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🧒 Pediatric Nursing Questions and Answers 2025 | The Nurse
Welcome to The Nurse, your go-to channel for nursing exam preparation! In this video, we bring you the most important Pediatric Nursing Questions and Answers for 2025 to help you score high in upcoming competitive exams.

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✅ High-yield Pediatric Nursing MCQs based on the latest syllabus
✅ Detailed explanations to enhance understanding
✅ Perfect for BSc Nursing, Post BSc, GNM, ANM, and Staff Nurse Exams like RRB, ESIC, AIIMS, DSSSB & NVS

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These questions are carefully curated for those preparing for nursing entrance exams and recruitment tests in 2025. Learn and revise pediatric topics with confidence!

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Transcript
00:00Hi friends, welcome to the channel The Nurse. Here we are discussing about Pediatric Nursing.
00:05So in that Pediatric Nursing, it is a vast subject. So I have divided into mainly three
00:10topic I have selected and questions from that topics only. So before going to the topic,
00:16if you are not subscribed to our channel, please subscribe and don't forget to share with your
00:22friends. So we will move to the topic. MCQ is on Pediatric Nursing in that growth, feeding,
00:31birth related conditions we will discuss here. First question, which of the following is a
00:36common feeding problem in young children? Overeating, food refusal, rapid chewing, excessive drooling.
00:46So correct answer here, food refusal is a common feeding problem in young children.
00:53Food refusal is common due to developmental phases, taste preferences or teething.
01:00So there are another common problems also there. So I will mention important ones.
01:07First one I have already mentioned that is food refusal, child may refuses to eat certain
01:13kinds of foods or all kinds of food. There is another term picky eating,
01:18preferences for a limited range of foods, reluctance to try new foods. They may be selective in certain
01:30foods. Then another one feeding aversion, fear or dislike of eating often due to painful experiences
01:38disorders. That may be GARD or choking that is esophageal reflex. So that also will cause fear or dislike
01:48dislike of eating. Then another problem is slow eating. The child may take unusually longer period of time.
01:58Then gagging or vomiting during meals. It can occur due to sensory issues or medical problems. So there
02:08will there will be a medical problems for that. It may cause gagging or vomiting during meals.
02:15Then another one common issue that is disruptive mealtime behavior that is throwing food, crying during
02:24eating or refusing to sit during meals. These are the disruptive mealtime behaviors.
02:29Then overeating, consuming excessive foods, food quantity through less common, even though it is a less
02:39common in toddler, but it is also one of the problem. Then texture sensitivity, that is refusal to eat
02:48foods of certain textures that may be crunchy, mushy, these kind of foods the children may refuse.
02:56Then failure to transition to solids, delay or difficulty moving from liquids to semi-solids.
03:07Then nutritional deficiencies resulting from chronic poor intake or selective eating habits.
03:14Then finally underlying medical causes, GERD, allergies, oral motor dysfunction or developmental delays.
03:21These are the common issues in children.
03:23Then second question, a child consistently prefers only a few specific foods. This condition is referred to us.
03:34Food neophobia, picky eating, failure to thrive, gastroesophageal reflex.
03:41So I have explained this thing in previous slide. So you can give your answer.
03:49So correct answer is picky eating. Picky eating means a child consistently prefers only a few specific foods.
03:58It is characterized by a limited range of preferred foods and reluctance to eat, try new ones.
04:08Selectively to foods, certain kinds of foods.
04:11Limited variety of foods, certain features of picky eating, that is limited variety of food, preference for only a small group of familiar foods.
04:24Then refusal to try new foods, strong resistance or anxiety towards unfamiliar taste or textures.
04:32Food jacks, eating the same food repeatedly and then suddenly rejecting it.
04:38Then preference for specific textures or flavors, choosing foods based on certain textures, that may be crispy, soft or taste, that is certain kinds of taste, sweet or bland.
04:53Then sensitivity to food appearance, reacting negatively or changes in food color, shape or presentation, that child may be very much selective, even though their appearance also, they may, after seeing appearance also, they may react.
05:18Then long meal times or complete, complete refusal, meals may take a very long time or the child may refuse to eat altogether.
05:32Then emotional outbursts during meals, tantrums, crying or frustration when presented with unwanted foods.
05:39Nutritional imbalance, risk of vitamin and mineral deficiencies, if varieties is severely limited, because the child is taking only selected foods, it may cause nutritional deficiencies.
