Multiple Choice Flashcards
Which is the most appropriate pain assessment tool for a 13 year old?
a) Faces pain scale
b) Numerical pain assessment tool
c) FLACC pain assessment
d) Visual analogue scale
b) Numerical pain assessment tool
Which position is the recommended sleeping position for an infant?
a) Prone
b) On the side being supported by pillow
c) On the back with pillows each side to prevent rolling onto sides
d) On the back, no surrounding toys/pillows
d) On the back, no surrounding toys/pillows
The WHO state that exclusive breastfeeding is recommended for what period?
a) 12 months
b) 9 months
c) 6 months
d) 3 months
c) 6 months
Failure to thrive can be caused by which of the following?
a) Poor breast feeding technique
b) Congenital heart disease
c) Chronic respiratory disease
d) All of the above
d) All of the above
P in the AVPU scale means which of the following?
a) Responsive to parents voice
b) Responsive to painful stimuli
c) Orientated to place
d) Orientated to person
b) Responsive to painful stimuli
Which of the following are signs of dehydration in an infant?
a) Lethargic
b) Dry mucous membranes
c) Sunken anterior fontanelle
d) All of the above
d) All of the above
If a child is choking and has the ability to cough, you should carry out the following:
a) Perform the Heimlich Manoeuvre
b) Commence DRSABCD
c) Encourage the child to cough and continuously assess
d) Give 5 back blows then 5 chest thrusts
c) Encourage the child to cough and continuously assess
A CEWT score of 4-5 requires what action?
a) Ward doctor review within 30 minutes and notify the shift coordinator
b) Increase frequency of observations and consider notifying shift coordinator
c) Registrar review within 15 minutes and notify shift coordinator
d) MET call, with review from MET team within 5 minutes
a) Ward doctor review within 30 minutes and notify the shift coordinator
A CEWT score of 8 requires what action?
a) Ward doctor review within 30 minutes and notify the shift coordinator
b) Increase frequency of observations and consider notifying shift coordinator
c) Registrar review within 15 minutes and notify shift coordinator
d) MET call, with review from MET team within 5 minutes
d) MET call, with review from MET team within 5 minutes
Which is the most appropriate pain assessment tool for an 18 month old child?
a) Faces pain scale
b) Numerical pain assessment tool
c) FLACC pain assessment
d) Visual analogue scale
c) FLACC pain assessment
Fertility depends on the ability of the ovaries to produce one dominant follicle per cycle this process is called?
a) Spermatogenesis
b) Folliculongenesis
c) Oogenesis
d) Granulogenesis
c) Oogenesis
Which of the follow best describes the term Gravida?
a) How many multiple pregnances
b) How many pregnancies
c) How many miscarriages/stillbirths
d) How many live births
b) How many prenancies
During which trimester are teratogens a major concer?
a) 1
b) 2
c) 3
d) all of the above
a) 1
Which of the following blood test is not a standard investigation at the first antenatal assessment?
a) Blood group and Rhesus factor
b) Rubella immunity
c) Fasting blood sugars
d) VDRL
c) Fasting blood sugars
The Apgar score done at 1 and 5 minutes post-delivery assesses newborns?
a) Appearance, pulse, grimace, activity and respiration
b) Appearance, pulse, grasps, activity and respiration
c) Appearance, pulse, grip, activity and respiration
d) Appearance, pulse, grunt, activity and respiration
a) Appearance, pulse, grimace, activity and respiration
Palpaion done by the midwife can assess all of the following except?
a) The size of the fetus
b) The position of the fetus
c) The degress of the presenting part
d) The fetal heart
d) The fetal heart
When would Anit D be given in the antenatal period to a pregnant woman?
a) Routinely at 28 and 34 weeks
b) Threatened or spontaneous miscarriage
c) Termination of pregnancy
d) All of the above
d) All of the above
During the antenatal period women are screened for group B Strep (GBS) because?
a) 25% of women without knowing have GBD in their vagina
b) Group B strep is an infection which can lead to infant mortality and or mordibity
c) Group B strep can be treated by oral antibitiotics in the antentatal period
d) All of the above
d) All of the above
Which of the following is considered a normal presentation?
a) Breech
b) Face
c) Vertex
d) Transverse
c) Vertex
An increased BMI in pregnancy is associated with all of the following except?
a) Hypertensive disorders
b) Gestational diabetes
c) Hyperemesis
d) Caesarean section
c) Hyperemesis
Routine midwifery antenatal care is able to detect all of the following except?
a) Ectopic pregnancy
b) Pre eclampsia
c) Vaginal bleeding
d) Gestational diabetes
a) Ectopic pregnancy
The midwife expects to administer an oxytocic to a woman after expulsion of her placenta to?
a) relief pain
b) stimulate uterine contraction
c) prevent infection
d) facilitate rest and relaxation
b) stimulate uterine contraction
Which of the following is reccommened for the newborn following birth?
a) Hep A
b) Vitamin D
c) Vitamin K
d) Heb B
c) Vitamin K
Gastroenteritis is best described as?
a) Diarrhoea and vomiting
b) Cramps and fever
c) Diarrhoea, vomiting and cramps
d) Diarrhoea, vomiting, cramps and fever
d) Diarrhoea, vomiting, cramps and fever
Which is the most common cause of asthma in children?
a) exercise
b) irritants
c) allergies
d) viral respiratory illness
c) allergies
Development is defined as?
a) Development is cephalocaudal
b) Development progesses from proximal to distal
c) Development progresses from gross to fine proceeds
d) Development is an increase in a skill or the ability to function
d) Development is an increase in a skill or the ability to function
You are caring for a family whose 6 month old baby is hospitalized. The mother is complaining that the child is only settled when sucking. What did Freud call this stage?
