1.Easy
Which five signs make up the Apgar score?
- AHeart rate, blood pressure, temperature, weight and colour
- BOxygen saturation, temperature, reflexes, weight and feeding
- CBreathing rate, blood glucose, length, muscle tone and cry
- DHeart rate, breathing effort, muscle tone, reflex response and colour
2.Easy
Why should honey not be given to babies under 12 months?
- AIt causes jaundice
- BIt causes tooth decay within days in a baby's new teeth
- CIt can contain spores that cause infant botulism
- DIt is too low in calories
3.Easy
How does respiratory syncytial virus (RSV) mainly spread?
- AOnly through the air over long distances, like measles
- BThrough droplets and contaminated hands and surfaces
- CThrough the bites of insects such as mosquitoes
- DThrough contaminated food and drinking water
4.Medium
Which finding suggests developmental dysplasia of the hip in an infant?
- AEqual leg length, symmetrical skin folds and full, easy abduction of both hips
- BBowed legs in a toddler
- CA barking cough
- DAsymmetric skin folds of the thighs or buttocks and limited hip abduction
5.Medium
What is a normal capillary refill time in a child?
- A15 to 20 seconds
- B2 seconds or less
- C5 seconds or less
- D8 to 10 seconds
6.Medium
Until when is a child with chickenpox usually considered infectious?
- AFor 6 weeks after the rash appears
- BUntil all the blisters have crusted over
- COnly during the day before the rash appears
- DUntil the fever has gone for 24 hours
7.Hard
Which finding at a 6-month check most needs referral?
- AThe baby puts every toy and object into the mouth
- BThe baby is not crawling yet
- CThe baby does not turn towards sounds or voices
- DThe baby is wary of a stranger
8.Hard
A 2-month-old is brought in with bruises on both cheeks. The parent says the baby "bumps into things". What should the nurse do?
- ADocument the findings objectively and follow the safeguarding procedure to report the concern
- BAccept the explanation because babies often bump into things
- CAccuse the parent of abuse in front of other families
- DTell the parent that a report will be made, then let them take the baby home before it is reviewed
Answer key
- 1. D · Heart rate, breathing effort, muscle tone, reflex response and colour
- 2. C · It can contain spores that cause infant botulism
- 3. B · Through droplets and contaminated hands and surfaces
- 4. D · Asymmetric skin folds of the thighs or buttocks and limited hip abduction
- 5. B · 2 seconds or less
- 6. B · Until all the blisters have crusted over
- 7. C · The baby does not turn towards sounds or voices
- 8. A · Document the findings objectively and follow the safeguarding procedure to report the concern
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