Pediatric nursing worksheet with answers

What is the purpose of newborn blood spot screening, for example for phenylketonuria?

1. ATo measure the baby's iron stores
2. BTo test for infections caught during birth
3. CTo detect treatable disorders early, before symptoms appear
4. DTo find the baby's blood group for transfusion

Why is head circumference measured at routine checks in the first years of life?

1. ATo estimate the child's future height
2. BTo check for dehydration
3. CTo monitor brain growth and detect abnormal head growth early
4. DTo calculate medication doses

Which health problem is common in babies with Down syndrome and is looked for soon after birth?

1. AClubfoot on both sides
2. BCleft lip and palate
3. CCongenital heart defects
4. DCataract only in old age

Why is hearing screening done in the newborn period?

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

When is the risk of bleeding after a tonsillectomy highest?

1. AThe risk stays exactly the same on every day for the first month
2. BOnly after 3 weeks, when the throat is fully healed
3. CIn the first 24 hours and again about 5 to 10 days later
4. DOnly during the first 2 hours after surgery

A toddler refuses a liquid medicine. Which approach is appropriate?

1. AMix it into a full bottle of milk or juice for the whole day
2. BMix it with a small spoonful of food, if the pharmacist says this is safe
3. CHold the child's nose firmly until he has to open his mouth to breathe
4. DTell the child it is a sweet so that he takes it happily

A baby born to a mother who used opioids in pregnancy has a high-pitched cry, tremors, sneezing and poor feeding. Which plan is best?

1. AGive naloxone to reverse the effects of the opioid
2. BLow-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool
3. CDelay all feeds until the tremors and sneezing have settled
4. DKeep the baby in a bright, busy area of the unit and stimulate them often to keep them awake

How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?

1. APain cannot be assessed, so analgesia is given only on request
2. BWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
3. COnly by checking whether the heart rate is above normal
4. DWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues