Title WORKBOOK - PEDIA (SC) ✅

1 | Page COMPREHENSIVE PHASE WORKBOOK PEDIATRIC NURSING NOV 2025 Philippine Nurse Licensure Examination Review 1. The most developed sense of the newborn is ___. A. Touch B. Taste C. Sight D. Hearing 2. The terms growth and development are often used interchangeably. To which of the following does development refer? A. A boy grows taller all through early childhood B. He learns to throw a ball overhand C. He triples his weight during the first year D. His brain increases in size until school age 3. Which of the following factors would contribute least to the ultimate height that a child reaches? A. His mother including nutritious food at meals B. The genetic material the child inherited C. Whether he enjoys active sport or not D. The occupations of his father and mother 4. The primary critical observation for Apgar scoring is the: A. Heart rate B. Respiratory rate C. Color D. Reflex irritability 5. Establishment of warmth after birth is made possible through the following means EXCEPT: A. Drying the skin immediately with towel B. Putting the baby on a pre-warmed crib with floor lamp C. Giving warm sterile water to warm up his stomach D. Letting the mother embrace the baby 6. At one minute after birth, a newborn’s body is pink with blue extremities, the heart rate is 99, there is withdrawal when the soles are flicked, the respiration are easy with no evidence of distress, and the arms and legs are flexed vigorously moving. The nurse assess the Apgar score to be: A. 6 B. 7 C. 8 D. 9 7. The following is true of neonatal screening except: A. done 24 hours after birth or before one week old B. cord blood is sent to the laboratory C. mandated to be done on all neonates D. provides information on some inborn error in metabolism that could be dangerous to the neonate 8. Several days after a baby girl’s birth she begins to vomit and lose weight. Galactosemia is diagnosed. The nurse explains to the parents that galactosemia is an inherited autosomal recessive disorder which is the result of: A. An intolerance of wheat and rye B. An inborn error of carbohydrate metabolism C. The inability to metabolize an essential amino acid D. The absence of parasympathetic ganglion cells in the colon 9. The nurse is aware that another diagnostic test is needed to further confirm phenylketonuria. The nurse is correct in choosing which of the following tests that utilizes urine specimen? A. Schillings test B. Phenistix C. Guthrie test D. Urinalysis 10. The parent of a child with congenital hypothyroidism is concerned about the condition of her child. The nurse knows that the most important consideration in caring for this child is all but which of the following? A. Safety B. Give levothyroxine C. Isolation D. Allow to play 11. During physical assessment of a newborn, which of the following comparative measurements would necessitate additional investigation? A. Head circumference 34 cm; chest circumference 31 cm B. Head circumference 31 cm; chest circumference 33 cm C. Head circumference 34.5 cm; chest circumference 32 cm D. Head circumference 32 cm; chest circumference 30 cm 12. A 6 month old infant is admitted with a diagnosis of failure to thrive. The birth weight was 7 pounds. Based on growth and development chart, the nurse should expect an infant at 6 months to weigh approximately: A. 10 pounds B. 14 pounds C. 18 pounds D. 21 pounds 13. Which of the following behaviors indicates normal biological development? A. A 6 week old begins to roll over B. A 6 months old sits without support C. A 7 month old transfer a toy from hand to hand D. A 7 month old stands unassisted 14. Appetite lags occur in toddlers for all the following reasons except: A. A form of rebellion against parents B. Physiology anorexia C. Preference from one type of food D. High activity level 15. During the oedipal stage of growth and development, the child: A. Loves and hates both parents B. Loves the parent of the same sex and the parent of the opposite sex C. Loves the parent of the opposite sex and hates the parent of the same sex D. Loves the parent of the same sex and hates the parent of the opposite sex 16. The usual position of the hand in the newborn is: A. open with fingers spread apart B. open with fingers flexed apart C. close with thumb inside the fingers D. close with thumb outside the fingers 17. Negativism and ritualistic behaviors are normal characteristics of: A. Preschoolers B. toddlers C. infants D. adolescents 18. A 5-year-old boy believes that there are “bogeymen and monsters” in his bedroom at night. What advice can the nurse give to Eric’s parent to help Eric cope with his fears? A. Let Eric sleep with his parent B. Tell Eric that bogeymen and monster do not exist C. Keep a night-light on in Eric’s room D. Tell Eric that no one else sees any monsters, so he must not see them either 19. On admission, the child’s weight is taken for the following purpose EXCEPT: A. as basis for child’s nutritional status * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *