Paediatric Nursing (Child Health Nursing) Practice Questions 7/2025: Day 178

Your Paediatric Rank-Booster Day

Hello future Nursing Officers! Day 178 at logyanlo.in brings you the most repeated and highest-scoring topics of Paediatric Nursing in NORCET, RRB, AIIMS, KGMU, SGPGI, DSSSB & JIPMER 2025:
KMC | Breastfeeding | Regurgitation | Thermoregulation | Severe Dehydration | Hypoxia | Cleft Lip.
These 8 subtopics together give 12–18 marks every year. Master them today and lock your top rank!

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Why Paediatric Nursing Matters in 2025 Exams

• 18–22% weightage in NORCET & RRB
• Image-based questions on cleft lip, KMC position, dehydration are guaranteed
• WHO/IAP guidelines on breastfeeding & thermoregulation are directly asked
• Scenario questions on hypoxia & severe dehydration appear every year
  logyanlo.in gives you 100 % exam-relevant content – no fluff, only ranks!

Key Topics in Paediatric Nursing

Kangaroo Mother Care (KMC)

Quick Fact

KMC is skin-to-skin contact that reduces mortality in LBW babies by 40 %.

Complete Coverage

• Components: Skin-to-skin + Exclusive breast feeding + Early discharge with follow-up
• Eligibility: Stable babies >1000 g (even on oxygen)
• Position: Prone, upright at 60°, head turned to side, legs flexed (frog position)
• Duration: Minimum 8–10 hrs/day, ideally continuous
• Benefits: Better temperature control, stable HR/RR, increased breastfeeding, reduced apnoea
• Exam Pearl: KMC can be started even in ventilated babies (with precautions).
• Why It Matters: Most favourite community & paediatric question.

Exclusive Breast Feeding

Quick Fact

Exclusive breastfeeding for 6 months reduces infant mortality by 13 times.

Complete Coverage

• Definition: Only breast milk + ORS/drops if needed (NO water, ghutti, formula)
• WHO Recommendation: 6 months exclusive → continue up to 2 years
• Correct Attachment Signs: Mouth wide open, lower lip everted, chin touching breast, more areola visible above
• Contraindications: Galactosaemia, HIV+ mother (in developed countries), active TB
• Colostrum: First 3–5 days – rich in IgA, laxative effect
• Exam Tip: Baby should be fed 8–12 times in 24 hrs (demand feeding).

Regurgitation (Posseting)

Quick Fact

Regurgitation is normal in 60–70 % infants; peaks at 3–4 months.

Complete Coverage

• Cause: Immature lower oesophageal sphincter
• Features: Small volume, effortless, after feeds, baby happy & gaining weight
• Red Flags (rule out GERD): Projectile vomiting, poor weight gain, crying, haematemesis
• Management: Small frequent feeds, upright position 30 min after feed, head-end elevation
• Exam Pearl: Normal regurgitation does NOT require medication.

Neonatal Thermoregulation

Quick Fact

Normal axillary temperature of newborn: 36.5–37.5 °C.

Complete Coverage

• Mechanisms of heat loss: Evaporation, Conduction, Convection, Radiation (major)
• Cold Stress Signs: Hypoglycaemia, lethargy, poor feeding, metabolic acidosis
• Warm Chain: Dry immediately → skin-to-skin → cap → warm room (25–28 °C) → delayed bathing
• Hyperthermia Signs: Tachycardia, tachypnoea, warm extremities, lethargy
• Normal Room Set-up: Temperature 25–28 °C, humidity 50–60 %, no direct fan/draft
• Exam Favourite: Radiation heat loss maximum from open window/radiant warmer side panels.

Severe Dehydration (WHO Classification)

Quick Fact

Two or more of the following = Severe dehydration → Plan C (IV fluids).

Complete Coverage

• Signs: Lethargy/unconscious, sunken eyes, unable to drink, skin pinch >2 seconds
• Plan C:
  • <12 months: 30 mL/kg in 1 hr + 70 mL/kg in 5 hrs

  • 12 months: 30 mL/kg in 30 min + 70 mL/kg in 2.5 hrs

  • Fluid: Ringer’s Lactate (preferred)
• Exam Tip: Skin pinch in abdomen, not thigh – most reliable site.

Neonatal Hypoxia

Quick Fact

Central cyanosis + SpO₂ <90 % = Hypoxia → immediate oxygen.

Complete Coverage

• Signs: Nasal flaring, grunting, chest retractions, central cyanosis, tachycardia → bradycardia
• Silverman-Anderson Score: ≥7 = severe respiratory distress
• Immediate Management: Warm, clear airway, stimulate, oxygen via hood/prongs
• Exam Pearl: Grunting = attempt to maintain FRC (functional residual capacity).

Cleft Lip & Palate

Quick Fact

Cleft lip repair at 3 months (rule of 10: 10 weeks, 10 g/dL Hb, 10 lb weight), palate at 9–12 months.

Complete Coverage

• Feeding: Special cleft feeder, upright position, burp frequently
• Complications: Recurrent otitis media, speech delay, dental problems
• Post-op Care: Elbow restraints, no sucking objects, log roll
• Exam Favourite: Never use nipple/bottle before cleft lip repair.

Mini FAQ: Paediatric Exam Hacks 2025

Q: Minimum duration of KMC per day?
A: 8–10 hrs (ideally continuous).

Q: Most reliable sign of severe dehydration?
A: Skin pinch >2 seconds + lethargy.

Q: Normal newborn temperature range?
A: 36.5–37.5 °C (axillary).

Q: Rule of 10 for cleft lip surgery?
A: 10 weeks age, 10 g/dL Hb, 10 pounds weight.

Q: First step in neonatal hypoxia?
A: Warm + clear airway + stimulate + oxygen.

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Conclusion: Your Paediatric Score Is Secured

Day 178 just gave you complete command over the hottest paediatric topics! From KMC position to severe dehydration Plan C – you now own every repeated question. Keep practising daily on our Daily Question Bank and see your name in the final merit list!

Call to Action

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