Pediatric nursing worksheet with answers

At about what age does a baby typically begin to smile socially in response to a familiar face?

1. AAbout 9 months
2. BAbout 2 months
3. CAbout 6 months
4. DAbout 2 weeks

Which symptom is typical of croup?

1. AA whooping sound after coughing fits
2. BWheeze on breathing out only
3. CA barking, seal-like cough
4. DDrooling and inability to swallow

By about what age does the Moro (startle) reflex normally disappear?

1. AAbout 2 to 4 weeks
2. BAbout 12 to 15 months
3. CAbout 4 to 6 months
4. DAbout 2 to 3 years

A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?

1. AJaundice, because the breakdown of the trapped blood adds to bilirubin
2. BHead circumference twice daily, because it signals hydrocephalus
3. CUrine colour, because the swelling causes kidney damage
4. DBlood pressure, because the swelling causes hypertension

How can acute rheumatic fever be prevented?

1. ABy routine MMR vaccination in infancy
2. BBy giving aspirin for every fever
3. CBy avoiding dairy products and cold drinks during every cold or cough
4. DBy prompt antibiotic treatment of streptococcal sore throat

A child with a known egg allergy is due for an influenza vaccine. Which statement reflects most current guidance?

1. AEgg allergy alone is generally no longer a reason to withhold influenza vaccination
2. BThe child should receive half the dose on two separate days, with observation after each
3. CThe vaccine must never be given to anyone with egg allergy
4. DThe child needs a skin test with the vaccine first

A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?

1. AA normal eczema flare that needs more emollient
2. BEczema herpeticum, which needs urgent antiviral treatment
3. CAn allergic reaction to the emollient
4. DChickenpox, which is mild and needs no specific treatment

A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?

1. AA urine output of about 1 mL/kg per hour
2. BThe burned skin looks less red and the blisters are smaller
3. CThe child is asking for a drink
4. DThe blood pressure is in the high range