Pediatric MCQs

1. Sunken fontanelle is a sign of 

a) Dehydration
b) Hydrocephalus
c) Down syndrome
d) Turner syndrome

2. Apert syndrome is
a) Premature closure of coronal suture
b) Premature closure of posterior suture
c) Premature closure of anterior suture
d) Neurofibromatosis

3. Low set ears are seen in

a) Down syndrome
b) Renal disorder
c)  Kwashior kar
d) Marasmus

4. Corticosteroids are contraindicated in

a) Cataract
b) Trachoma
c) Blepharitis
d) Leukokoria

5. What should the nurse do before administrating a tube feeding to the

Infant
a) Irrigate that tube with water
b) Slowly in still 10 ml of formula
c) Provide the Infant with Pacificer
d) Place the infant in the trendelenburg position

6. Translation occurs in
a) Ribosomes
b) Nucleus
c) Mitochondria
d) Cytoplasm

7. Congenital malformation is
a) Multifactorial
b) Caused mainly by chromosomal anomalies
c) Caused mainly by drug ingestion
d) Caused mainly by exposure to radiation

8. Hormone responsible for skeletal maturation of foetus

a) Testosterone
b) Oestrogen
c) Thyroxin
d) Testosterone ratio oestrogen

9. Absolute growth is maximally seen at

a) 0 - 1 year
b) 1-4 years
c) 5 to 10 years
d) 14 to 16 years

10. Maximum development of brain occur at

a) Infancy
b) Adolescence
c) First  trimester  of pregnancy
d) School going age

11. In one year child brain growth in comparison to adults  is

a) Two third
b) One third
c) One and half
d) One fourth

12. Toddler is a child of

a) Less than 1 year
b) 1-3 year
c)  3-6 year
d) 6 to 10 year
13. The average weight gain in first 3 month of life per week is
a) 30 gram
b) 80 gram
c) 120 gram
d) 150 gram

14. The optimum body weight of baby by end of 1 year is

a) Addition of 3 kg to birth weight
b) Double the weight’
c) Three times the birth weight
d) Four times the birth weight

15. Immediate complication of LBW baby is

a) Iintrauterine fetal death
b) Perinatal asphyxia
c) Pulmonary   hemorrhage
d) Sensorineural injury

16. Ossification in foetus starts in

a) 3 weeks
b) 5  weeks
c) 3 month
d) 5 month

17. 3 month old baby can do all except

a) Social smile
b) Turn head to sound
c) Lift head in  prone position
d) Can turn supine from  prone position

18. A child can copy a circle at

a) 2 year
b) 1.5 years
c) 4 years
d) 3 years
19. Children in which age group are most likely to view illness as a
punishment for misdeeds
a) Infancy
b) Preschool age
c) School  age
d) Adolescence

20. Short stature is defined as

a) Height below 3rd percentile  for age according to International
standard
b) Height below 5th percentile for age according to ICMR
c) Height below 3rd standard deviation of mean for age
d)  All

21. What is incorrect about thumb sucking

a) Can lead to malocclusion
b) Source of pleasure
c) Is a sign of insecurity
d) Must be treated vigorously in first year

22. A child take self decision at the age of

a) 3 years
b) 7 years
c) 5 years
d) 9 years

23. Exclusive feeding is advised in all except

a) Haemolysis due to vitamin K deficiency
b) Evening colic
c) Golden colour stool
d) Prologation of physiological jaundice

24. Bottle fed babies are more prone then breastfeed babies to
a) Cough and cold
b) Diarrhoea
c) Impetigo
d) TB
25. A Newborn's failure to pass meconium within the first 24 hours after
birth may indicate which of the following
a) Hirschsprungs disease
b) Celiac disease 
c) Abdominal wall defect
d) Intussuceptions 
26. A parent brings a toddler age 18 months to the clinic for regular checkup.
when palpating the toddlers  fontanelle what should the nurse expect to find
a) Closed anterior fontanelle and open posterior fontanelle
b) Open  anterior fontanelle and closed posterior fontanelle
c) Closed anterior and posterior fontanelle
d)  Open anterior and posterior fontanelle

27. An Infant is hospitalized for treatment of non organic failure to thrive. 

which nursing action is most appropriate for this infant
a) Encouraging the Infant to hold a bottle
b) Keeping the Infant on bed rest to conserve energy 
c) Rotating caregivers to provide more stimulation
d) Maintaining a consistent structured environment

28. A mother of a 3 year  old child tells the nurse that a child is a very poor
eater.   What the nurse best recommendation for helping the mother increase her
child’s nutritional intake
a) Allow the child to feed herself.
b) Use especially designed dishes for children.
c) Only serve the child favourite food.
d) Allow the child to eat at a small table and chair by herself.

29. While providing cardio pulmonary resuscitation to a child Age 4 the

nurse should
a) Compress the sternum with both hand at a depth of  4 to 5 cm
b) Deliver 12breath per minute
c) Perform only two person CPR
d) Use heel of one hand for sternal compressions 

30. Meena tells the nurse that she wants to begin toilet training her i 22
month old child. The most important factor for the nurse to stress to the mother
is
a) Developmental readiness of the child
b) Consistency in approach.
c) The Mother's positive attitude.
d) Developmental level of the child peers 
31. During adolescence psychological development focuses on 
a) Becoming industrious 
b) Establishing an identity
c) Achieving intimacy 
d) Developing initiative

32. The Adolescence inability to develop a sense of who he is and what he

can become result in sense of which part of the following
a) Shame
b) Guilt 
c) Inferiority 
d) Role diffusion

33. By the end of which of the following would the nurse most commonly
expect a child's birth  weight to triple
a) 4 month
b) 9 month
c)  7 month
d)  12 month

1. Visual acuity reaches adult acuity by the age

a) 7
b) 9
c) 5
d) 3

2. Abstract thinking occur at the age of

a) 2 years
b) 3 years
c) 9 years
d) 12 years

3. A six week old infant cannot

a) Grasp dangling objects
b) Fix gaze
c) Lift and hold head
d) Turn head towards sound
4. Number of deciduous teeth is
a) 20
b) 24
d) 32

c) 28

5. Shakir tape is used for

a) measurement of height

a) measurement of length of infant

b) measurement of midarm circumference
c) measurement of skin pad thickness

6. Height increases (mean) in children from 2 to 10

years peryear is
a) 2 cms
b) 4 cms
c) 6 cms
d) 8 cms

7. The commonest cause of Enuresis in children is

a) Urinary tract infection
b) Spina bifida
c) Psychologic stress
d) Diabetes mellitus

8. Water content in infant

a) 60-70%

b) 75-80%
c) 80-90%

d) >90%

9. The upper segment: Lower segment ratio at 2

years of age in a normal child is
a) 1.8:1

b) 1.5:1
c) 1.25:1

d) 1.12:1

10. Which one is not unfavorable for fetal development

a) Herpes
b) Rubella
c) Alcohol
d) Tetracycline

11.A three year old child can do which of the following except
a) Ride a tricycle
b) Build a tower of ten cubes
c) Knows his age and gender
d) Use scissors to cut out pictures
e) Count three objects correctly

12. Average birth weight of Indian child is

a) 2.9 Kg
b) 2.8 Kg
c) 3.3 Kg
d) 2.5 Kg

13. Taste perception of baby develops at

a) Birth
b) 4 months
c) 6 months
d) 8 months

14. Increase is length in the first year of life is

a) 12 cms
b) 15 cms
c) 25 cms
d) 35 cms

15.A child with mental age of seven and a

chronological age of seven years has an I.Q of
a) 100
b) 120
c) 145

d) 80

16. Milestones at 10 months of age are

a) Pincer grasp
b) Arranging 3 cubes
c) Walks few steps without support
d) Says mama dada

17. Child changes Rattle from one hand to another at the age of
a) 3 months

b) 6 months
c) One year
d) 2 years

18. IQ (Intelligence quotient) of a child means

a) The creative efficiency of the child
b) The capability of the child to perform
intellectual tasks in relation to other children of
same age
c) The efficiency of memory of child
d) Qualification of the learning ability of child