05:54Normal growth patterns, usually maintained, despite selective eating, many picky eaters continue to grow normally.
06:05Growth retardation will not be there.
06:08Often peaks between 2 to 6 years.
06:11It is commonly picky eating seen in 2 to 6 years, a typical phase in toddler and preschool development.
06:17Third question, according to IYCF guidelines, exclusive breastfeeding should be practiced for the first, 3 months, 6 months, 9 months, 12 months.
06:33So what is IYCF?
06:36So if anyone knows, you can comment it below.
06:39So here, correct answer is 6 months, exclusive breastfeeding should be practiced for the first 6 months.
06:50So I will explain key features of IYCF guidelines.
06:55IYCF means infant and young child feeding.
06:59So they have given certain guidelines to promote the health and well-being of infants and children through appropriate nutrition practice.
07:07So that may be, that may include, infant should be exclusively breastfeed for the first 6 months.
07:16That means providing only breast milk without any other foods or liquids including water.
07:21Breast milk provides all the necessary nutrition, nutrients, antibodies and growth factors needed for the baby's development.
07:30Then introduction of complementary foods at 6 months.
07:33After 6 months, complementary foods should be introduced alongside continuing breastfeed.
07:40Food should be nutritionally adequate and safe and should be appropriate for the child's developmental stage.
07:46And another thing is responsive feeding.
07:51Responsive feeding also recommended by IYCF.
07:55That means caregivers should respond to the child's hunger and fullness cues.
08:01This helps to ensure the child is fed adequately and encourages positive eating habits.
08:09And another thing is adequate intake of micronutrients.
08:13The IYCF guidelines stress the importance of providing infants and young children with adequate micronutrients
08:19that includes iron, zinc, vitamin A, etc. to prevent deficiencies.
08:24This can be achieved through appropriate complementary feeding.
08:27Then another important point in IYCF guidelines that is safe and appropriate food preparation.
08:35Foods should be prepared and stored safely to prevent contamination and caregivers should practice good hygiene
08:42such as washing hands and ensuring clean utensils.
08:46Caregivers should avoid foods that are not safe or nutritious for young children such as honey for infants under 1 year due to the risk of botulism.
08:57So, first one that is exclusive breastfeeding for the first 6 months.
09:05Then introduction of complementary foods at 6 months.
09:09It may be it can be introduced at 3 months also but 6 months after 6 months it is mandatory to introduce the complementary foods.
09:19Continued breastfeeding.
09:20Continued breastfeeding beyond 2 years.
09:22Some doctors or some pediatrician recommends the continued breastfeeding beyond 2 years.
09:30Then responsive feeding that is according to the child's need or stopping after fullness of the breastfeed.
09:41Adequate intake of micronutrients I have explained that.
09:47Then safe and appropriate food preparation that is based on child's age and growth.
09:53Gradual introduction of solar foods.
09:55Avoiding feeding bottles.
09:57That is one of the important thing avoiding feeding bottle because it may cause some developmental problems.
10:03So, that will explain in coming question.
10:06Then maternal and caregiver supports.
10:10Then 10th one promotion of local foods.
10:13So, that is also important because local foods can be easily available.
10:19So, that is very important to introduce in child's nutrient requirements.
10:28Then fourth question.
10:30A 4 year child is admitted with acute gastroenteritis.
10:33Acute gastroenteritis, which type of dehydration is most common in children?
10:38Isotonic dehydration, hypotonic dehydration, hypertonic dehydration, mixed dehydration.
10:48So, in this condition, acute gastroenteritis, there may be a chance for isotonic dehydration.
10:55Isotonic dehydration that is where water and electrolytes are lost equally.
11:00It is the most common type seen in pediatric gastroenteritis cases.
11:07Then fifth question.
11:09Which of the following is not recommended in the IYCF guidelines?
11:14So, we have discussed all 10 guidelines that is recommended by IYCF.
11:19So, in that, which one is not recommended?
11:22Bottle feeding, responsive feeding, exclusive breast feeding for 6 months, timely initiation of breast feeding.
11:30So, correct answer here, bottle feeding.
11:32Bottle feeding is not recommended by IYCF guidelines.
11:38Avoid feeding bottles.
11:39This, the use of bottles, especially those with nipples, is discouraged as it can increase the risk of infection and improper feeding.
11:49So, that is a reason for avoiding feeding bottles.
11:53It may cause infection and improper feeding practices.
11:56Then sixth question.
12:00A newborn with F's palsy typically has an injury to which area?
12:06Brain, spinal cord, brachial plexus, hip joint.
12:10The correct answer is, the injury will be on brachial plexus.
12:19So, here you can see the child's posture.
12:22So, there is a name called this posture.
12:25Can you comment it below?
12:28The typical posture seen in abs palsy.
12:31The key points for abs palsy include, first we will discuss a definition.
12:42It may be due to brachial plexus injury, causing arm weakness or paralysis.
12:47Cause mainly due to excessive pulling during difficult childbirth.
12:53Signs, that is weakness will be there or paralysis will be there.
12:58Weightless deposition, loss of sensation.
13:01So, this is an important position seen in F's palsy, weightless deposition.
13:05That is seen in that previous picture.
13:10Diagnosis that is usually done with clinical signs, electromyogram or MRI.
13:19Treatment that will be included, physical therapy, surgery if needed.
13:24Prognosis usually mild to moderate cases, recovery will be there.
13:28In severe cases, may need ongoing therapy.
13:34Prevention that may include safe delivery practices.
13:39Seventh question.
13:41Cephalohematoma in a newborn usually results within 2-3 days, 1-2 weeks, 2-6 weeks, 2-3 months.
13:49So, what is cephalohematoma?
13:50I will explain some key points for cephalohematoma definition that is blood accumulation between
14:04skull and periosteum.
14:05So, caput, succidinium and cephalohematoma, that is different condition.
14:12In cephalohematoma, blood accumulation between skull and periosteum.
14:16So, that is why it is not crossing the suture line.
14:19But in the case of caput succidinium, it will cross the suture line.
14:28But cephalohematoma, it will not cross the suture line.
14:33The main cause of cephalohematoma, that is pressure during delivery.
14:37That may be forceps delivery or prolonged labor.
14:43Signs including swelling on one side of the head or no skin discoloration.
14:49Diagnosis usually done by clinical examination.
14:52Treatment that is results naturally within weeks to months, 2-6 weeks.
15:00Prognosis, it is an excellent prognosis will be there.
15:03Usually, no complication.
15:04Prevention, proper delivery management to avoid a trauma.
15:11The next question, which factor is a common cause of birth asphyxia?
15:15Prematurity, shoulder dystocia, breech delivery, all of the above.
15:21So, here correct answer is all of the above.
15:24All the above are factors for common cause of birth asphyxia.
15:31What is birth asphyxia?
15:33So, I will explain some key features of birth asphyxia.
15:37Birth definition, that is failure to establish breathing at the time of birth.
15:43Major cause of early neonatal mortality, that is birth asphyxia.
15:50Commonly results from complication during the childbirth or delivery.
15:54Assisted using upcar scoring and fetal monitoring.
15:59So, at what time upcar score used to do?
16:04So, that you can comment it below.
16:06Then, key features continues.
16:12It can lead to multiple organ dysfunction, especially affecting the brain, heart and lungs.
16:18Because these organs are mainly depends on oxygen supply.
16:22If birth asphyxia is there, they will lose the supply of oxygen.
16:25Then, the functioning of brain, heart and lungs will be impaired.
16:31It requires immediate intervention including neonatal restitution.
16:36Risk factors include maternal conditions, delivery complication and fetal distress.
16:41So, in all three ways, it may lead to birth asphyxia.
16:47Prevention focuses on improving maternal care and timely medical intervention.
16:52So, we will move to next question.
16:55That is, cleft lip and cleft palate occur due to the failure of fusion during which embryonic period?
17:002 to 4 weeks, 4 to 6 weeks, 6 to 10 weeks, 10 to 12 weeks.
17:08So, correct answer is 6 to 10 weeks.
17:14Cleft lip or cleft palate, that is a facial structures fail to fuse properly.
17:20So, that is usually occurs at the 6 to 10 weeks of embryonic stage.
17:25Congenital conditions affecting the upper lip and upper lip and roof of the mouth.
17:33So, it may fail to join together, upper lip or palate.
17:41It can be unilateral.
17:43Sometimes, it will be one side only.
17:45Sometimes, it will be bilateral.
17:47Both sides, it may happen.
17:49It may involve only the lip or sometimes, only the palate or cleft lip and cleft palate.
17:56Both will be there.
18:01It can cause difficulties in feeding, speech and dental development.
18:06Often diagnosed at time of birth or via prenatal ultrasound.
