WORK OUT – PED KIT 1
0 of 100 questions completed
Questions:
Hi, Welcome to Kerala psc staff nurse Grade2
You have already completed the Exam before. Hence you can not start it again.
Exam is loading...
You must sign in or sign up to start the Exam.
You have to finish following Exam, to start this Exam:
0 of 100 questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 points, (0)
| Average score |
|
| Your score |
|
| Pos. | Name | Entered on | Points | Result |
|---|---|---|---|---|
| Table is loading | ||||
| No data available | ||||
Parent bring their child to OPD with lethargy and poor feeding . Which among the following finding suggestive of fluid volume deficit in child?
A noticeable sunken fontanel,lethargy ,poor feeding and decreased skin turgor suggestive of fluid volume deficit.
Birth weight of a new born baby is 3kg.What is the expected weight of the baby at 1 year of age?
Weight of the child triples at 1 year of age. So weight is 3×3 = 9. Birh weight doubles at 5th month of age.
A child is assessed with Wilm’s tumor .During assessment,the nurse expect to detect:
The most common sign of Wilm’s tumor is a painless,palpable abdominal mass, sometimes accompanied by an increase in abdominal girth.Gross hematuria is uncommon, although microscopic hematuria may be present. Usually abdominal palpation is contraindicated in these group of patients.
During intubation administration of succinylcholine can cause bradycardia? Which of the following agent used to overcome this effect?
Use of succinylcholine can cause Bradycardia, especially in children . Atropine is the drug of choice in treating succinylcholine- induced bradycardia. Lidocaine is used in adults only.
Name the causative organism responsible for rheumatic fever?
Rheumatic fever results as a delayed reaction to inadequately treated group A beta-hemolytic streptococcal infection. Poverty,poor hygiene, lack of access to medical care are the risk factors for the development of rheumatic fever. Jones criteria is used to diagnose the condition.
All among the following indicate principle of normal growth and development except?
Physical to psychological not used to describe normal growth and development. All others are the characteristics of normal growth and development.
Identify the incorrect statement related to Mongolian spot in new born baby?
Mongolian spot are very common in any part of the body osf dark-skinned babies. They are flat,gray-blue in color ,and can be small or large. They are caused by some pigment that don’t make it to the top layer when baby’s skin was being formed. Most of the time it will disappear by 1 year of age.
Rh negative mother delivered a new born baby.Which among the following test is more likely to be ordered for the baby?
Coomb’s test is the test to determine if Rh antibodies are present.Indirect coomb’s is direct to the mother and Direct coomb’s is one direct to the baby.Direct coomb’s test is used to detect antibodies that are suck to the surface of red blood cells. many diseases and drug cancause this. Thease antibodies sometimes destroy red blood cells and cause anemia. A normal result means there was no clumping of cells(agglutination). This means that there is no antibodies to red blood cells.
Which among the following activity is compromised in a new born baby with cleft clip?
A cleft lip is a physical split or separation of the two sides of the upper lip and appears as a narrow opening or gap in the skin of the upper lip. The separation often extends beyond the base of the nose and includes the bones of the upper jaw and or upper gum. This condition is occurring during the embryonic development. This condition leads to compromised swallowing in the new born baby.
Closure of the Foramen ovale occur after birth because of………………..
During fetoplacental circulation, the pressure in the heart is much higher in the right side, but once breathing /crying is established , the pressure will shift from the R to the L side, and will facilitate the closure of formen ovale.The remaining of formen ovale is known as fossa ovalis.If this opening fail to close then a trial septal defect can occur.
All the following reflexes are present in the newborn baby EXCEPT
Mature pincer grasp will be developing by 9 months of age. All other reflexes are present in the newborn baby.
Failure of the Foramen ovale to close will lead to………..
Foramen ovale is present between two atrium. The abnormal connection between two atria in the postnatal life can lead to atrial septal defect.
Most suitable position for a child who come to OPD with the complaint of epistaxis?
Sitting is the most appropriate position because child’s head elevated but not hyperextended becausehypertension may cause bleeding into the pharynx and possible aspiration.