19. Normal height with decreased bone age is seen in

a) Cushings syndrome
b) Hypothyroidism
c) Thanatotrophic dwarfs
d) Down’s syndrome

20. In asymmetrical IUGR which organ is not affected ?

a) Subcutaneous fat
b) Muscle
c) Liver
d) Brain
21. A two year old child was brought to the OPD by
his parents with complaints of not eating anything On
amination her weight is
11.5 kg (50lh percentile of normal)and height
75 percentile of normal management is
a) Advise multivitamin Tonic
b) Force to eat
c) Investigate for UTI
d) Ask parents to stop worrying

22. Which of the following acts can a one year old child perform ?
a) Sits down from standing position
b) Drinks from cup
c) Speaks one or two words with meaning
d) Rings bell purposefully

23. Prenatal diagnosis is possible for all of following except

a) Sickle cell trait
b) Beta Thalassemia
c) Ectodermal dysplasia
d) Duchennes muscular dystrophy

24. A 7 year old boy with reduced height and

weight for age for past one year is likely to have
a) Malnutrition
b) Lymphoma
c) Chronic infection
d) Measles

25. Intra uterine growth retardation can be caused by all except

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

26. Which of the following childhood disorder

improves with increase in age
a) Conduct disorder
b) Emotional problems
c) Temper tantrum
d) Sleep disorder

27.A normal infant sits briefly leaning

forward on her hands, reaches for and
grasps a cube and transfers it from hand to
hand. She babbles but cannot wave bye-bye
nor can she grasp objectives with the finger
and thumb. Her age is
a) 4 months
b) 7 months
c) 10 months
d) 14 months

28. Atavism is when a child resembles his

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

29. Two carpal bones are radiologically seen in the

wrist X-ray of most of the children by the end of
a) 1 year
b) 2 years
c) 3 years
d) 4 years

30. An infants sits with minimal support, attempts

to attain a toy beyond reach, rolls over from supine to
prone position and does not have pincer grasp is at a
development of
a) 3 months
b) 4 months
c) 6 months
d) 8 months
31.A patient presents with scorbutic rosary,
bone pains and X-ray reveals Frenkel’s lines.
a) Scurvy
b) Achondroplasia
c) Syphilis
d) Rickets

32. Vitamin K deficiency occurs in the following except

a) Biliary obstruction
b) Artificial milk feeds
c) Oral antibiotic Therapy
d) Malabsorption .

33. Breast feeding is best for the baby

a) But has no effect on the mother
b) But is likely to affect the mothers appearance significantly
c) But may cause breast cancer in the mother
d) And is also good for the mother

34. Excess of vitamin K in a new born causes

a) Bleeding tendencies
b) Hyperbilirubinemia
c) Vomiting
d) Hemolysis

35. Costochondral junction swelling are seen in

a) Scurvy
b) Rickets
c) Chondrodystrophy
d) all of the above
36. Kwashiorkor is diagnosed in growth retarded
children along with
a) edema and mental retardation
b) Hypopigmentation and anemia
c) edema and hypopigmentation
d) hepatomegaly and anemia
37. Which one of the following contains least fat
content in the milk
a) Human milk
b) Goat milk
c) Buffalo milk
d) Cow milk

38. Earliest sign of rickets is

a) rickety rosary
b) craniotabes
c) bow legs
d) Harrison’s groove

39. The normal calorie requirement for a 5 year old child is

a) 800 calories
b) 1000 Calories
c) 1500 Calories
d) 2000 Calories

40. In an infant exclusively on breast feed all are seen, except

a) GI bleeding due to vitamin K deficiency
b) Relative prolongation of physiological jaundice
c) Evening colic
d) Golden colour stools

41.A 18-month old baby presents with

recurrent episodes of excessive crying
followed by cyanosis, unconsciousness and
occasional seizures since 9 months of age.
The most likely diagnosis is
a) Epilepsy
b) Anoxic spells
c) Breath holding spells
d) Vasovagal attack

42.Which among the following is not expected in a 3 year old child

a) Draw a circle
b) Talk in sentence
c) Climb down stairs
d) hop 5 steps

42. By years all milk teeth are erupted

a) 1.5

b) 2
c) 2.5

d) 3

44.I-elayed dentition is most characteristic of

a) Mongolism
b) Acromegaly
c) Cretinism
d) Malnutrition

45.A new born baby has a head circumference of 35 cms at birth.

