1.Easy
Which newborn scalp swelling typically crosses the suture lines?
- ACraniosynostosis
- BCephalohaematoma
- CCaput succedaneum
- DPositional plagiocephaly
2.Easy
What is the purpose of newborn blood spot screening, for example for phenylketonuria?
- ATo measure the baby's iron stores
- BTo find the baby's blood group for transfusion
- CTo detect treatable disorders early, before symptoms appear
- DTo test for infections caught during birth
3.Easy
Which asthma medicine is a reliever for quick relief of symptoms?
- AAn inhaled corticosteroid taken every morning
- BSalbutamol (albuterol)
- CFluticasone inhaled twice daily as a preventer
- DMontelukast tablets taken once a day at night
4.Medium
Why is hearing screening done in the newborn period?
- AEarly detection allows support that protects language development
- BTo check whether the baby will need glasses later in childhood
- CTo diagnose ear infections before discharge
- DBecause hearing loss always causes balance problems
5.Medium
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- ACover the right eye with a patch at home without review
- BRefer the baby to an eye specialist
- CAdvise them to wait until the child can read letters
- DReassure the parents that this always resolves by school age
6.Medium
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
- AEpisodes of crying with red-currant jelly stools
- BChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- CSudden projectile vomiting with a palpable olive-shaped mass
- DHigh fever with a stiff neck and a purple rash
7.Hard
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- ANormal transition; no further checks are needed
- BAn abnormal screen that must be followed up promptly under the screening protocol
- CA faulty probe or a cold foot; repeat the whole test at the 6-week check
- DA normal result, because foot readings are always lower
8.Hard
Which finding helps to distinguish epiglottitis from croup?
- ADrooling, high fever and a toxic look, without a barking cough
- BA barking cough that is worse at night after a cold
- CSymptoms that improve within hours after a single dose of oral corticosteroid
- DA hoarse voice with mild fever and a runny nose
Answer key
- 1. C · Caput succedaneum
- 2. C · To detect treatable disorders early, before symptoms appear
- 3. B · Salbutamol (albuterol)
- 4. A · Early detection allows support that protects language development
- 5. B · Refer the baby to an eye specialist
- 6. B · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- 7. B · An abnormal screen that must be followed up promptly under the screening protocol
- 8. A · Drooling, high fever and a toxic look, without a barking cough
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