18:10Surgical correction is typically required for functional and aesthetic improvement associated
18:17with genetic and environmental risk factors including maternal smoking and certain medication
18:22during pregnancy.
18:24So, this may cause into cleft lip or cleft palate.
18:29Tenth question, which of the following is a neural tube defect?
18:33Spina bifida, cleft lip, congenital diaphragmatic hernia, tetralogy or palate.
18:38So, it is an easy question.
18:41Correct answer is spina bifida is a neural tube defect.
18:47Neural tube defect that results from incomplete closure of the neural tube.
18:53Congenital defects affects the brain, spine or spinal cord.
18:59It occurs due to improper closure of the neural tube during early fetal development.
19:04Common types includes spina bifida, anencephaly and encephalocene.
19:15Neural tube defect linked to folic acid deficiency during pregnancy.
19:19So, that is why we are supplying folic acid during antedental period.
19:23It can lead to neurological impairments, mobility issues or fatal outcomes.
19:30Prevention include adequate folic acid intake before and during pregnancy.
19:35Diagnosed through prenatal screening and imaging techniques.
19:39Management varies based on severity ranging from medical support or surgical intervention.
19:45Next question, which measurement acts as nutritional status under 5 years?
19:55Height, weight, mid-apram circumference or MUAC chest circumference?
20:01Correct answer is option C, mid-apram circumference, MUAC.
20:08This is the scale or measurement tool that is used to measure the mid-apram circumference.
20:19MUAC that is a quick method to assess malnutrition.
20:23MUAC allows for quick identification of malnourished children,
20:27especially in emergency and community settings.
20:31So, it is anybody can easily use this tape.
20:36It effectively detects severe acute malnutrition or SAM.
20:41So, there is another question may ask what is the full form of SAM.
20:46That is severe acute malnutrition.
20:49Another short form that is moderate acute malnutrition.
20:53That is MAM.
20:54So, we can find it out SAM or MAM, SAM or MAM.
21:02So, MUAC that requires minimal training and equipment.
21:06Only color-coded, color-coded measuring tape is needed.
21:12MUAC is a non-invasive and low-cost material.
21:17So, there is not that much cost is required.
21:20So, it can be easily used everywhere.
21:24Low MUAC score is strongly associated with the increased risk of mortality in children under 5.
21:32So, that is the importance of measuring MUAC.
21:35If the score is low, then there is a chance of increased risk of mortality in children under 5.
21:42It helps to track progress during treatment for malnutrition.
21:47After finding out malnourished children, the healthcare workers will start treatment.
21:53So, it is also helps in the assessment of progress of malnourishment treatment.
22:00A child is considered standard if their height for age is above plus 2 standard deviation between plus 1 and minus 1 standard deviation.
22:16SD means standard deviation.
22:19Below minus 2 standard deviation.
22:22Below minus 3 standard deviation.
22:24So, correct answer is below minus 2 standard deviation is considered as standard.
22:32That is, while assessing height for age, the report came below 2 that is considered as standard.
22:41So, I will briefly explain about the measurement importance of height for age measurement.
22:48Height for age reflects long-term nutritional deficiency and poor health conditions over a longer period.
22:57A child is considered standard if their height for age is below minus 2 standard deviation from the WHO growth standard median.
23:06WHO has given one measurement tool that is known as growth standard median in that if the child has minus 2 standard deviation that may indicate the growth is standard or impaired growth.
23:25It helps identifying children who have failed to reach their linear growth potential due to prolonged undernutrition or repeated infection.
23:36Next question, the most accurate method to assess the weight of an infant is digital weighing scale, adult weighing machine, spring balance, length board.
23:49It is also easy question.
23:51So, correct answer is digital weighing scale.
23:57Digital weighing scale measures weight in small increments.
24:00Usually, plus or minus 10 grams.
24:03Ensuring precise monitoring of infant growth.
24:06It allows zeroing the scale after placing blanket or cloth to avoid additional weight.
24:15So, these are the features of weighing in digital weighing scale.
24:20It also locks weight reading even if the baby is moving.
24:25Usually, baby will continuously move other time of sleeping.
24:29So, after keeping the baby in weighing scale, if the baby is moving also, it will locks the correct weight or it will keep the correct weight there only.
24:42So, it will not continuously change based on baby's movement.
24:45Next question, the standard method to measure the length of an infant below 2 years is standing scale, stadiometer, infantometer, muac tape.