His optimal head circumference will be 43 cms at
a) 4 months of age
b) 6 months of age
c) 8 months of age
d) 12 months of age

46. Norm
al heart rate
at birth is a)
120-160/min
b) 100-120

c) 160-180

d) is always less than 100

47. Fetal growth is maximally affected by

a) Insulin
b) Growth Hormone
c) Cortisol
d) Thyroxine

48.A child can walk up and down the stairs alternating his feet by
a) 12 months
B) 24 months
c) 36 months
d) 48 months
49.Gender of external genitalia of foetus
becomes clearly distinguished by
a) 10 weeks
b) 16 weeks
c) 12 Weeks
d) 20 weeks

50.A child can copy a circle first at

a) 2 years of age
b) one and half year
c) 4 years
d) 3 years
51. Fetal Respiratory movements occur earliest at
a) 12 Wks
b) 16 wks
c) 20 wks
d) 11 wks

52. Vocabulary of IViyear old child is

a) 1-10 words
b) 10-20 words
c) 20-30 words
d) 30-40 words

53. The antenatal diagnosis of all of the

following conditions is feasible except
a) Huntington’s chorea
b) Down’s syndrome
c) Severe combined immunodeficiency syndrome
d) Anencephaly
54. Order of development of secondary gender
characteristic in male
a) Testicular development — pubic hair — Axillary hair — beard
b) Pubic hair — testicular development — axillary hair — beard
c) Testicular development — beard — pubic hair — axillary hair
d) Axillary hair — beard — pubic hair — testicular development

55. Which is incorrect about Thumb sucking

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

56. Head control is possible in an infant by

months
A) 1
B) 2
c) 3
d) 6

57. IQ between 50-70 indicates

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

58. Preference of use of one hand (handedness) is evident by

a) 6 months
b) 1 year
C) 2 years
d) 3 years

59. Fetal bradycardia is defined as

a) Less than 100 beat/min
b) between 100 and 200 beat/min
c) Less than 120 beat/min
d) Less than 120 beat/min for a period of 15
min of continuous monitoring

60. Regarding “breath holdinaspells” in

children, one of the following statements is not
true (KAR 94)
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

61. Neonatal period extends up to

a) 21 day s of life
b) 30 days of life
C) 28 days of life
d) 35 days of life

62. First permanent tooth to erupt is

a) 1 st Premolar
b) 1 st Molar
c) 1st Incisor
d) 2nd premolar

63. How many digits can a five year old child remember
a) 4
b) 5
c) 8
D) 10

64. Increase in height in first year is by

a) 40%

b) 50%
c) 60%

d) 75%
65. The average B.P of a 1 year old child is
a) 120/80

b) 75/50
c) 95/65

d) 60/30

66. Delayed speech in a 5 year old child with

normal motor and adaptive development is most
likely due to
a) Mental retardation
b) Cerebral palsy
c) Kernicterus
d) Deafness

67. Anthropometric assessment which does not show

much change in 1-4 years
a) Mid arm circumference
b) Skin fold thickness
c) Chest circumference: Head circumference ratio
d) Height

68.A 5 year old child is assessed to have

developmental age of one year. His
developmental quotient would be
a) 100

b) 80
c) 60
D) 20

69. True breath holding attacks generally do not occur after

a) 1 year
b) 5 years
c) 2 years
d) 18 months

70. Sitting Height is equal to

a) Head circumference
b) Chest Circumference
c) Upper segment
d) Crown-rump lengui

71. 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
a) 3 years
b) 4 years
c) 6 years
d) 7 years

72. 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
c) 3 years
d) 4 years

73. Breathing movements and swallowing

movement seen in the foetus by
a) 13-14weeks
b) 18-24 weeks
c) 15-18 weeks
d) >30weeks

74. Length of a neonate is

a) 40cm
b) 50cm
c) 70cm
d) 100 cm

75.A child takes self decisions at the age of years.

a) 3
b) 5
c) 7
d) 9

76. Child is not expected to do at 40 weeks of life

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

77. Breast feeding is recommended at least for

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

78. The most important factor to

overcome protein energy malnutrition in
children less than 3 years is .
a) Supply of subsidized food from ration shop
b) Early supplementation of solids in infants
c) Immunization to the child
d) Treatment of anaemia and pneumonia in infant and toddlers

79.A 2 year old child has a weight of 6.4

kg and has vitamin A deficiency. What is
the grade ofmalnutrition in this child ?
a) First degree
b) Second degree
c) Third degree
d) Fourth degree

80. Wind swept sign/deformity is seen in

a) Scurvy
b) Rickets
c) Achondroplasia
d) Osteoporosis
81. Breast feeding is contraindicated if the mother is taking
a) Propranolol
b) Broad spectrum antibiotics
c) Sulfonyl ureas
d) Insulin

82. Fatty Acid necessary during 0to6 months of age is

a) Linolic acid
b) Linolenic acid
c) Arachidonic acid
d) Palmitic acid

83. Which one is wrong about human milk

a) Gives energy of 67 Kcal/L
b) Carbohydrate forms 40% of total energy
c) Fats form > 50% of total energy
d) Proteins form 33% of total energy

84. One of the following is not

reported to be a clinical manifestation of
zinc deficiency state in children
a) Dwarfism and hypogonadism
b) Liver and spleen enlargement
c) Impaired cell mediated immunity
d) Macrocytic anaemia

85. The composition of breast milk, per 100ml

a) 67 calories, 3.5 protein, 3.5g fat and 4.5 g carbohydrate
b) 67 calories, 1.2g protein, 4 g fat and 4.5 g carbohydrate
c) 67 calories, 1.2g protein, 4g fat and 7 g carbohydrate
d) 100 calories, 3.5 protein, 4g fat and 7 g carbohydrate
e) 100 calories, 3.5g protein, 3.5g fat and 4.5 g carbohydrate

86. The following are radiographic features of Rickets except

a) Increased in width of growth plate
b) Decreased bone density
c) Rickety rosary
d) Subperiosteal bleeding
87. Breast milk at room temperature stored for
a) 4 hrs
b) 8hrs
c) 12hrs
d) 24hrs

88. Which vitamin deficiency is not seen in newborn ?

a) E
b) c
c) D
d) K

89.A 4 year old boy derives most of his caloric requirements from
a) Carbohydrates
b) Proteins
c) Fats d
d) Minerals

90. Perioral rash, pigmentation of skin creases and

neuritis is seen in deficiency of
a) Zinc
b) Copper
c) Magnesium
d) Biotin

91. The most common site of pulmonary atelactasis

in children is:
a)Right upper lobe
b) Right middle lobe
c) Right lower lobe
d) Left upper lobe