Psychosocial development of children is proposed by ………
Psychosocial development proposed by Erikson
Psychosexual development Freud
Coginitive development Piagets
Moral development Kohlberg
Aspirin overdose in a child can cause…………..
Aspirin is also known as salicylic acid. Overdose with aspirin can lead to metabolic acidosis.
All are correct nursing interventions while caring for a new- born baby affected with HIV except?
Mixed feeding is never recommended by HIV positive child because it will increases the risk of infection. Vaccination need to be done after consultation with doctors, because live vaccines need to be avoided in these patient.
Terrible twos is the term used to describe ………….. Age group of children.
The term terrible twos is the term used to describethe toddler years, the period ranging from 1 to 2 years of age. It’s the challenging time for parents and child as each learn to know the other better. It’s an extremely important period for developmental achievement and intellectual growth.
What is the characteristic play present among toddlers?
Infant -onlooker play, Toddler parallel play, Pre school associative play,School going cooperative play.
Identify the food item need to be avoided in a child with celiac disease?
Celiac disease is a condition in which inability to fully digest gliadin, which is a byproduct of the protein gluten. It is also called as gluten induced enteropathy, gluten sensitive enteropathy, celiac sprue. Wheat, rye, brely,oats- gluten rich food items, so these food items need to avoid during the lif etime.
Chvosstek sign and trousseau signs are seen in…………..
Chvostek sign means twitching of the orbicularis oculi and mouth elicited by tapping the facial nerve anterior to the external auditory meatus. Trousseau means carpopedal spas elicited by inflating a BP cuff on the arm to a pressure above the systolic. Both these signs are the characteristic signs of hypocalcemia
Drug of choice in neonatal jaundice is …..
Phenobarbitone act in the liver and induce glucuronyl transferase. So it is the drug of choice in neonatal jaundice.
According to IAP classification if weight for age is 61-70% which grade of malnutrition it is?
Grade Weight for age
Grade 1 71-80%
Grade 2 61-70%
Grade 3 51-60%
Grade 4 <50%
Identify the age independent indicators of malnutrition among the following
All the above are age independent indicators of malnutrition. Any MUAC below 13.5 is abnormal. In shakir tape method also mid upper arm circumference which is less than 13.5 is abnormal. In bangle test if 4cm diameter bangle freely passes the elbow that suggestive of malnutrition. All these parameter, do not require age of the baby to calculate the level of malnutrition so it is called as age independent indicators of malnutrition.
During resuscitation shoulder roll is placed under bay’s shoulder to slightly extent the neck. This is because …..
Shoulder roll brings posterior pharynx, larynx and trachea in a line and it will facilitate breathing in new-born baby and will also help in easy intubation.
Most common diagnostic test performed in a child who is suspected to be suffering from meningitis is
Inflammation of meninges which is covering brain and spinal cord is known as meningitis. LP is the most commonly performed diagnostic test in a child with meningitis.
Bag and Mask Ventilation (BMV) is contraindicated in …………
Diaphragmatic hernia is the contraindication for BMV, because it further increases the intrathoracic pressure and respirator compromise will be there.
What all are the advantages of delayed cord clamping ?
All the above mentioned are the clinical advantage of delayed cord clamping. It will also decreases the incidence of anemia.
All are the characteristics of term baby EXCEPT
In term baby deep creases will be present in the palms and soles of the baby. All others are the characteristic of term baby.
Identify the correct statement regarding caput succedaneum
Option A is the correct statement regarding caput succedaneum all other statements are related to cephalohematoma
Bulging fontaelle indicate ……
In hydrocephalus and increased ICP bulging of fontanel will be there. In dehydration depressed fontanel will be there.
Premature closure of coronal suture is known as ……..
Premature closure of coronal suture is called as Apert syndrome.
Cracked pot sound on percussion over hydrocephalus baby is called as ………..
Cracked pot sound in hydrocephalus bay is Macewan sign. Chadwick’s sign is a bluish discoloration of the cervix, vagina, and labia resulting from increased blood flow. Homan’s sign.: Pain in the calf of the leg upon dorsiflexion of the foor with the leg extended that is diagnostic of thrombosis in the deep veins of the area. Kerning’s sign: Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees. It is suggestive of meningitis.
