QUESTION BANK

PBBSc 1st year Nursing

SUBJECT: Child Health Nursing

Submitted To-
Dr.Kalpana Kamble madam.
HOD,Nursing Education,
INE,Mumbai.
Submitted By-
Yashoda Pawar
1st MSc Nursing
INE,Mumbai.
UNIT -I

INTRODUCTION TO CHILD HEALTH NURSING

- Modern concept of child care, Internationally accepted rights of the child.

- Changing trends in hospital care, preventive, pro-motive and curative aspects of child health, Child morbidity
and mortality rates

- National policy and legislation’s in relation to child health and welfare.

- National programmes related to child health and welfare. - Differences between adult and child
- Hospital environment for a sick child and role of a pediatric nurse in caring for the hospitalized child
- Principles of pre and post operative care of infants and children
- Pediatric nursing procedures Preparation of child for diagnostic tests, collection of
specimens, calculation and administration of oral and parenteral medication, feeding, administration of oxygen,
nebulisation ,collection of specimens ,exchange transfusion, restraints

MCQ-

Choose the most appropriate option.

1. The MOST common cause of under-5 mortality In developing world is

A. Diarrhoea disease
B. Pneumonia
C. malaria
D. measles
E. Neonatal disease

2. in mental retardation, all the following are true EXCEPT

A. constitute 1-396 of children

B. 80% are mild form
C. in severe form socio-economic status is a considerable factor
D. Higher percentage in low birthweight babies
E. Fragile X chromosome is a recognized cause

3. An 8~month-old infant with confirmed diagnosis of spinal muscular atrophy type 1 referred back from
tertiary care center with "DNAR" status. This means during acute illness or an emergency the child should
A. receive standard care and adrenaline injection
B. receive supportive care
C. receive active resuscitation but not mechanical ventilation
D. 02 is not part of treatment options
E. none of the above

4. A full term neonate with Down syndrome and esophageal atresia admitted in Pediatric intensive care unit
(PICU). The parents want no interference" approach. 0f the following,the BEST response is to
A. Act according to parents weli
B. Arrange the operation with the surgeon
C. Work for the patient best interest
D. give supportive care only (DAN R)
E. wait for a clear legislation

5. A 7-year old boy presented to the out-patient department with fever and cough, have diagnosed him as a case
of pneumonia and decided to admit and give parental therapy, the child refused. Of the following, the BEST
response is to
A. explain to father about dangers of omitting treatment
B. try to explain the risk to the child
C. give the chance for oral antibiotics and accept the child decision
D. inform doctor
E. inform hospital ethical committee

6. The well-child care (anticipatory guidance) intends to promote the physical and emotional well-being of
children. The tasks of each well-child visit (which usually takes 18 min time) include all the following EXCEPT
A. disease detection
B. disease prevention
C. treatment plans
D. health promotion
E. accident prevention

7. After the first year of life, the MOST common cause of death in children is mainly none-accidental injuries
burn, drowning ,accidents, The MOST successful injury prevention strategy is
A. car seats
B. water safety
C. changing in product design
D. poison prevention
E. fall prevention

8. What is the modern concept of pediatrics?

a) Short term care of the child b) Basic care of the child
C) Continuous and preventive care of
whole child d) Terminally ill care of the child

9. The basic rights of the child includes.

A) Right to free education b) Right to security and protection

c) Right to name and nationality d) All the above

10.The process of protecting an infant from a disease through introduction of live or

killed organism in individual system is……….
a)Reproductive and child health b) Maternal and child health
c) Immunization d) Breast feeding
11.What all includes in the symbol of under five clinic?
A) Care of illness b) Adequate nutrition
c) Immunization d) All the above

SAQ-

1. Differences between adult care and child care

2. Rights of children
3. Changing trends in child health care
4. National health policy in child health and welfare
5. Ethical issues in pediatric care
6. Role of a pediatric nurse in caring for the hospitalized child
7. Prevention of accidents in toddlers
8. Child abuse
9. List down National programmes related to child health and welfare
10. Principles of pre and post operative care of infants and children
11. Restraints
12. Principles and uses of restraints in children
13. Prevention of accidents in children
14. International y accepted rights of child
15. Steps of Baby Friendly Hospital Initiative
16. Describe the pre and post operative nursing management of the child
17. Nurses responsibility in Lumbar puncture

LAQ-

1. Explain role of pediatric nurse

2. Describe Main components of school health programme
3. a) Define IMNCI
b) Components of IMNCI
c) Principles of IMNCI
d) Role of nurse in IMNCI

UNIT -II

THE HEALTHY CHILD

- Growth & development -
--. Principles & factors affecting growth & development.
- Assessment of growth and development Growth & development from birth to adolescence, needs of normal
children through stages of development and parental guidance.
- Nutritional needs of infants and children principles of paediatric nutrition Breast feeding Artificial feeding &
Weaning
- Infancy ,toddler, pre schooler, school age child and adolescents.
- Role of play in children
- Need, importance and value of play, selection of play material and nurse’s role.
- Preventive immunization

MCQ-

1. You are teaching new parents before discharge to home.you explain that the anterior fontanel normally closes
between ages-
A. 2 to 3 months
B. 12 to 18 months
C. 3 to 6 months
D. 1 to 9 months

2. According to the theorist Jean Piaget, an infant who learns about objects by placing them in his mouth is in
which stage of development
A. Preoperational
B. Sensory motor
C. Concrete operational
D. Formal operational

3. Who postulated that the personality is a structure with three parts called the id,the ego,and the superego.This
theorist is-
A. Sigmund Freud
B. Eric Erikson
C. Jean Piaget
D. Lawrence Kohlberg

4. Toddlers are at high risk for injuries because of their increasing curiosity, advancement in cognition, and
improved motor skills.Following hazards are a concern for this age group except-
A. Burns
B. Poisoning
C. Sports injury
D. Falls

5. Which of the following characteristics pertain to the adolescent ? Select all that apply.

A. Egocentricity
B. Abstract thinking
C. High risk behaviors
D. Sense of morality
E. Hand dominance development
F. Secondary sex characteristic development

6. In a clinic, the mother of an 8 months old ask you what to feed her infant because she wants to stop breast
feeding.What you recommend-
A. Formula
B. 2% milk
C. Whole milk
D. Orange juice

7. Which term describes development in the head to tail direction?

A. Sequential trend
B. Proximodistal pattern
C. Cephalocaudal trend
D. Mass to specific pattern

8. In following which is a killed vaccine__

A) OPV
 B) BCG
 C) MMR
D) Rabies

9. Age in years of the pre schooler is……............

A) 0-28 days b) 0-1 year
c) 1-3 year d) 3-6 year

10. Which of the category is toddler play?

A) Solitary play b) Parallel play
c) On looker play d) Playing with toys

11 .What are the reflexes which can be seen in infancy period?

A) Rooting reflex b) Sucking reflex
c) Tonic neck reflex d) All the above

12. In infant which is the psychosexual development stage?

A) Oral stage b) Anal stage
c) Phallic stage d) Latency stage

13.Breast milk secrete during first 3days after delivery, which is thick yellow and rich
in proteins is……...........
A) Transitional milk b) Colostrums
C)Mature milk d) Formula milk
14.In the following which is the position of the breast feeding?
A) Prone position b) Foot ball hold
c) Supine position d) Lithotomic

15. Which of the following acts a one year old child can perform?

a) Sits down from standing position b) Drinks from cup

b) Speaks one or two words with meaning d) Rings bell purposefully

16. Breast feeding is recommended at least for how many months?

a) 4 months b) 6 months
c) 9 months d) 1 year

17. .Birth weight of a child doubles at five months of age while the birth length doubles at the age of?
a) 1 year b) 2 years
b) 3 years d) 4 years

18. Which of the following is not expected to do at 7 months of life?

a) Creeps crawl b) Walks with one hand held
b) Sits up alone d) Pulls to standing position

19. When a child is not able to perform the following motor functions such as skipping, walking on heels,
hopping in place or going forwards in tandem gait, his motor development is considered to be below of which
years?
a) 3 years b) 4 years
b) 6 years d) 7 years

20. Breast milk at room temperature stored for how many hours?
a) 4 hrs b) 8hrs
b) 12hrs d) 24hrs

SAQ-

1. National Immunization schedule

2. Breast feeding
3. Factors affecting growth and development
4. Principles of growth & development
5. Discuss problems associated with artificial feeding
6. Importance of play therapy
7. Nurses role in selection of play materials for children
8. Advantages of breast feeding
9. Role of Nurse in Immunization clinic
10. Explain milestones of infancy
LAQ-

1. A) Difference between growth and development

B) Describes Principles of growth & development
C) Explain personality development of toddler as per Eric Erik son’s Theory

2. A) Define Growth and Development

B) Enlist Principles of growth & development
C) Enumerate Factors affecting growth and development

3. A) Define Growth and Development

B) Discuss the Gross and Fine motor development of a Toddler
C) Explain the nurses role in meeting the needs of a Toddler

UNIT - III

CARE OF THE NEWBORN.

