Pediatric nursing worksheet with answers

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

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

According to atraumatic care, where should a painful procedure such as a blood test be done?

1. AIn the waiting room in front of other children
2. BIn the child's bed so they do not need to move
3. CIn a treatment room, not in the child's bed
4. DIn the playroom so the child feels relaxed

What is the purpose of newborn blood spot screening, for example for phenylketonuria?

1. ATo measure the baby's iron stores
2. BTo detect treatable disorders early, before symptoms appear
3. CTo test for infections caught during birth
4. DTo find the baby's blood group for transfusion

A family has a 2-year-old. Which advice about medicines at home is best?

1. AKeep daily medicines in a handbag so they are always at hand
2. BCall medicines "sweets" so the child is happy to take them
3. CLock all medicines away, out of reach and sight, in child-resistant containers
4. DRely on child-resistant caps alone, since toddlers are not strong enough to open them

A child with suspected measles is admitted. Which precaution is most important?

1. AContact precautions only, with gloves
2. BAirborne precautions, ideally in a negative-pressure room
3. CNo special precautions once the rash appears
4. DDroplet precautions in a shared bay

A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?

1. AA hard toothbrush and lemon–glycerine swabs to clean the ulcers
2. BA soft toothbrush or sponge, bland rinses and soft, cool foods
3. CMouthwash containing alcohol several times a day
4. DSpicy and acidic foods to stimulate saliva flow

During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?

1. AInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
2. BPotassium has no role in DKA; it is a routine test only
3. CPotassium is needed to dissolve the insulin in the drip
4. DInsulin moves potassium into the cells, so blood potassium can fall sharply

The mother of a 6-week-old says the baby cries for hours and she fears she might lose control. What is the best advice?

1. AShake the baby gently for a few seconds to stop the crying and calm him
2. BPut the baby safely in the cot, take a few minutes' break and ask for support
3. CGive the baby a little honey on a dummy to settle him at night
4. DHold the baby face down on her lap until he falls asleep, however long it takes