typical of roseola infantum?

1. AA bright red rash on both cheeks, like a slap
2. BItchy blisters in crops that crust over within days
3. CA rash that appears first, followed by a whole week of high fever and cough
4. DHigh fever for a few days, then a pink rash as the fever settles

Which finding suggests hydrocephalus in an infant?

1. AA sunken fontanelle with dry mucous membranes and few wet nappies
2. BA small head with a closed fontanelle at birth
3. CA flat area on the back of the head
4. DA rapidly increasing head circumference with a bulging fontanelle

At about what age can most infants sit steadily without support?

1. AAbout 2 to 3 months
2. BAbout 18 to 24 months
3. CAbout 12 to 15 months
4. DAbout 6 to 8 months

A child with respiratory distress becomes bradycardic. What does this mean?

1. AThe child is recovering and calming down
2. BA side effect of the oxygen therapy
3. CA sign of severe hypoxia and possible imminent cardiac arrest
4. DA normal response to sleep

Which source is a common cause of lead poisoning in young children?

1. ABreast milk from a healthy, well-nourished mother
2. BFresh fruit
3. CPlastic toys made last year
4. DOld flaking paint and dust in older housing

Which child should generally not receive a live vaccine such as MMR?

1. AA child with a mild cold
2. BA child whose sibling has a cold
3. CA child with severe immune suppression, for example during chemotherapy
4. DA child who is currently taking oral antibiotics for an uncomplicated ear infection

The nurse has taught the parents of a newborn about safe sleep. Which statement shows a need for further teaching?

1. A"Nobody will smoke in the house or in the car."
2. B"We will put her on her back for every sleep, including naps."
3. C"We will keep her cot in our bedroom for the first months."
4. D"We will put a soft bumper and a pillow in the cot so she is comfortable."

A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?

1. ARequest urgent clotting tests and a full blood count to look for a bleeding disorder
2. BReport them straight away to the safeguarding team as suspected physical abuse
3. CApply cold packs several times a day to reduce the discoloration
4. DDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)