a) Anal
b) Phallic
c) Oral
d) Sensorimotor
c) Oral
When assessing a women in the first stage of labour the midwife recognizes that the most conclusive sign that uterine contractions are effective would be?
a) Dilation of the cervix
b) Descent of the fetus
c) Rupture of the amnitoic membranes
d) Increase in blood show
a) Dilation of the cervix
Which method of oxygenation is reccommended for a 9 month infant with severe broncholitis who requires 3L of oxygen?
a) nasal prongs
b) hudson mask
c) non rebreather bag
d) headbox
d) headbox
Which is the most common infectious organism to cause acute gastroenteritis in an infant or child?
a) viral
b) bacterial
c) protozoa
d) parasitic worms
a) viral
Which of the following best describes the phases of the second stage labour?
a) Latent phase: Feels sleepy, duration is 30-45 minutes
b) Active phase: Overwhelming strong contractions
c) Descent phase: Significant increase in contractions
d) Transitional phase: Woman “labouring down”, duration is 15 minutes
c) Descent phase: Significant increase in contractions
You are caring for a family whos 3 year old is in hospital. The parents are concedrened beacuse “he doesnt talk much”. Which other developmental area maybe affecting his speech?
a) Auditory
b) Social/Emotional
c) Visual
d) Cognitive
a) Auditory
You are to assess and admit a 12 month old who is suspected to have severe bronchiolitis when you ascultate the chest what sounds will you expect to hear?
a) grunting
b) crackles
c) stridor
d) wheeze
d) wheeze
The modified paediatric glascow coma scale assess?
a) eyes opening
b) best verbal or non verbal response
c) best motor repsonse
d) all of the above
d) all of the above
Which of the following is the most reliable observation for compartment syndrome?
a) Pallor
b) Paraesthesia
c) Paralysis
d) Pain
d) Pain
Which is the most effective infection control measure when caring for a child with gastroenteritis?
a) Isolation
b) Handwashing
c) Gown and glove
d) All of the above
d) All of the above
Which two electrolytes are the most affected by gastroenteritis?
a) Sodium and calcium
b) Potassium and magnesium
c) Calcium and magnesium
d) Sodium and potassium
d) Sodium and potassium
A child with chronic condition in this century is most likely?
a) to improve over time
b) to get worse over time
c) to be hospitalized
d) to live longer
b) to get worse over time
In WA which of the following professionals must report child sexual abuse?
a) Registered Nurses, Teachers, Doctors and Psychoilogists
b) Registered Nurses, Teachers, Doctors and Police
c) Student Nurses, Teachers, Doctors and Child Care Staff
d) Student Nurses, Teachers, Doctors and Police
b) Registered Nurses, Teachers, Doctors and Police
Mandatory reportin of child sexual abuse is in all Australian states and terriroties
a) true
b) false
a) true
Under the legistation, everyone in western australia is mandated by law to report a belief of child sexual abuse?
a) true
b) false
b) false
The legislation only applies to goverment-funded doctors, nurses, midwives, teachers and boading supervisors
a) true
b) false
b) false
Failure to make a mandatory report carries what penalty?
a) a prison term
b) community service
c) a $6,000 fine
d) none of the above
c) a $6,000 fine
which of the following could be interpreted as an act of child sexual abuse?
a) All sexual activity between children
b) When a child has less power than another person involve in the sexual activity
c) young children exploring their own bodies
d) none of the above
b) When a child has less power than another person involve in the sexual activity
A child must tell you if he or she is being abused before you can make a report?
a) true
b) false
b) false
If a child discloses sexual abuse, you need to make a report
a) true
b) false
a) true
If a child discloses sexual abuse, what is the best approach to take?
a) Take the child to more senior staff and encourage them to repeat their story
b) remain calm believe the child
c) suggest the child makes a report to the necessary authorities.
b) remain calm believe the child
When should child sexual abuse be reported?
a) when you are sure the child is telling the truth
b) when you have a belief sexual abuse has occurred or is occurring
c) after you have contacted the parents
d) only when you have proof of the abuse
b) when you have a belief sexual abuse has occurred or is occurring
If you are working in your professional capacity but are engaged in unpaid work, are you legally required to report child sexual abuse?
a) yes
b) no
a) yes
How can reports of child sexual abuse be reported to the mandatory reporting service?
a) by phone
b) by website
c) by email
d) by letter
e) all of the above
e) all of the above
After submission of a written report, you will recieve?
a) a standardised letter with a receipt number
b) a letter thankyou you for you report
c) no acknowledgement
d) details of the investigation
a) a standardised letter with a receipt number
A mandatory reporter only has to make a verbal report to fulfil their legislative obligations
a) true
b) false
b) false
Mandatory reporters can remain anonymous when making a report
a) true
b) false
b) false
The identity of a mandatory reporter who has reported a belief of child sexual abuse has no legal protection?
a) true
b) false
b) false
What proof can a mandatory reporter provide to show a written report has been made?
a) Standardised letter with a reciept number from the mandatory reporting service
b) proof of contact by telephone
c) report made to a senior officer
d) a written reciept number from your organisation
e) all of the above
a) Standardised letter with a reciept number from the mandatory reporting service
What is the penalty for disclosing the identity of mandatory reporter?
a) $3,000
b) no penalty
c) $6,000
d) $24,000 and 2 years imprisonment
e) $50,000 and 5 years impriosonment
d) $24,000 and 2 years imprisonment
When can a mandatory reporters identity be released
a) it can never be released
b) if consent is given by the mandatory reporter
c) by a child protection officer in child protection proceedings
d) both b and c
d) both b and c
