Pediatric nursing worksheet with answers

How should jaundice that first appears within the first 24 hours of life be regarded?

1. AAs normal physiological jaundice that needs no follow-up
2. BAs harmless as long as the baby is feeding well
3. CAs breast milk jaundice that is best treated by stopping breastfeeding
4. DAs pathological until proven otherwise; it needs prompt evaluation

What is usually the first sign of puberty in girls?

1. AUnderarm hair
2. BFirst menstrual period
3. CRapid weight loss
4. DBreast budding

Which symptom is typical of scabies?

1. ALarge blisters on the soles of the feet after walking
2. BIntense itching, worse at night, with burrows between the fingers
3. CPainless red patches that slowly spread outward over months
4. DDry, flaky scalp with dandruff but no itching

Which measures are central in managing a vaso-occlusive (pain) crisis in sickle cell disease?

1. AIron supplements
2. BFluid restriction to protect the kidneys and cold compresses on painful areas
3. CFluids, effective pain relief and oxygen if the child is hypoxic
4. DStrict bed rest without analgesia

How can the nurse best support a child with autism on a children's ward?

1. AChange the nurse each shift so the child meets more people
2. BPlace the child in the busiest bay near the nurses' station
3. CExplain all procedures only at the very last minute to avoid days of worry
4. DKeep routines predictable, reduce noise and use visual schedules

Until when is a child with chickenpox usually considered infectious?

1. AUntil all the blisters have crusted over
2. BFor 6 weeks after the rash appears
3. CUntil the fever has gone for 24 hours
4. DOnly during the day before the rash appears

A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?

1. AChildren of this age are already likely to have the virus, so it treats the infection
2. BIt is given at this age because it prevents chickenpox in adolescence
3. CIt is only effective if given in the first year of secondary school, before exams start
4. DIt works best before any exposure to the virus, and young adolescents respond strongly

A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?

1. AChlamydia can only be caught from shared towels and toilet seats
2. BChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
3. CChlamydia always causes severe pain, so testing is only a formality
4. DTesting is required by law before any young person can see a nurse or doctor for any reason