EDEN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY SCIENCES CAT 2 EXAMINATION PAEDIATRICS AND PAEDIATRIC NURSING (PPN 221) INTAKE: JANUARY 2023 STUDENT'S 1D. - } DURATION: 1 HOUR DATE: 28 TH MARCH 2024 NO MARKS MCQ_ er Matching Completion Pas Total_ ESSAYS WRITE No OF QUESTIONS ANSWERED/ATTEMPTED | 1 No No ‘No No No ‘No fa No [No No [No [No No 3 TOTAL INSTRUCTIONS TO CANDIDATES: Answer ALL QUESTIONS A MULTIPLE CHOICE QUESTIONS. ENIRCLE THE MOST ANSWER 1 MARK EACH (50 at Scanned with CamScanner1, The father of paediatrics is a. Abraham Jacobi b. Abraham Lincoln c. John Snow d. Abraham Lewis i 2, Whois referred to as a reformer in the social welfare of children a. Lillian ward b. Florence Nightingale c, Matron Wardloper d. Roberson 3. When was Arthur Davison Children Hospital established a. 1960 b. 1962 c. 1964 d. 1966 4, When was the first draft for the Zambian Curriculum for Paediatric Nurse Training developed? a. 2006 b. 2012 c. 2008 d. 2010 5. Which one of the following would be your most critical nursing aim when managing a child with: a. To offer psychological support to the patient and family b. To preserve renal function and prevent complications c. To offer information, education and communication about the condition d. To preserve health nutrition and ensure adequate intake of a balanced diet 6. The change in the genetic make of organism resulting in manifestation of new cells, tissues or features is called: a. Transformation b. Evolution c. Mutation d. Neoplasm 7. Which one of the following DOES NOT contribute to mother-to-child transmission of HIV: a. Intra-partum hemorrhage b. New maternal HIV infection ¢. Normal-safe delivery d. Oral infection in a breastfeeding baby 8. The feelings of a parent toward a newborn is Love . Bonding ‘Nurturing |. Attachment aege Scanned with CamScanner9, Which stage in the prenatal development is the zygote? a. Germinal stage b. Embryonic stage c. Fatal stage d. None of the above i ol 10. Which part of the spermatozoa supplies energy for the tails whip’ a, The head b. The middle portion c. The tail d. None of the above 11. Fertilization takes place in the a. Ovar b. Fallopian tube c. Uterus d. Cervix 12. The hormone human chorionic gonadotropin is secreted from a. Trophoblast b. Corpus leuteum ¢. Blastocyet 4. Syncytiotrophoblast 13. The spinal cord, skin and hair develoy a. Endoderm layer b. Mesoderm layer ©. Ectoderm layer d. York sac 14, The digestive system, lungs and liver develop from which of the following? a. Endoderm layer b. Mesoderm layer ©. Ectoderm layer d. York sac 15 The ear, seule System and skeletal system develops from which of the a. Endoderm layer b. Mesoderm layer ©. Ectoderm layer 4. York sac 16. Which one of the following is a D Teenie Rollowing is a cause of cerebral palsy b) Hepatitis B ©) Sickle cell disease d) Prematurity 17, The change in the genetic make is aos cells, 4 era ae resulting in manifestation of new a) Transformation b) Evolution ©) Mutation p from which if the following?d) Neoplasm , is characterized by stiff 18. Which one of the following is the type of cerebral palsy is charac ‘ and contracted muscle tone a) Ataxic cerebral palsy b) Athetoid cerebral palsy ¢) Spastic cerebral palsy d) Mixed cerebral palsy rf This type of cerebral palsy is characterised by irregular and involuntary movement, a. Spastic cerebral palsy b. Dystonic (athetoid) cerebral palsy ¢. Ataxic cerebral palsy d. Mixed cerebral palsy This type of cerebral palsy is associated with hypotonia, weakness, uncoordinated movements and unintentional tremor and affects the cerebellum