- Characteristics and care of a newborn.
- Asphyxia neonatorum & neonatal resuscitation.
- Low birth weight infants
- Nursing management of common neonatal disorders.
- Neonatal jaundice & photo therapy
- Neonatal sepsis & hypoglycemia
- Organization of Neonatal units, Prevention & Control of infection
- Critical care concept in child health

MCQ-

1. What is the most common cause of death due to diarrhoea__

 A) Vomiting
B) Dehydration
C) Abdominal pain
D) Lethargy

2. Total lung capacity in a newborn is____

 A) 100ml
B) 350ml
C) 500ml
D) 150ml
3. Kernicterus, which may occur as a complication of jaundice, is a pathological condition of____

A) Liver
B) Brain
C) Kidney
D) Heart

4. Which one of the following is true of the Apgar score?

a) An Apgar score of 9 at 1 minute usually means the baby does not need resuscitation
b) APGAR score stands for ‘Aiway-Pulse-Glucose-Alertness-Reflexes’
(c) If the Apgar score is 5 at 1 minute then all you need to do is repeat it at 5 minutes and it will have usually
gone up
d) Apgar scores are better than umbilical cord blood gases for assessing asphyxiated babies
(e) The Apgar score requires Heart Rate, Breathing, Tone, Reflexes and Colour to be each scored 1, 2 or 3

5.Chest circumference of the new born is…

a) 35-40cm b) 30-33cm
c) 33-35cm d) 40-45cm...............…

6.The bright blue fluorescent lights placed over a baby's incubator are used to treat
jaundice is called as…....................
A) Bililights b) Laser lights
c) Strong lights d) Red lights

7..What is normal pulse rate of a new born?

a) 76 b/min b) 120-160 b/min
c) 82 b/min d) 100-110 b/min

8.Which of the following is the shape of anterior fontanels?

A) Diamond b) Rectangle
c) Triangle d) Circle

9.How the head circumference is measured?

A) Occipital protoberence to supraorbital
b) Occipital bone to parietal bone
ridges
c) Temporal bone to supraorbital ridges d) Measures only in the fronal region

10.APGAR score used for the assessment of …….

A) Respiration b) Reflex response
c) Heart rate d) All the above

11.Multiple tiny raised white or yellow white spots may appear on the nose, cheeks
of neonate are called as…...............
A) Milia b) Salmon Patches
c) Mongolian spots d) Harlequin color change

12.Anew born regardless of gestational age or birth weight, who has a greater than average
chance of morbidity or mortality because of the conditions is called as….
A) High risk newborn b) Healthy baby
c) Neonate d) Infant

13.What benefits can we observe in child with kangaroo mother care?

A) Better mother and child bonding b) Successful breast feeding
a) Maintaining body temperature of
b) All the above
the child

14.Intra uterine growth retardation can be caused by all of the following agent except:

a) Nicotine b) Alcohol
c) Propranolol d) Phenothiazine

15.Atavism is when a child resembles his _

a) Parents b) Grand parents
c) Cousin d) Twin

SAQ-

1. Characteristics of newborn baby

2. Characteristics of preterm baby
3. Low birth weight infants
4. Prevention of infection in NICU
5. Write complications with photo-therapy and nurses role during photo-therapy.
6. Resuscitation of newborn
7. Nursing management of neonatal jaundice
8. Nosocomial infection in a NICU
9. Causes of Neonatal sepsis
10. Critical care concept in child health
11. Explain nursing management of newborn baby with Apgar score
LAQ-

1. A) Define neonatal jaundice

B) Explain pathophysiology of neonatal jaundice
C) Explain nursing care of newborn baby with photo-therapy

2. A) Define neonatal sepsis

B) Describe the Causes of neonatal sepsis
c) Nursing care of child with neonatal sepsis

3. A) What is Asphyxia neonatorum

b) Describe causes of Asphyxia neonatorum
C) Explain role of nurse in neonatal resuscitation.

