Pediatric nursing worksheet with answers

How should jaundice that first appears within the first 24 hours of life be regarded?

1. AAs harmless as long as the baby is feeding well
2. BAs normal physiological jaundice that needs no follow-up
3. CAs pathological until proven otherwise; it needs prompt evaluation
4. DAs breast milk jaundice that is best treated by stopping breastfeeding

Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?

1. AScarlet fever (group A streptococcus)
2. BImpetigo (staphylococcus)
3. CFifth disease (parvovirus B19)
4. DMeasles (rubeola virus)

Which newborn scalp swelling typically crosses the suture lines?

1. ACaput succedaneum
2. BCraniosynostosis
3. CPositional plagiocephaly
4. DCephalohaematoma

Which group of findings suggests Kawasaki disease?

1. AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
2. BLow-grade fever, a barking cough and stridor that are worse at night
3. CHigh fever for 3 days, then a pink rash as the fever settles
4. DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days

A 6-month-old's left eye turns inwards all the time. What should the nurse do?

1. AReassure the parents that this always resolves by school age
2. BAdvise them to wait until the child can read letters
3. CCover the right eye with a patch at home without review
4. DRefer the baby to an eye specialist

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

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

Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?

1. AKeep them apart, not sharing rooms, equipment or play areas
2. BPut them in the same room so they can support each other
3. CAsk them to do their daily physiotherapy sessions together in the playroom
4. DLet them share airway clearance equipment to save resources

Which finding at a 6-month check most needs referral?

1. AThe baby is wary of a stranger
2. BThe baby does not turn towards sounds or voices
3. CThe baby puts every toy and object into the mouth
4. DThe baby is not crawling yet