a. Spastic cerebral palsy b. Dystonic (athetoid) cerebral palsy c. Ataxic cerebral palsy d. Mixed cerebral palsy he mee ommon mental health condition a child with cerebral palsy may suffer a. Mental retardation b. Depression c, Dementia d. Schizophrenia 22. Which of the following is true for Downs’ syndrome? a. Bradycephally b. Narrow flat nasal bridge c. Hypertonicity of muscles d. Long broad neck 23. Which day is world Downs’ syndrome commemorated? a. 1" April b. 30" April c. 31% March d. 13" March 24. The type of Autism that has only occurred in girls is a. Autistic disorder b. Asperger’s disorder c. Rett’s disorder d. Childhood disintegrative disorder 25. Which tithe following drugs is quite helpful in managing a child with Auden) . Chloramphenicol Fluconazole |. Paracetamol 198 20. Bit peop Scanned with CamScanneryn the nurse is informed about tal in whic the patient is taken to the ward. f a patient in hospit 26. Type of admission the patient few minutes or hot a. Planned admission b. Planned emergenc ion Unplanned, non emergency admission 4. Unplanned, emergency admi 27. When examining the child, ‘a. Allow child to lie in their most comfortable position . Only examine the affected part of the body ¢. Follow the same order of examining as in efore 'd._ Start with invasive Scanned with CamScanner34, During ear examination for a child Jess than 3 years, the pinna is pulled... a, Down and backward b. Upand backward c. Down and upward d. Up and downward 35. Cryptorchidism is a case found when palpating the .... G a. Thorax _” b. Abdomen (ce. Testicles d. Head ls cea socspstmar ti Scanned with CamScannerScanned with CamScannered to the daughters by their fathers but 50. A etic diseass ich is 100% transmit 50. A genetic disease which is 100% trar chee not their sons and females are carriers but not affecte a. Autosomal dominant traits b, Autosomal recessive taris c. X linked d. Y linked SECTION B CROSSMATCH 20 MARKS MATCH THE FOLLOWING TERMS IN COLUMN I WITH THE DEFINITIONS IN COLUMN II COLUMN I COLUMN I 51. ...Paediatries ‘A. This is a nurse who has successfully completed a recognized course of study and practice experience in the nursing care of infants, children and adolescents / young people. Paediatric nursing B __Isasspecialization of the nursing profession that focuses on pediatrics and the medical care of children, from infancy to the teenage years. 53. ...Paediatric nurse C. _ Isthe branch of medicine dealing with children and their diseases 54. ...Paediatrician D. _A specialty which focus on nursing care of children, both normal and sick. 55. ...Child health nursing E, _ Is the branch of medicine dealing with children and their diseases F specialty focused on the care of women throughout their pregnancy. MATCH THE BODY PARTS EXAMINED IN COLUMN I WITH THE FINDINGS N COLUMN II COLUMN I COLUMN I A. Spina bifida B. Extra digits C. —_ Imperforate anus D. _ Hypospadiasis E. Umbilical Hernia F. Gynaecomatsia G. — Microcephally Scanned with CamScannerMATCH THE FOLLOWING TYPES OF AUTISM IN COLUMN I WITH THEIR CHARACTERISTICS IN COLUMN IL COLUMN COLUMN II istic Di: A. Normal development for first 61. ...Autistic Disorder 2 years then ieee previously acquired skills 62. ...Asperger’s Disorder B. _Atypical autism. 63. ...Pervasive Developmetal disorder (Cr Rett’s Disorder no F. Begins in adulthood G. affects sight only _ MATCH THE FOLLOWING CHANGES IN PRENATL DEVELOPMENT IN ‘COLUMN I WITH THEIR CORRESPONDENCES IN COLUMN II Diffusion of gases and other lipid soluble substances Becomes deciduaScanned with CamScannerea Scanned with CamScanner