UNIT - VI

NURSING MANAGEMENT OF COMMON CHILDHOOD ILLNESS.

(a) Nutritional deficiency disorders.

- Protein energy malnutrition - Vitamin deficiency disorders (Rickets, scurvy, Vit A deficiency disorders)
- (b) Respiratory diseases & disorders .
- Acute bronchitis & Bronchiolitis - Pneumonia - Branchial Asthama
- (c) Disorders of the gastro-intestinal system.
- Acute gastroenteritis
- Tracheo esophageal fistula
- Cleft lip and palate
- Hypertrophic Pyloric Stenosis - Hirschsprung’s disease & Intestinal Obstruction
- Anorectal anomalies
- (d) Cardiovascular system
- Rheumatic fever
- Congenital heart diseases
- Congestive cardiac failure
- ( e) Disorders of Genito urinary System
- Acute glomerulo nephritis
- Nephrotic Syndrome
- Wilm’s tumour &Congenital disorders
- ( f) Neurological disorders
- Convulsions in children & Epilepsy
- Meningitis & Encephalitis
- Hydrocephalus, Meningocele and meningomyelocele
- (g) Haematological disorders
- Anaemia & Thalassemia
- Idiopathic thrombocytic Purpura & Hemophilia
- Leukaemia
- (h) Endocrine Disorders
- Juvenile Diabetes Mellitus
- (i) Orthopaedic Disorders
- CTEV (Club foot) , Congenital hip dislocation
- Fractures
- (j) Disorders of Skin, Eye & ENT
S kin : Eczema, urticaria, scabies, pediculosis, worm infestations
Eye & ENT : Tonsillitis, Deafness, Otorrhoea, Otitis Media, Cong Cataract, hypertelorism
- (k) Communicable Diseases in Children
- Measles/rubella, Chicken pox
- Diphtheria, whooping cough
- Tetanus, Poliomyelitis
- AIDS
- Tuberculosis
- (m) Paediatric Emergencies - Accidents, Poisoning ,Stings & Bites
- Foreign bodies, Haemorrhage & Drowning Burns

MCQ-

1. A couple has a two years old child with cystic fibrosis. When planning their next pregnancy,the couple
should undergo-
A. Genetic counselling
B. Psychological counselling
C. Counselling regarding transmission of sexually transmitted diseases
D. A TORCH test

2. Which drug is used as an antidote for acetaminophen poisoning?

A. Furosemide
B. Ampicillin
C. Acetylcysteine
D. EDTA

3. You are teaching a class on poison prevention to parents at a day care center. Which statement by parents
indicate a need for further instruction?
A. “I have taught my child that medicine isn't candy’’
B. “All the household cleaners are in a locked cabinet below the kitchen sink.’’
C. “The only medicine that isn't locked up is my Tylenol, which I carry in my purse.”
D. “I have removed all my poisonous houseplants from the house.”
4. In following which disease is not transmitted mainly by Fecal-Oral route__
 A) Enteric fever
B) Measles
C) Cholera
D) Hepatitis - A

5. Who suggested the guidelines for the clinical diagnosis of acute rheumatic fever?

 A) Dr.T. Duckett Jones

B) Robert Koch
C) Landsteiner
D) Michael Smith

6. During infancy which is the commonest cause of myocarditis?

 A) haemophilus influenzae

 B) Streptococci
C) coxsackie b infection
D) Pneumococci

7. In following which is a hereditary hemolytic anaemia___

A) Aplastic anaemia
B) Thalassemia
C) Megaloblastic anaemia
D) All

8. cryptorchidism means___

A) Enlargement of teste
 B) Inflammation of testes
C) Small testes
 D) Undescended testes

9. Positive Brudzinski and Kernig's sign are the symptoms of__

A) Meningitis
B) Encephalitis
C) Pneumonia
D) Glomerulonephritis
10. A group of clinical conditions that may result from varying degree of protein
deficiency is called as……...........
A) Diabetes mellitus b) Protein energy malnutrition
c) Anemia d) Thalassemia
11. A chronic inflammatory disease which narrowing of the bronchi by
bronchospasm manifested by wheezing, dyspnea is……................
A) Pneumothorax b) Pleural abscess
c) Bronchial asthma d) Pleural effusion

12. A psychiatric disorder in which there is significant problems of attention, hyperactivity

that are not appropriate to the child's age is known as…………
A) Attention deficit hyperactivity disorder b) Anorexia nervosa
c) Learning disability d) Motor disorder

13. ….....….. is the inflammation of the meninges

A) Gullain Barre Syndrome b) Meningitis
c) Encephalitis d) Convulsion

14.What is the other name for mega colon?

