15 MCQ’S CHILD HEALTH NURSING AIIMS NURSING OFFICER EXAM 2018
Name the causative organism responsible for rheumatic fever? Klebsilla Monococcus Group A Beta – Haemolytic Streptococcus Staphylococcus Question - 1
Name the causative organism responsible for rheumatic fever? Klebsilla Monococcus Group A Beta – Haemolytic Streptococcus Staphylococcus Question – 1(Answer)
Rheumatic fever results as a delayed reaction for inadequately treated group A Beta – Haemolytic streptococcal infection. Poverty, Poor Hygiene, lack of hygiene, lack of access to medical care are the risk factors for the development of rheumatic fever. Question – 1(RATIONALE)
Identify the incorrect statement related to Mongolian spot in new-born baby Disappears in about a year Are indicative of parental abuse They are flat, gray – blue in colour Any part of the body of dark skinned babies Question - 2
Identify the incorrect statement related to Mongolian spot in new-born baby Disappears in about a year Are indicative of parental abuse They are flat, gray – blue in colour Any part of the body of dark skinned babies Question – 2 (Answer)
Mongolian spots are very common in any part of the body of dark-skinned bodies. They are flat, gray -blue in colour. It can be small or large. They are caused by some pigment that did not 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. Question – 2 (RATIONALE)
Rh negative mother delivered a baby. Which among the following test is more likely to be ordered for the baby. Direct’s Coomb’s test Indirect’s Coomb’s test Blood Culture Platelet Count Question - 3
Rh negative mother delivered a baby. Which among the following test is more likely to be ordered for the baby. Direct’s Coomb’s test Indirect’s Coomb’s test Blood Culture Platelet Count Question – 3 (ANSWER)
Coomb’s test is the test to determine if RH antibodies are present. Indirect Coomb’s test is done to the mother and Direct Coomb’s is the one done to the baby. Blood culture and platelet count does not help in detecting Rh Antibodies. Question – 3 (RATIONALE)
Parents brought a 4 month – old to OPD with lethargy. Which among the following finding is suggestive of fluid volume deficit in child? A Sunken fontanel Drinking Water Increased BP Enough Tears Question - 4
Parents brought a 4 month – old to OPD with lethargy. Which among the following finding is suggestive of fluid volume deficit in child? A Sunken fontanel Drinking Water Increased BP Enough Tears Question – 4 (ANSWER)
A noticeable sunken fontanel, lethargy, poor finding and decreased skin turgor suggestive of fluid volume deficit. Question – 4 (RATIONALE)
Failure of the Foraamen Ovale to close will lead to ….. Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus Tansposition of Greater Arteries Question - 5
Failure of the Foraamen Ovale to close will lead to ….. Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus Tansposition of Greater Arteries Question – 5 (ANSWER)
Foramen ovale is present between two atrium. The abnormal connection between two atria in the postnatal life can lead to atrial septal defect. Question – 5 (RATIONALE)
According to IAP Classification if weight for age is 61 – 70% which grade of malnutrition it is? Grade 1 Grade 2 Grade 3 Grade 4 Question - 6
According to IAP Classification if weight for age is 61 – 70% which grade of malnutrition it is? Grade 1 Grade 2 Grade 3 Grade 4 Question – 6 (ANSWER)
Grade Weight for Age Grade - 1 71 – 80% Grade - 2 61 – 70% Grade - 3 51 – 60% Grade - 4 Less than 50% Question – 6 (RATIONALE)
What are the advantages of delayed cord clamping? Improved hematologic status Improved iron status Reduced Risk of IVH I preterm babies All the above Question - 7
What are the advantages of delayed cord clamping? Improved hematologic status Improved iron status Reduced Risk of IVH I preterm babies All the above Question – 7 (ANSWER)
All the above mentioned are the clinical advantage of delayed cord clamping. It will also decreases the incidence of anemia . Question – 7 (RATIONALE)
Drugs used in the treatment of neonatal jaundice is Phenobarbitone Betamethasone Diazepan Calcium Gluconate Question - 8
Drugs used in the treatment of neonatal jaundice is Phenobarbitone Betamethasone Diazepan Calcium Gluconate Question – 8 (ANSWER)
Phenobarbitone act in the liver and induce glucuronyl transferase . So it is the drug of choice in neonatal jaundice. Question – 8 (ANSWER)
Chvostek sign and trousseaus signs are seen in ………… Hypokalemia Hyperkalemia Hypocalcemia Hypercalcemia Question - 9
Chvostek sign and trousseaus signs are seen in ………… Hypokalemia Hyperkalemia Hypocalcemia Hypercalcemia Question – 9 (ANSWER)
Chvostek sign means twitching of the orbicularis oculi and mouth elicited by tapping the facial nerve anterior to the external auditory meatus. Trousseau sign means carpopedal soasm elicited by inflating a BP cuff on the arm to a pressure above the systolic. Both these signs are the characteristic signs of hypocalcemia . Question – 9 (RATIONALE)
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? Report to doctor Normal findings Measure head circumference Look for sign and symptoms of infection Question - 10
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? Report to doctor Normal findings Measure head circumference Look for sign and symptoms of infection Question – 10 (ANSWER)
Anterior fontanel closes by 18 months of age. So in a 1 year old child this is a normal finding. Question – 10 (RATIONALE)
First appearing teeth in a child is ….. Premolar Incisor Canines Third Molar Question - 11
First appearing teeth in a child is ….. Premolar Incisor Canines Third Molar Question – 11(ANSWER)
The bottom incisor’s are the first teeth that tend to erupt in children at 6 – 8 month of Age. Question – 11(RATIONALE)
While administering IV fluid for the management of dehydration, among the following is the most important nursing intervention? Change the IV set for 24 hourly Maintain I / O Chart Continuing the prescribed rate of flow Maintaining the fluid at body temperature Question - 12
While administering IV fluid for the management of dehydration, among the following is the most important nursing intervention? Change the IV set for 24 hourly Maintain I / O Chart Continuing the prescribed rate of flow Maintaining the fluid at body temperature Question – 12 (ANSWER)
Prescribed flow rate need to be followed, otherwise it can lead to fluid overload and further problems in children. Question – 12 (RATIONALE)
Positive Mantoux is seen in …… Immunocompromised Chicken Pox TB All the above Question – 13
Positive Mantoux is seen in …… Immunocompromised Chicken Pox TB All the above Question – 13(ANSWER)
In all the above mentioned conditions M antoux test will be positive. Host related factors such as very young age, Malnutrition, Immunosuppression by disease or drugs, viral infections also plays a role. Question – 13(RATIONALE)
Child who is affected with Bell’s Palsy, moistening of the affected eye has to be done to prevent …. Keratitis Damage to retina due to light Conjunctivitis Drooping of the eye lid Question – 14
Child who is affected with Bell’s Palsy, moistening of the affected eye has to be done to prevent …. Keratitis Damage to retina due to light Conjunctivitis Drooping of the eye lid Question – 14(ANSWER)
Maintaining moisture to the affected eye (especially at night) to prevent keratitis is required in a child who is affected with Bell’s Palsy Question – 14(RATIONALE)
Passage of feces in inappropriate places after bowel control would be expected is known as …. Encopresis Enuresis Pica Dyslexia Question – 15
Passage of feces in inappropriate places after bowel control would be expected is known as …. Encopresis Enuresis Pica Dyslexia Question – 15 (Answer)
Passage of fecal matter in inappropriate locations after bowel control would be expected is known as encopresis or paradoxical diarrhoea. Question – 15 (RATIONALE)