Pediatric nursing worksheet with answers

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 low platelet count with bruising and petechiae
4. DA missing clotting factor with bleeding into joints

Which advice about infant sleep reduces the risk of sudden infant death?

1. ALet the baby sleep on a sofa with a parent
2. BPlace the baby on the stomach on a soft mattress so that the baby cannot choke on milk
3. CUse soft pillows and bumpers to protect the baby
4. DPlace the baby on the back on a firm, flat surface without pillows or soft toys

Why is vitamin K given to newborns shortly after birth?

1. ATo prevent jaundice in the first week of life
2. BTo protect against hepatitis B infection
3. CTo prevent bacterial eye infection after birth
4. DTo prevent vitamin K deficiency bleeding

Which finding is expected in a healthy 4-month-old?

1. APulls to stand while holding on to furniture
2. BSits steadily without support for several minutes while playing with toys
3. CHolds the head steady when held upright, with little or no head lag
4. DSays two or three clear words with meaning

A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?

1. APlace her in the recovery position and monitor airway and breathing
2. BWake her fully every few minutes and ask her to stand up and walk around
3. CLeave her alone in a dark room to sleep it off
4. DGive her a drink straight away to prevent dehydration

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. CExplain all procedures only at the very last minute to avoid days of worry
4. DPlace the child in the busiest bay near the nurses' station

A parent asks why the HPV vaccine is offered in early adolescence (at about 11 to 13 years, depending on the country). Which answer is best?

1. AIt is only effective if given in the first year of secondary school, before exams start
2. BIt works best before any exposure to the virus, and young adolescents respond strongly
3. CIt is given at this age because it prevents chickenpox in adolescence
4. DChildren of this age are already likely to have the virus, so it treats the infection

A 6-year-old boy has had a limp and mild hip pain for several weeks. Imaging shows avascular necrosis of the femoral head. What is the diagnosis?

1. ALegg–Calvé–Perthes disease
2. BSlipped capital femoral epiphysis
3. CDevelopmental dysplasia of the hip
4. DTransient synovitis