A) Appendicitis b) Hirschsprung's Disease
c) Intestinal obstruction d) Ulcerative colitis

15.Which following conditions can we observe in tetralogy of fallot?

A) Pulmonary stenos is b) Ventricular septal defect
c) Overriding of aorta d) All the above

16.A inherited bleeding disorder occurs due to deficiency of plasma coagulation is known as.
A) Anemia b) Hemophilia
c) Aplastic anemia d) Sickle cell anemia

17.Acute rheumatic fever caused by which bacteria?

A) Group A beta hemolytic streptococcal b) Streptococci auras
c) Staphylococcus bacteria d) Gonorrheal infections

18.Patent ductus arteriosus is which type of congenital heart disease?

A) A cyanotic congenital heart disease b) Cyanotic congenital heart disease
c) Mixed congenital heart disease d) None of the above
19.Which of the following prenatal diagnosis is possible for all of following condition except:

a) Sickle cell trait b) Beta Thalassemia

b) Ectodermal dysplasia d) Duchennes muscular dystrophy

20. A 7 year old boy with reduced height and weight for age for past one year is likely to have which of the
following condition?
a) Malnutrition b) Lymphoma
c) Chronic infection d) Measles

SAQ-

1. Vit A deficiency and its prevention

2. Causes of Iron deficiency Anemia
3. Anorectal malformation
4. Rickets
5. Nursing care child with measles
6. Causes and clinical manifestation of intestinal obstruction
7. Causes of Burn
8. List the causes of airway obstruction
9. HIV in children
10. Haemophilia
11. Nursing management of a child with juvenile diabetes
12. Fractures in children
13. Oral Re hydration therapy
14. Febrile convulsions
15. Complications of colostomy
16. Nursing care of child with scabies
17. Role of nurse in prevention of accidents
18. Enumerate clinical and diagnostic features of Tetrology of fallot
19. Phimosis
20. Nursing management of child with tuberculosis
LAQ-

A) Ms. Sita,.3 Year old child is admitted in the hospital with weight gain, decreased urine output, fatigue
and is diagnosed with Nephrotic Syndrome
i) Define Nephrotic Syndrome.
ii) Discuss Pathophysiology of Nephrotic Syndrome.
iii) List down nursing diagnosis for Ms. Sita and write nursing care plan for two priority nursing
diagnosis.
B)Master Rohit 6 months old was brought to hospital due to weakness, shortness of breath, poor sucking
and was diagnosed with Anemia.
i) Define Anemia.
ii) Classify Anemia.
iii) Enlist clinical manifestations of Anemia.
iv) Discuss nursing management for Master Rohi

C.
i. Define Malnutrition and discuss the causes of malnutrition in children
ii. Differentiate between Kwashiorkor and Marasmus
iii. How will you manage the hospitalized toddler with a severe malnutrition

D.
i. Define protein energy malnutrition
ii. Write the etiology and clinical manifestation of protein energy malnutrition
iii. Explain the nursing care of a patient With 4th degree malnutrition.

E.
i) Enumerate the causes of Pneumonia in children.
ii) Discuss in brief the nursing management of a child admitted with Pneumonia.
iii) List the complications of Pneumonia. 、

F.Sandeepa 1,1/2 yr old child is admitted to the paediatric ward with the diagnosis of acute bacterial meningitis.
i. Define bacterial meningitis.
ii. Enlist the clinical features of bacterial meningitis.
iii. Discuss the medical management of Sandeep and develop a short term nursing care plan for the child based
on three priority needs/problem.

G.Rohan a 7 yr old child is admitted to the paediatric medical ward with the complaints of sore throat, fever,
oliguria, haematuria and diagnosed as a case of acute glomerulonephritis.
i. Define acute glomerulonephritis .
ii. Explain the pathophysiology and clinical features of AGN.
iii. Based on his condition, develop a short term nursing plan for any two priority problems/needs.

H. i) Define Cyanotic and Acyanotic heart disease.

ii) List and four Cyanotic heart diseases.
jjj) Describe the nursing management of a child with ventricular septal defect.