24:59Correct answer is, infantometer is used to measure the length of the infant below 2 years.
25:09Infantometer is used for recommended length.
25:13That is, lying down height.
25:16Measurement of infants and young children usually up to 2 years of age.
25:20Next question, newborn hypothermia is defined when temperature falls below 37.5 degree Celsius, 36.0 degree Celsius, 35.5 degree Celsius, 34.5 degree Celsius.
25:38Correct answer is, 36.5 degree Celsius, or Centigrade.
25:49The rectal temperature is below 36.0 degree Celsius is known as hypothermia.
25:58Which is not a preventive measure for newborn hypothermia.
26:02Immediate drying after birth, kangaroo mother care, early bathing, warm environment.
26:08So, correct answer is, early bathing is not recommended in newborns, because it may cause hypothermia.
26:17All other methods are used to prevent hypothermia.
26:22That is, immediate drying after birth, kangaroo mother care, warm environment.
26:27These are the measures used to prevent hypothermia in newborns.
26:33Early bathing causes significant heat loss that may lead to hypothermia.
26:3817th question, a major sign of hypothermia in a newborn.
26:44Excessive crying, hypoglycemia, hyperthermia, increased activity.
26:49The major sign of hypothermia in a newborn, that is hypoglycemia.
26:58And important thing is, initial stage of hypothermia, there will be excessive crying and increased activity.
27:06Then followed by the activity and crying level will be reduced.
27:10So, that is important.
27:13Hypoglycemia is a major complication in hypothermia.
27:16In hypothermia, initially increased activity and crying will be there.
27:23Later, the baby becomes sluggish, weak cry, poor feeding, facial edythema, peripheral edyema, sclerima, that is thickening of the skin, pallor, sinuses, decreased reflexes, shallow or irregular respiration, abdominal distension or vomiting are seen.
27:41The main complications include hypoglycemia, metabolic acidosis, hyperkalemia, acute renal failure, disseminated intravascular coagulation, pulmonary hemorrhage.
27:54These are the complications of hypothermia and it is a fatal condition.
28:00If it is untreated, if it is untreated, the baby may die.
28:04So, hypothermia prevention is important in newborns and infants.
28:12Eighteenth question.
28:13A baby weighing less than how many grams is classified as low birth weight baby?
28:21Thousand grams, thousand five hundred grams, two thousand grams, two thousand five hundred grams.
28:26So, correct answer here, two thousand five hundred grams.
28:31If baby weighs less than two thousand five hundred grams, is known as low birth weight babies or LBW babies.
28:42Nineteenth question.
28:43Which is not a common cause of low birth weight?
28:47Maternal smoking, maternal infections, prolonged gestation, maternal malnutrition.
28:52Correct answer is prolonged gestation.
28:57In prolonged gestation, there will be big babies.
29:01But in the case of maternal smoking, maternal infections, maternal malnutrition, there is a chance of low birth weight baby.
29:12So, prolonged gestation usually results in larger babies.
29:15Twentieth question.
29:19Best feeding practices for a stable, low birth weight baby is?
29:24IV fluids, formula feeding, exclusive breastfeeding, oral rehydration solution.
29:32If baby is stable, there will be exclusive breastfeeding only required to improve the nutrition status.
29:42Breastfeeding promotes optimal growth and immune protection.
29:46Next question.
29:48In caring for a child with pneumonia, the nurse should prioritize.
29:52Administering antipyretics.
29:55Maintaining airway patency.
29:57Encouraging oral fluids.
29:58Monitoring input and output.
30:02The main thing is maintaining airway patency.
30:06When care for a child with pneumonia.
30:09The primary concern in pneumonia is impaired gas exchange.
30:13Maintaining a clear airway ensures adequate oxygenation.
30:20Then 22nd question.
30:21Which of the following is the most reliable sign of dehydration in an infant?
30:26Dry mouth, sunken ice, sunken fontanelle, decreased urine output.
30:31Correct answer is sunken fontanelle.
30:38A sunken antidea fontanelle is a reliable clinical sign of a moderate to severe dehydration
30:43in infants due to loss of fluid volume.
30:46So, importance of physical examination of antidea fontanelle is required.
30:52That is to assess the dehydration status of the child.
30:56So, that is about today's video.
30:59So, if you have any doubt, then you can comment it below.
31:03And don't forget to share with your friends.
31:05So, thank you for watching this video.
31:08Bye-bye.

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