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MCQs on Child health nursing - 2


1. Age of disappearance of rooting reflex is :

3 to 4 weeks
3 to 4 years
3 to 4 months *
2 years
Rouring reflex generally disappears by 3rd to 4th month  But  it may persist upto one year. 


2. The newborn does not move his eyes with the movements of the head. This reflex is known as :

a.    Moro reflex
b.    Fencing feflex
c.    Startle refles
d.    Doll's eye reflex *
The Doll eye reflex disappears in 3 to 4 months



3. CPR should be started in the Newborn when the respiration is irregular , cyanosis is present and the heart rate is :-

a.    Below 100 beats / mt
b.    Below 80 beats / mt
c.    Below 60 beats / mt *
d.    Below 40 beats / mt



4. Ventilation compression ratio in neonatal resuscitation is  :

a.    30:1
b.    15:1
c.    3:1  *
d.    3:5



5. Which assessment finding is not associated with a newborn of a diabetic mother ?

a.    Hypoglycemia
b.    Large baby
c.    Fluffiness of face
d.    Hyperglycemia *



6. Which of the following features is incorect about pathological jaundice in a newborn?

a.    Appears within first 24 hours
b.    Always treatment is required
c.    Bilirubin encephalopathy may be seen
d.    Never appears within 24 hours of birth *



7. Bronze baby syndrome is a complication of :

a.    Chemotherapy
b.    Phototherapy *
c.    Exchange blood transfusion
d.    Phenobarbitone



8. Drug of choice in neonatal jaundice :

a.    Calcium carbonate
b.    Calcium gluconate
c.    Phnobarbitone *
d.    Hydrocortisone



9. Drug of choice in respiratory distress syndrome ?

a.    Phenobarbitone
b.    Betamethasone *
c.    Chlordiazepoxide
d.    Dopamine



10. Hyaline membrane disease is a severe form of :

a.    Respiratory distress syndrome *
b.    Neonatal jaundice
c.    Celiac disease
d.    Lead poisoinig



11. Which assessment findings is not related toa preterm newborn?

a.    Undescended testes
b.    Scarf sign
c.    Plethoric skin
d.    Parchment like skin *
Parchment like skin is seen in post term newborn


12. If the weight of newborn is less than 10 percentile for gestational age then the baby is called :

a.    Low birth weight baby
b.    Preterm baby
c.    Small for gestational age *
d.    Premature baby



13. Which condition is known as silent killer of newborn ?

a.    Hypoglycemia
b.    Hypothermia *
c.    Hyperthermia
d.    RDS



14. Breast feeding should be continued upto :

a.    6 months
b.    One year
c.    2 years *
d.    3 years
Breast feeding should be continued upto 2 years of age. After first 6 months additional food is required to fulfil nutritional requirement of baby.

15. The breast milk which is secreted after 2 weeks of delivery is known as :

a.    Colostrum
b.    Transitional milk
c.    Mature milk *
d.    Hind milk
Mature milk is secreted after 2 weeks of delivery and contains all components in balanced concentration.

16. First deciduous teeth appear in infant at the age of :

a.    6 months *
b.    6 years
c.    8 months
d.    12 months
First deciduous teeth appear is lower central incisor at 6 months of age


17. How much weight does the baby gain within one year ?

a.    2 times of birth weight
b.    3 times of birth weight *
c.    4 times of birth weight
d.    5 times of birth weight



18. The length of the newborn increases by 100 cm ( twice that of average birth length) at the age of :

a.    In 2 years
b.    In 4 years *
c.    In 6 years
d.    In one year



19. The head circumference and chest circumference become equal in infant at the age of :
a.    One year *
b.    2 years
c.    3 years
d.    4 years
Both become equal at the age of one year after one year chest circumference is always more than head circumference.

20. A child can sit without support at the age of :

a.    5 months
b.    8 months *
c.    12 months
d.    15 months



21. A baby can speak simple sentence at the age of :

a.    9 months
b.    12 months
c.    2 years *
d.    4 years



22. 3 C signs (coughing, choking and cyanosis) are the clinical features of :

a.    Lactose intolerance
b.    Cleft lip
c.    Pyloric stenosis
d.    Tracheo-esophageal fistula *



23. Name of surgery used to repair cleft lips :

a.    Palatoplasty
b.    Cleftoplasty
c.    Cheiloplasty *
d.    Cheiloschisis



24. Rule of 10 is followed prior to which surgery ?

a.    Pyloromyotomy
b.    Cheiloplasty *
c.    Swenson procedure
d.    None of the above



25. Projectile vomiting and olive shaped mass is palpate in epigastric region both are clinical features of :

a.    Hypertrophic pyloric stenosis *
b.    Aganglionic megacolon
c.    Intususception
d.    Celiac disease



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Staff nurse Questions Most important MCQs Child health nursing
Respiratory Distress Syndrome

Respiratory distress syndrome, also known as hyaline membrane disease, occurs almost exclusively in premature infants. The incidence and severity of respiratory distress syndrome are related inversely to the gestational age of the newborn infant.

The use of antenatal steroids to enhance pulmonary maturity

Appropriate resuscitation facilitated by placental transfusion and immediate use of continuous positive airway pressure (CPAP) for alveolar recruitment

Early administration of surfactant

The use of gentler modes of ventilation, including early use of "bubble" nasal CPAP to minimize damage to the immature lungs

Supportive therapies, such as the diagnosis and management of patent ductus arteriosus (PDA), fluid and electrolyte management, trophic feeding and nutrition, and the use of prophylactic fluconazole

These therapies have also resulted in the survival of extremely premature infants, some of who continue to be ill with complications of prematurity.
Percentile

A percentile a measure used in statistics indicating the value below which a given percentage of observations in a group of observations fall. For example, the 20th percentile is the value below which 20% of the observations may be found.

The term percentile and the related term percentile rank are often used in the reporting of scores from norm-referenced tests. For example, if a score is at the 86th percentile, where 86 is the percentile rank, it is equal to the value below which 86% of the observations may be found
Foremilk and hind milk

Foremilk and hindmilk are not different types of milk–they are only terms that refer to  milk at the start

or end of a feeding. Foremilk : the milk at the beginning of a feeding; hindmilk : milk at the end of a feeding,
which has a higher fat content than the milk at the beginning of that particular feeding.

The change is very gradual. The fat content of the milk is determined by the emptiness of the breast - the less milk in the breast, the higher the fat content

Allow the baby to finish the first breast before offering the second (instead of switching sides while baby is actively breastfeeding).