I.
j) Define and write classification of Tracheo-oesophageal Fistula.
jj) What are the clinical manifestations of Tracheo-oesophageal Fistula ?
Iii)Write pre and post operative nursing management.

J. i) Discuss pathophysiology of Hirchsprung's Disease.

ii) List the investigations carried out in Hirchsprung’s Disease.
iii) write pre and post nursing management of Hirchsprung's Disease

K.

I) What are the clinical manifestations of TBM

II) Complications of TBM
III) Write nursing management of TBM

UNIT- V

MANAGEMENT OF BEHAVIOURAL PROBLEMS IN CHILDREN CHILDHOOD

ILLNESS.
- Enuresis, Encoprecis, temper tantrums somnambulism, juvenile delinquency, speech defects,
tics, pica,antisocial behaviour
- Management of challenged children Need for early diagnosis ,treatment and rehabilitation of
Mentally challenged
– Mental retardation
- Physically challenged
– Cerebral palsy Socially challenged
– Child abuse & child labour
MCQ-

1. You are caring for a child in the emergency department who has upper body bruising and,
possibly
Parental physical abuse.Which nursing intervention is the highest priority?
A. Report suspicions to appropriate authorities
B. Establish protective measures for the child
C. Identify circumstances surrounding the injury
D. Document factual, objective data to support assessment findings

2. You are caring for a child who supposedly have an accident at home.Which statement by
parent indicates
The possibilities of child abuse.
A. The mother “My husband told me my daughter fell off the bed.”
The Father “I heard her crying and went to her room.”
B. The mother “I turned my back for a minute or two, and she had pulled the pot of hot water off the stove.”
The Father “I was at work when it happened.’
C. The mother “ She fell off a swing.”The father “She fell off the bed.”
D. The mother ‘ My daughter is so clumps y;she just walks into things.” The father “You really have to keep an
eye on her.”

3. You are planning to report a child abuse to a protective services in your city.Before making
the report
you must;
A. Have a suspicion that abuse has occur ed
B. Have positive evidence that the abuse has occured.
C. Notify the parents of the intent to report the suspicions of abuse.
D. Obtain your supervisors permission to report the suspected abuse

4. Children suffering with problem may have wet their garments during
walking hours is referred as …………..
A) Enuresis b) Pica
c) Delayed speech d) Abdominal colic

5. A sudden outburst or violence display of anger, frustration and bad

temper seen in children is named as…..
A) Tics b) Breath Holding spells
c) Encropesis d) Temper tantrum

6.  Which of the following childhood disorder improves with increase in age?

a) Conduct disorder b) Emotional problems

b) Temper tantrum d) Sleep disorder

7. Which is incorrect about Thumb sucking?

a) Can lead to malocclusion b) is a source of pleasure
c) is a sign of insecurity d) must be treated vigorously in the first year

8. IQ between 50-70 indicates which of the following classification?

a) Mild mental retardation b) Moderate retardation
b) Severe retardation d) Profound retardation

9. Regarding "breath holding spells" in children, one of the following statements is not true?
a) It is fairly common in the first 2 years of life
b) It does not contribute to increased risk of seizure disorders
c) Parents are advised to ignore and not to reinforce these attacks
d) It must be immediately attended to prevent hypoxia and onset of seizures

10. .A 18-month old baby presents with recurrent episodes of excessive crying followed by
cyanosis, unconsciousness and occasional seizures since 9 months of age. What is the most likely diagnosis is?
a) Epilepsy b) Anoxic spells
b) Breath holding spells d) Vasovagal attack

11. What is the commonest cause of Enuresis in children?

a) Urinary tract infection b) Spina bifida

b) Psychologic stress d) Diabetes mellitus

12. Which of the following would be considered normal in a 4 year child?

a) Tics b) Hyper excitability

c) Anxiety d) Hyperkinesis

13. For what a school age child is most apt to have fears?
a) Snakes b) High places
b) Loud noises d) Death or injury

14. What is the most frequently occurring emotional disorder of children?

a) Schizophrenia b) Neurosis
b) Mental retardation d) Autism

SAQ-

1. Juvenile delinquency
2. Temper tantrum
3. Thumb sucking
4. Autism
5. Child labour
6. Child abuse
7. Drug addiction in adolescent
8. Enuresis
9. Antisocial behavior
10. Behavioral problems in toddlerhood
11. Mention the causes of mental retardation
12. Explain about the child guidance clinic

