Pediatric nursing worksheet with answers

Which clotting factor is missing or low in haemophilia A?

1. AFactor VII
2. BFactor IX
3. CFactor XIII
4. DFactor VIII

For which child is the FLACC scale most appropriate?

1. AAn adult after surgery
2. BA 9-year-old who can use a numeric rating scale
3. CA 2-year-old who cannot yet describe pain
4. DA 14-year-old who can rate pain from 0 to 10

How deep should chest compressions be during CPR on a child?

1. AAbout one tenth of the depth of the chest
2. BJust enough to see the chest move slightly
3. CAs deep as possible, until the ribs can be felt to give
4. DAt least one third of the depth of the chest

Which is a true contraindication to a further dose of the same vaccine?

1. AAnaphylaxis after a previous dose of that vaccine
2. BA low-grade fever after a previous dose
3. CRedness and soreness at the injection site after a previous dose
4. DA family history of allergies

A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?

1. ALay the baby flat and give the next feed slowly through a teat
2. BGive a full feed by bottle and observe for vomiting afterwards
3. CKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
4. DOffer small sips of sterile water to check whether the baby can swallow

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

1. AUrine colour, because the swelling causes kidney damage
2. BJaundice, because the breakdown of the trapped blood adds to bilirubin
3. CBlood pressure, because the swelling causes hypertension
4. DHead circumference twice daily, because it signals hydrocephalus

A 2-week-old suddenly starts vomiting bright green fluid. What should the nurse do?

1. AChange to a lactose-free formula
2. BTreat it as a surgical emergency and get urgent medical review
3. CAdvise smaller, more frequent feeds and review the baby in a week
4. DReassure the parents that this is normal reflux

A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?

1. AMigraine
2. BNormal newborn retinal changes
3. CViral gastroenteritis
4. DAbusive head trauma