Pediatric nursing worksheet with answers

What causes respiratory distress syndrome in preterm babies?

1. AInhaling meconium-stained fluid during birth
2. BAn allergy to the oxygen used in the incubator
3. CA lack of surfactant in the immature lungs
4. DA viral infection caught from the mother

Which routine infant vaccine is given by mouth rather than by injection in most schedules?

1. AHepatitis B vaccine
2. BRotavirus vaccine
3. CTetanus vaccine
4. DMeasles, mumps and rubella (MMR) vaccine

Where should eye drops be placed for a child?

1. AInto the pocket of the lower eyelid
2. BDirectly onto the centre of the cornea
3. CInto the inner corner of the eye
4. DOnto the upper eyelid while the eye is shut

How is a child's weight status (for example overweight) assessed?

1. AWeight alone, compared with the average weight of children in the same class
2. BWaist size compared with the parents' waist size
3. CBMI compared with the adult cut-off points
4. DBMI plotted on an age- and sex-specific centile chart

A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?

1. AKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
2. BOffer small sips of sterile water to check whether the baby can swallow
3. CGive a full feed by bottle and observe for vomiting afterwards
4. DLay the baby flat and give the next feed slowly through a teat

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. ADouble the preventer dose and do nothing else
2. BStop all medicines and wait to see if the symptoms pass
3. CGo straight to the emergency department without using any medicine first
4. DUse the reliever as the plan says and contact the doctor if it does not help

A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?

1. AWarn her firmly that she will die soon if she does not do what she is told
2. BExplore her reasons and plan treatment with her that fits her daily life
3. CStop the physiotherapy, since she does not want it
4. DTell her parents to supervise every session until she is 18

A school-age child is to have surgery. Which approach to preparation best fits this age?

1. AAvoid explaining because it will only cause fear
2. BUse only baby talk and toys meant for infants
3. CDiscuss everything with the parents but not with the child, so that the child is not frightened
4. DExplain the procedure with simple diagrams, allow questions and involve the child in choices