1. In India about __________-percent of total

population are children below 15 years of age.
a) 35%
b) 45%
c) 50%
d) 65%
2. Factors affecting child health all except__________
a) Age of the mother
b) parity
c) Education
d) antenatal care
3. “ Book of children” written by________
a) Hippocrates
b) Galen
c) Rhazes
d) Thomas Phaer
4. The leading childhood infection are__________
a) Meningitis
b) ARI
c) Nephritis
d) hepatitis
5. In India what kind of childhood accidents are common?
a)Home accidents
b) road traffic
c) Both a and b
d) out door accidents
6. Current early newborn mortality rate in India is
___________/1000 live birth
a) 33 %
b) 25 %
c) 95 %
d) 44%
7. United nations adopted the “Declaration Of The Rights
Of The Children” on
a) 20th November 1959
b) 20TH December 1960
c) 20th January 1961
d) 1st November 1959
8. In Symbol of Under five clinic the outer triangle
triangle reflects what
a) Care in illness
b) adequate nutrition
c) Immunization
d) family planning
9. Polio and measles vaccine is stored at_________
temperature
a) -10o c
b) -20o c
c) -30oc
d) -15o c
10. Iron requirement for infant is__________-
a) 1mg/kg
b) 2mg.kg
c) 5 mg/kg
d) 10mg/kg
11. Types of play for infants all but except
a) Social affects play
b) solitary play
c) Parallel play
d) sense pleasure play
12. Baby will sit with support at what age
a) 3-4 months
b) 5-6 months
c) 6-7 months
d) 7-8 months
13. Carbohydrate content in 100ml of breast milk is_
a) 1.9gm
b) 7gm
c) 1.2gm
d) 1.2 mg
14. Which of the following are not the aims of the
artificial feeding?
a) According to the convenience of the mother
b) Be economical
c) Provide adequate nutrition
d) Free from bacterial contamination
15. After receiving an immunization for diphtheria,
tetanus, and pertussis, a child develops swelling and
tenderness at the injection site, a low-grade fever, and
malaise. The pediatric nurse informs the child's parents
that:
a) The reaction is severe enough that they should bring
the child to an emergency department
b) They should delay future immunizations until the
child is seen by an allergist
c) This is a mild reaction, and teaches them how to
manage it.
d) This is an appropriate reaction, and instructs them to
do nothing
16. Reaction of the toddler towards hospitalization
includes except
a) Protest
b) denial
c) Suppression
d) despair
17. The size of the alveoli of newborn is_______smaller
than adult
a) 2o time
b) 25 times
c) 5 times
d) 10 times
18. Tetralogy of fallot includes the following except
a) Right ventricular hypertrophy
b) over riding of aorta
c) Ventricular septal defect
d) Aortic stenosis
19. Atresia with diatal fistulem seen at_____________%
a) 2%
b) 7%
c) 86%
d) 22 %
20. CROUP syndrome stands for_______
a) Laryngo trachea bronchitis
b) Trachea bronchitis
c) Laryngeal bronchitis
d) Trachitis
Key
1. a
2. c
3. d
4. b
5. a
6. c
7. a
8. d
9. b
10. a
11. c
12. b
13. c
14. a
15. c
16. c
17. a
18. d
19. c
20. a