LAQ-
A)
1. Explain Behavioral disorders
2. management of behavioural problems in children
3. Nursing role in management of behavioral disorders

B) 1. Rehabilitation
2. Role of nurse in rehabilitation
3. Management of a mentally chalenged child

Model question paper -1

POST BASIC BACHELOR OF SCIENCE IN NURSING DEGREE

EXAMINATION FIRST YEAR –Final paper

PAPER VI – CHILD HEALTH NURSING
Time: Three hours Maximum: 75 Marks

I. Elaborate on: (2 x 15 = 30)

1. a) Define meningitis.
b) Discuss the pathophysiology, signs and symptoms of meningitis.
c) Explain the medical and nursing management of meningitis.

2. a) Define tracheo-esophageal fistula.

b) Explain the types, medical and surgical management of child with tracheo- esophageal fistula.
c) Discuss the nursing process for a child with tracheo-esophageal fistula.

II. Write notes on:

(5 x 5 = 25)
1. Immunization schedule.
2. Iron deficiency anaemia.
3. Exchange blood transfusion.
4. Infective endocarditis.
5. HIV Infection in children.

III. Short answers on: (10 x 2 = 20)

1. Enumerate any four behavioural problems of toddler.

2. Define epispadias.
3. Mention any four causes of intestinal obstruction.
4. Write any four types of restraints.
5. Mention any four roles of a paediatric nurse.
6. Define tetralogy of fallot.
7. List any four complications of otitis media.
8. Write any four factors influencing growth and development.
9. List four causes of renal failure.
10. List any four newborn reflexes.

Model question parer

POST BASIC BACHELOR OF SCIENCE IN NURSING
EXAMINATION
FIRST YEAR –Final parer

PAPER VI – CHILD HEALTH NURSING

Time: Three Hours Maximum: 75 Marks

I. Elaborate on: (2 x 15 = 30)

1. a) Define protein energy malnutrition.

b) What are the differences between Kwashiorkor and Marasmus?
c) Write in detail about the preventive measures of Protein energy malnutrition.
2. a) Define Growth and Development.
b) What are the principles of Growth and development?
c) Explain in detail about growth and development of a Toddler.

II. Write notes on : (5 x 5 = 25)

1. Child welfare programmes in India.

2. Breast feeding.
3. Restraints in children.
4. Dehydration assessment in Infants.
5. Common childhood accidents and its prevention.

III. Short answers on: (10 x 2 = 20)

1. List four congenital anomalies of nervous system.

2. Define Preventive Paediatrics.
3. Mention four cardinal signs of respiration failure.
4. Expansion of DDST.
5. List four cyanotic heart diseases.
6. List four clinical manifestations of Iron deficiency anemia.
7. Diagnostic method for hip displacement.
8. Types of pneumonia.
9. Define Hirsprungs disease.
10. List four trends in paediatric nursing
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Model question paper

POST BASIC BACHELOR OF SCIENCE
IN NURSING EXAMINATION
FIRST YEAR –Final parer .

CHILD HEALTH NURSING

Time: Three Hours Maximum: 75 Marks

Elaborate on: (2 x 15 = 30)

1. Master. Arun, a 4 year old is admitted in pediatric neuro-medical ward and is

diagnosed as having hydro-cephalus.
b) Define hydro-cephalus and enumerate its clinical manifestations.
c) Explain the medical and surgical management of hydro-cephalus.
d) Draw a comprehensive nursing care plan for this child.

a) Define acute glomerulo-nephritis.

b) Explain the pathophysiology and clinical
manifestations of acuteglomerulo-nephritis.
c) Draw a nursing care plan for a child with acute glomerulo-nephritis.

I. Write notes on: (5 x 5 = 25)

1. Osteomyelitis.
2. Road to good health.
3. Hemophilia.
4. Small for date.
5. Helminthic infestations.

II. Short answers on: (1 x 2 = 20)

1. Mention four clinical manifestation of respiratory distress syndrome.
2. List out four complications of cirrhosis of liver.
3. What is Meckel’s diverticulum?
4. What is broncho-pneumonia?
5. Mention four vitamin deficiency disorders in children.
6. Mention four congenital anomalies of gastro-intestinal tract in children.
7. Two immediate management of kerosene poisoning.
8. What is the difference between cyanotic and acyanotic heart disease?
9. What is therapeutic play?
10. Define juvenile diabetes.

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