Pediatric nursing worksheet with answers

What is usually the first sign of puberty in girls?

1. ARapid weight loss
2. BFirst menstrual period
3. CBreast budding
4. DUnderarm hair

What is the main feature of immune thrombocytopenia (ITP) in a child?

1. AA low white cell count with repeated infections
2. BA high red cell count with headache and flushing
3. CA missing clotting factor with bleeding into joints
4. DA low platelet count with bruising and petechiae

Where should a healthcare provider check for a pulse in an unresponsive infant?

1. AThe brachial artery
2. BThe carotid artery
3. CThe radial artery
4. DThe temporal artery

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

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

Why is hearing screening done in the newborn period?

1. ATo diagnose ear infections before discharge
2. BEarly detection allows support that protects language development
3. CTo check whether the baby will need glasses later in childhood
4. DBecause hearing loss always causes balance problems

Why are IV fluids for young children given with an infusion pump or a volume-control set?

1. ATo make the fluid warmer before it enters the vein
2. BTo remove bacteria from the fluid
3. CTo allow the child to adjust the rate
4. DTo prevent accidental fluid overload

A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?

1. ABilirubin
2. BPhosphate
3. CAmylase
4. DCholesterol

Which finding in a 12-month-old needs further developmental evaluation?

1. AA strong Moro reflex is still present
2. BBecomes upset when a stranger picks her up
3. CSays "mama" and "dada" to the right parent and waves bye-bye
4. DPulls to stand and walks holding on to furniture