TOF is the combination of all EXCEPT
Patent ductus arteriosus does not comes under TOF. All the other three conditions comes under TOF. It includes VSD, Right ventricular hypertrophy (right ventriculat outflow tract obstruction), overriding of aorta and pulmonary stenosis.
1 year old child comes to well-baby clinic and nurse noticed the child’s anterior fontanel is still open. What is the appropriate nursing intervention?
Anterior fontanel close by 18 months of age, so in a 1 year old child this is a normal finding.
Child who is affected with Bell’s palsy, moistening of the affected eye has to be done to prevent …………………
Maintaining moisture to the affected eye (especially at night) to prevent keratitis is required in a child who is affected with Bell’s palsy
Importance of play therapy during infancy is …………….
Play during infancy promotes physical development through the use of different kind of toys. All others are also the functions of play therapy but during infancy its main importance is physical development of the child.
First appearing teeth in a child is …….
The bottom incisors are the first teeth that tend to erupt in children at 6-8 month of age.
Safest position of neonate is on their back or side lying this is because incidence of ………….is very less in these positions.
Sudden infant death syndrome (SIDS) is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old. SIDS is sometimes known as crib death because the infants often die in their cribs. Exact cause for this condition is not known.By making them lying down in the back or side lying position will help to reduce the incidence of this condition.
Passage of feces in inappropriate locations after bowel control would be expected is know as ………….
Passage of fecal matter in inappropriate locations after bowel control would be expected is known as encopresis.
Enuresis: refers to a repeated inability to control urination
Pica: eating non-nutritive substances
Dyslexia: Dyslexia, also known as reading disorder, is characterized by trouble with reading
Positive Mantoux is seen in ………
In all the above mentioned conditions mantoux test will be positive. Host related factors such as very young age, malnutrition, immunosuppression by disease or drugs, viral infection also plays a role.
All the statement are true about phenylketonuria (PKU) EXCEPT:
Treatment involves a diet that is very low in phenylalanine, particularly when the child is growing. The diet must be strictly followed. All other statements are true related to PKU
Drug of choice in treating scabies among younger children is …………
Gamma benzene hexachloride can cause neurotoxicity through subcutaneous absorption especially in younger children, so drug of choice in younger children is 5% permethrin cream
While administering iv fluid for the management of dehydration, among the following is the most important nursing intervention?
Prescribed flow rate need to be followed, otherwise it can lead to fluid overload and further problems in children.
Happy puppet syndrome is also known as ………….
Angelman syndrome is also called “happy puppet syndrome” because of the unusual gait and the unprovoked outbursts of laughter. In this condition, interstitial deletion of chromosome 15q1-q13 from maternal side will occur, if it is from the paternal side then Prader-Willi syndrome. Trisomy of 21 chromosome is know as Down syndrome.
In the antenatal period there is a history of exposure to morphine in pregnant mother. After the delivery which among the following drug is most likely ordered by the doctor?
Morphine is narcotics and its antidote is naloxone which is essential to prevent respiratory depression in new born child.
Which assessment data alert the nurse to suspect shaken baby syndrome?
Lack of stridor and adventitious breath sounds is the most common sign which occurs in shaken baby syndrome following CNS trauma.
Following tonsillectomy appropriate position in the post operative period is …………
Side lying position helps in the drainage of secretions from oral cavity and reduces the risk of aspiration.
Excess vitamin A causes all among the following EXCEPT?
Blurring of vision is not a side effect of excessive vitamin A .All others are the side effect of vitamin A.
All are true regarding cystic fibrosis EXCEPT
Thick mucus can block the tubes that carry digestive enzymes from pancreas to intestines. Without these enzymes body cannot absorb proteins, fat or fat soluble vitamins.So there will be nutritional deficiency.
The most common indication of respiratory illness in infant is………..
It is the most common sign indicating respiratory distress in an infant. It is a mechanism by which infant try to keep alveoli open and to increase arterial oxygenation.
Choanal artresia affect…..
