Pediatric nursing worksheet with answers

At which times after birth is the Apgar score routinely assessed?

1. AAt 10 minutes and at 30 minutes
2. BAt birth and again at 1 hour
3. CAt 1 minute and at 5 minutes
4. DOnly once, at 24 hours of age

Which symptom is typical of threadworm (pinworm) infection in a child?

1. AA red, ring-shaped rash on the scalp
2. BItching around the anus, especially at night
3. CA high fever with bloody diarrhoea
4. DVomiting after every meal for a week, with weight loss

Which statement about head lice is correct?

1. AThey only affect children with dirty hair who do not wash it often
2. BThey jump or fly from one child to another across the classroom
3. CThey spread by head-to-head contact and are not a sign of poor hygiene
4. DThey mainly live on pets and pass to children from dogs and cats

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. BBMI plotted on an age- and sex-specific centile chart
3. CWaist size compared with the parents' waist size
4. DBMI compared with the adult cut-off points

A child with respiratory distress becomes bradycardic. What does this mean?

1. AA sign of severe hypoxia and possible imminent cardiac arrest
2. BA normal response to sleep
3. CA side effect of the oxygen therapy
4. DThe child is recovering and calming down

A family has a 2-year-old. Which advice about medicines at home is best?

1. ACall medicines "sweets" so the child is happy to take them
2. BLock all medicines away, out of reach and sight, in child-resistant containers
3. CKeep daily medicines in a handbag so they are always at hand
4. DRely on child-resistant caps alone, since toddlers are not strong enough to open them

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. BDelay all feeds until the tremors and sneezing have settled
3. CKeep the baby in a bright, busy area of the unit and stimulate them often to keep them awake
4. DLow-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. ALow haemoglobin and low platelets with a normal potassium
2. BLow potassium, low phosphate, low uric acid and high calcium
3. CHigh potassium, high phosphate, high uric acid and low calcium
4. DHigh sodium, high glucose, low albumin and low urea