Pediatric nursing worksheet with answers

Which factors increase the risk of retinopathy of prematurity?

1. AVery preterm birth and exposure to high oxygen levels
2. BBeing born by caesarean section at term
3. CPhototherapy for jaundice given without the use of eye shields
4. DBeing born after 42 weeks with a large birth weight

Which finding in a jaundiced 3-week-old suggests biliary atresia?

1. APale, watery urine and frequent wet nappies
2. BBright yellow, seedy stools
3. CGreen stools after starting iron drops
4. DPale, clay-coloured stools and dark urine

What is the general advice about rear-facing car seats for young children?

1. ATurn the seat forward as soon as the child can sit up without support, whatever the child's weight
2. BRear-facing seats are only needed for newborns
3. CKeep the child rear-facing for as long as possible, within the seat's height and weight limits
4. DTurn the seat forward at 6 months for every child

A child with ITP has a low platelet count. Which advice is correct?

1. ATake aspirin for any pain to thin the blood
2. BUse a hard toothbrush and floss firmly to keep the gums healthy
3. CAvoid contact sports and medicines such as ibuprofen and aspirin
4. DPlay rugby and football as normal to stay active

Which measure is most important in preventing infection in a child with neutropenia?

1. AGiving routine antibiotics to all family members
2. BKeeping all visitors, including the parents, out of the child's room
3. CWearing a mask only when the child has a fever
4. DCareful hand hygiene by everyone in contact with the child

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

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

The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?

1. AThe baby should sleep through the night without waking for feeds
2. BHer breasts should always feel full and hard between feeds
3. CThe baby should feed for exactly 10 minutes on each side at every feed, day and night
4. DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain

An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?

1. AGood growth thanks to improved feeding
2. BDehydration due to sweating during feeds
3. CWorsening heart failure with fluid retention
4. DAn allergic reaction to the new high-energy formula started yesterday