Cogenital failure of the nasal cavities to open posteriorly into the nasopharynx (choanae) is called choanal artresia
Mother and the onset of varicella zoster before 5 days prior to the onset of delivery . The most appropriate nurse action is
Option B is the correct response, all others are incorrect responses
In twin to twin transfusion syndrome in donor twin all the sign and symptoms are present Except
Donor twin is likely to have oligohydramnios, anemia,and hypovolemia and the recipient twin is likely to have polyhydroamniosis and plethora and to be larger than the donor twin.
Polyhydramnios is seen in all the following conditions EXCEPT:
Cogenital abnormalities of the fetal kidney lead to oligohydramnios. In all other conditions polyhydramnios is there because of the interference with reabsorption of swallowed amniotic fluid.
Feeding of child with choanal atresia can cause………..
There is no opening between nasal passage and nasopharynx , so infant can breathe only through mouth, it will leads to choking during feeding
Small baby with intrauterine growth retardation,cataracts, microphthalmia, myocarditis , and a red or purple macular rash(“blueberry muffin” rash) are the characteristic of …………
Above mentioned signs and symptoms are the characteristics of congenital rubella
Diaper rashes most commonly caused by………
Cultureof rashes at diaper area will show the growth of staph aureas.
Identify the correct statement in relation to cogenital hypothyrodism
All the above statement are correct in relation to the management of a child with cogenital hypothyrodism
Immediate post-operative care following tracheoesophageal repair surgery is …………
Airway maintenance is the highest priority after surgery. So maintain a patent airway play an important role in the immediate post-operative period.
A child who is suffering from cyanotic heart disease is more comfortable in ……….position
Assuming the knee-chest position is thought to increase peripheral resistance , decreasing the amountb of right – to- left shunting and thus increasing pulmonary blood flow.
Short stature,neck webbing ,sexual infantilism, and a shield like chest with widely spaced nipples are signs of………
Mentioned signs and symptoms are the typical features of turners syndrome. It occurs because of missing or incomplete sex chromosome.
Which lobe is most commonly affected in children with pulmonary atelectasis?
Right upper lobe is most commonly affected with atelectasis in children
Hormone is responsible for the onset and progression of puberty is……..
GnRH is a hypothalmic gonadotropin -releasing hormone. Which responsible for the onset and progression of puberty.
All are the signs of good attachement EXCEPT
In good attachement baby’s lower lip everted not inverted. All others are the connect signs and symptoms of attachement.
Hormone responsible for milk secretion is…………
Prolactin reflex is milk secretion reflex and oxytocin is milk ejection reflex.
Identify the correct statement related to late onset neonatal sepsis?
Option D is the correct statement related to late onset neonatal sepsis which occur after 72 hours,all other statements indicate early onset neonatal sepsis
In photography unit what is the importance of using white clothes of aluminium foil around the unit?
The purpose is to reflect back the light on to the baby.While using these make sure that airflow is not impede.
Vector of dengue fever is:
Yellow fever,dengue,chikungunya fever in all these conditions Aedes is the vector
What is the percentage of polio infections that is asymptomatic:
90% of polio infections are asymptomatic
Kramers rule used for…………
Kramers rule used for the estimation of bilirubin level in jaundice
Drug of choice in trachoma for children is:
Oral tetracycline (20/mg/kg) is recommended by WHO for the treatment of trachoma in children
Bone dysplasia is because of ………..
It is an intrinsic disturbance which resulting in short stature
Phototherapy acts by…………
Configurational isomerization Z isomer are converted to E isomers, in structural isomerization bilirubin converted as lumirubin and in photo oxidation photo products are excreted via in urine
Which among the following helps in skeletal maturation of fetus?
Hormone thyroxin play an important role in the intras uterine growth and development. This hormone will help in the skeletal maturation of fetus
Maximum absolute growth is seen at…….
Maximum growth can be seen in Girls by 10 years (8-13) and in boys 12 years(10-15). This growth spurt is because of puberty attainment.
Brain growth is at its maximum during …….
Maximum brain growth occur during intrauterine life as well as in the immediate post-operative period.
As per Eriksons stages of development child take decision at the age of………
From 1.5 – 3 years child develops autonomy and reaches peak at 3 year.
Exclusive breast feeding is contraindicated in ……….
Evening colic may be seen as a manifestation of allergy to milk. In this crying for more than 3 hours a day for more than 3 days a week for 3 weeks in an otherwise healthy child between the ages of 2 weeks and 4 months.