Newborn resuscitation
1.      An infant has the following findings at 5 minutes of
life. Pulse 130b/m, cyanotic hand and feet, good muscle
tone, and a strong cry and grimace. This infanct agpar is
a)      6
b)      7
c)      8
d)     9
2.      A baby is born at 29 weeks following a large
maternal antepartum haemorrhage. You arrive in the
delivery room just as the baby is being transferred to the
resuscitation platform. Which of the following is a
CORRECT action that you should undertake?
a)      Dry the baby and wrap in several warm towels,
then assess the condition of the baby
b)      Don't worry about universal precautions, as
resuscitation cannot be delayed
c)      Place the baby in a sterile plastic bag up to the neck,
cover the head with a hat and place the baby under a
radiant warmer.
d)     Administer intramuscular naloxone (200 µg) to the
baby's thigh and massage vigorously
3.      While positioning of the baby shoulder should be
elevated at
a)      ¾ to 1 inch off the mattress
b)      ½ to ¾ inch off the mattress
c)      ½ to 1 ½ inch off the mattress
d)     1 to 1 ½ inch to the mattress.
4.      Suctioning pressure to be kept around
a)      80-90cm water
b)      100 to 130 cm water
c)      130 to 150 cm water
d)     140 to 160 cm water
5.      Suctioning of newborn, which statement is right
a)      Oral suctioning should be done first  when
mechonium stained liquor  is not observed
b)      Nasal suctioning should be done first  when
mechonium stained liquor  is observed
c)      Oral suctioning should be done  when mechonium
stained liquor  is observed
d)     Continuous suctioning to be done in mechonium
aspiration syndrome.
6.      All are appropriate actions for tactile stimulation
EXCEPT
a)      Slap the sole
b)      Flick the sole
c)      Rub the back
d)     Slap the back
7.      Contraindication for bag and mask ventilation
a)      The infant is apenic or gasping
b)      Mechonium aspiration syndrome
c)      Heart rate below 100 beats/minutes
d)     Mechonium stained liquor
8.      When to start chest compression?
a)      Heart rate is above 100 beats/minutes and
spontaneous respiration
b)      Heart rate is below  100 beats/minutes and
spontaneous respiration
c)      Heart rate is above 100 beats/minutes and no
spontaneous respiration
d)     Heart rate is below  100 beats/minutes with PPVs
9.      Chest compression always performed alone with
a)      100 % oxygen
b)      Positive pressure ventilation
c)      Ventilation and 100% oxygen
d)     Endotracheat intubation
10.  Cardiac compression should be given. Which
statement is correct
a)      Area is below the xyphoid sternum
b)      Area is above the nipple line
c)      Is done at 1:2 with bag and mask ventilation
d)     Palm could be used for compression
11.  The rate of chest compression in one minute should
be
a)      80 along with 30 PPVs
b)      60 alone with 40 PPVs
c)      90 alone with 30 PPVs
d)     100 alone with 30 PPVs
12.  The depth of chest compression is
a)      1 to 2 inch
b)      ½ to ¾ cm
c)      1 to 2 cm
d)     ½ to ¾ inch
13.  How to determine the effectiveness of chest
compression.
a)      Check femoral pulse
b)      Check chest movement
c)      Check respiratory rate
d)     Check capillary refill time
14.  Endotracheal intubation is indicated when
a)      Bag and mask ventilation is required
b)      Prolonged positive pressure ventilation is required
c)      Umbilical hernia is suspected
d)     Medication is required
15.  Internal diameter of the ET tube fro term newborn is
a)      3  to 3.5 mm
b)      2 to 2.5mm
c)      3.5 to 4  mm
d)     None of these
16.  Formula to decide approximate size of endotracheal
tube
a)       (Internal diameter in mm) = Age in months  + 16/ 4
b)      (Internal diameter in mm) = Age in days + 16/ 4
c)      (Internal diameter in mm) = Age in weeks + 16/ 4
d)     (Internal diameter in mm) = Age in years + 16/ 4
17.  Medications may be required when there is
a)      Heart rate is 60 beats/minute or above
b)      Heart rate is >60 beats/minute
c)      Heart rate is 120 beats/minute or above
d)     When chest compression failsa
18.  Preferable veins for catheter in newborn during
resuscitation
a)      Scalp vein
b)      Umbilical vein
c)      Brachial vein
d)      Femoral vein
19.  Recommended dose of epinephrine intravenously is
a)      0.02 to 0.05 mg/kg/dose
b)      0.03 to 0.04 mg/kg/dose
c)      0.01 to 0.03 mg/kg/dose
d)     0.05 to 0.1 mg/kg/dose
20.  During resuscitation of newborn Metabolic acidosis
should be managed with
a)      Oxygen
b)      Volume expander
c)      Both a and b
d)     Sodium bicarbonate

Newborn resuscitation
1.      Ans:d
2.      Ans:c
3.      Ans:a
4.      Ans:b
5.      Ans: a
6.      Ans:d
7.      Ans:b
8.      Ans: d
9.      Ans: c
10.  and:a
11.  Ans:c
12.  Ans:d
13.  Ans:a
14.  Ans:a
15.  Ans: a
16.  Ans:d
17.  Ans:a
18.  Ans:b
19.  Ans:c
20.  Ans:c