A child with tetralogy of Fallot becomes cyanotic and respiratory rate increases to 50bpm. Which of the following actions would the nurse do first?
Assuming the knee-chest position is thought to increase the peripheral resistance , decreasing the amount of right- to -left shunting and thus increasing pulmonary blood flow.
Which of the following would the nurse identify as an appropriate goal for caring a child with Down’s syndrome?
Goal of caring mentally challenged children include make them independent as much as possible. So teaching them self- care activities will be more effective
Identify the food items which all are the rich source of iron?
Potato, peas chicken and green leafy vegetables are the rich source of iron
Following the poisoning with acetaminophen which among the following sign the nurse need to expect?
Acetaminophen cause hepatic damage of because of child may be complaining of right upper quadrant pain and jaundice may be late manifestation.
The parents of a child 6 years who will begin school ask the nurse for anticipatory guidance. The nurse should explain that a child of this age:
6 years old child is independent in most of his activities and highly sensitive to criticism.
Which is the most appropriate diagnostic test to find out identify phrenic nerve analysis?
An ultrasound or fluroscopy of the chest would reveal asymmetric diaphragmatic motion in a seesaw manner.
In poisoning the first action expected from a parent is………….
Before doing any intervention the parents should call the poison control center or specific directions and help.
Inventogram is used for the diagnosis of…………….codition
Inventogram is a specific diagnostic test done to find out anorectal malformations. Skiagram is used for the diagnosis of tracheaeoesophageal fistula.
What should be the priority nursing intervention in a child with croup?
Priority is the patent airway and necessary equipment must be immediately available.
What is the priority nursing intervention for a child who is admitted with respiratory syncytial virus (RSV)?
Often the infant will have decreased pulmonary reserve and the clustering of care is essential to provide for period of rest.
What is the priority need that must include in the care of a child who is having pneumonia?
Rest reduces the need for oxygen and reduces the metabolic need.
What instruction should be included in the nursing care plan of a child with RSV infection?
RSV highly contagious so child need to be isolated and need to maintain standard and contact precautions.
In a child with extrophy bladder, what covering should the nurse use to protect the exposed area?
Exposed area should be moistened and cover well.
Additional defect associated with exstrophy bladder is………
All the above defects are associated with exstrophy bladder. Bladder exstrophy is a rare genitourinary malformation that, when simply defined, refers to the eversion of the bladder to the outside of the body. It is a rare genitourinary malformation for which the management still challenges the field of pediatric urology.
Blood glucose value less than ……………is hypoglycemia
Blood glucose value less than 40mg/dl is called as hypoglycemia. If plasma glucose level less than 45mg/dl is known as hypoglycemaia.
All are true about killed vaccine EXCEPT?
Between two killed vaccines there is no recommended duration. All other statements are true in relation with killed vaccines
Identify the incorrect pair among the following
Measles- measles- subcutaneous is the correct match
Important complication of mumps in postpubertal male is:
Mumps cause orchitis in male and can cause sterility.
Priority nursing intervention for a child who has meningomyelocele is……..?
Meningomyelocele predispose the child to develop hydrocephalus.So it is important for the nurse to recognize signs and symptoms related to hydrocephalus earlier. Increase in head circumference suggestive to hydrocephalus.
The vaccines stored at the freezer compartment of the refrigerator is
OPV and measles are sensitive to heat and can be frozen without harm, OPV stored at freezer and all other above mentioned vaccines are storing top rack below the freezer.
What is persistant diarrhea?
Diarrhea lasts, more than 2 week is persistent diarrhea. Blood in stool is dysentery
Other name of mucocutaneous lymph node syndrome is:
A condition that causes inflammation in the walls of some blood vessels in the body. It’s most common in infants and young children.Early stages include a rash and fever. Symptoms include high fever and peeling skin. In late stages, there may be inflammation of medium size blood vessels(vasculitis). It is also affect lymph nodes , skin and mucous membranes, such as inside the mouth. kawasaki disease is usually treatable. Initial treatments include aspirin and IV immunoglobulin therapy given in a hospital.
This website uses cookies.