Quiz for world breast feeding week

 General round:
1.       Breast feeding should be initiated with in how many
hours after normal delivery?
Ans:  half an hour to one hour
2.       Breast feeding should be initiated with in how many
hours after cesarean section?
Ans: 1-2 hours
3.       Which policy is one of the important intervention
towards global support for breastfeeding
Ans: BFHI
4.       The protein of breast milk mostly contains which
albumins
Ans: lacto albumin
5.       Bottle feed babies are mostly likely to develop what
GI  and respiratory diseases
Ans: diarrhea and ARI
6.       Breast milk is produced with the help of which
hormone?
Ans: prolactin
7.       Breast feeding mother having less risk of developing
which cancer?
Ans: breast cancer and ovarian cancer
8.       Breast milk facilitates absorption of which mineral
that helps in bony growth?
Ans: calcium
9.       What is the treatment of choice for breast abscess?
Ans: analgesics, antibiotics, and incision and drainage.
10.   Expressed breast milk can be stored at room
temperature for how many hours?
Ans: 8 hours
11.   Expressed breast milk can be stored at in the
refrigerator for how many hours?
Ans: 24 hours
12.   What breast related problem can occur if baby is
pulling off the breast while still sucking?
Ans: sore nipple
13.   Management for inverted nipple is?
Ans: manually stretched, and ruled out several times a day
or
Pull through pump or plastic syringe.
14.   Name any one absolute/true contraindication for
breast feeding?
Ans: Galactosemia, phenylketonuria
15.   Name any one primitive  reflex related to breast
feeding
Ans: rooting, sucking, swallowing
16.   Baby should be placed in which position after
feeding?
Ans: right side
17.   Duration of exclusive breast feeding is?
Ans: 4- 6 months
18.   Mature milk secrets usually how many days after
delivery?
Ans: 10-12 days
19.   The milk which follows the colostrums and secretes
during 1st  two weeks of postnatal period is called?
Ans: transitional milk
20.   How often should new born breast feed?
Ans: 8-12 times per day. And demand feed.
21.   What was the theme of WBFW 2014?
Ans: breast feeding: a winning goal for life
22.   What is the calorie requirement of the newborn?
Ans: 100-110 kcal/day/wt
23.    what is the theme of  WBFW 2015?
Ans: breast feeding and work, let’s make it work
24.   What is more in hind milk?
Ans: fat and energy
25.   When the 1st word breast feeding week was
celebrated?
Ans: 1992
For rapid fire session:
26.   Breast feeding protects the mother from pregnancy
up to how many months?
Ans: 6 months
27.   Suckling of breast stimulates milk secretion, this
reflex is called?
Ans:  prolactin reflex
28.   Milk ejection from the gland is also called what
reflex?
Ans: Oxytocin reflex. 
29.   How many extra calories do breast feeding mother’s
burn each day?
Ans: 200- 500.kal.
30.   How much breast milk will be secreted per day?
Ans: 600-700ml
31.   Breast milk is lack of which vitamin?
Ans: vit-K, vit-D
32.   Breast milk is lack of which mineral?
Ans: iron
33.   Breast milk provides how much kilo calorie?
Ans: 66
34.   How much Carbohydrate present in 100ml human
milk?
Ans: 7 g
35.   Protein content in human milk is?
Ans: 1.2 g
36.   BFHI policy contains how many policies to  support
breast feeding
Ans: 10
37.   Breast milk is ejected with the help of which
hormone?
Ans: oxytocin
38.   Breast feeding should be continued up to what age?
Ans: 2 years
39.   Complementaroy feeding should be started at what
age?
Ans: 4-6 months
40.   The duration of secretion of colostrums is
And: 1st 3 days
For audience:
41.   Name any two real contraindications for breast
feeding?
Ans: mother with radiotherapy, Chemotherapy,
antipsychotic and anti epileptic drug, HIV, HSB. Lactose
intolerance
42.   Breast milk contains which type of immunoglobulin?
Ans: IgA, IgM
43.   Name any one medication that hinders the breast
milk?
Ans: methergin, ergometrine, promocryptin, Oral
contraceptive pills.
44.   What is the duration of breast feeding?
20 minutes or till the baby get satisfied
45.   Exclusive breast feeding babies has less chance of
developing what kind of conditions in later period? Name
any one
Ans: malnutrition, HTN, DM,  CAD, appendicitis, ulcerative
colitis, liver diseases,, celiac diseases, dental caries,
childhood lymphoma
46.   What breast related problem can be prevented by
frequent feeding and correct attachment of the baby
during feeding?
Ans: breast engorgement
47.   Lactational amenorrhea promotes in recovery of
storage of which mineral?
Ans: iron
48.   Tell anyone good sign that the baby is breast feeding
well?
Ans: having 6-8 wet diapers per day, 3-4 bowel
movements, full stomach, sound sleep, no cry.
49.   Breast milk contains all the nutrients in the right
proportion which are needed for optimum growth and
development of the baby up to-------
Ans: 6 months
50.   Preparation for breast feeding must begin during
which perinatal period?
Ans: anti natal