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Congenital Heart Defects, Down Syndrome & Milestones MCQs | Pediatric Nursing for NCLEX & NORCET

Pediatric Nursing for NCLEX & NORCET


Excel in Pediatric & Congenital Nursing

Pediatric Nursing encompasses complex topics ranging from congenital anomalies to growth patterns. In today's Child Health Nursing Mock Test, we focus on critical Congenital Heart Defects like Tetralogy of Fallot (TOF) and Patent Ductus Arteriosus (PDA).

This quiz also covers Genetic Disorders including Down Syndrome (Trisomy 21) and Turner Syndrome, along with respiratory conditions like Cystic Fibrosis. Additionally, we have included essential questions on Developmental Milestones and Growth Measurements to help you prepare for AIIMS NORCET 2024, NCLEX-RN, and CHO exams. Download your free PDF below and strengthen your pediatric prep!

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Free Download: Click here for Day 201 Pediatric & Congenital Disorders Solved PYQs PDF

Why Pediatric & Congenital Topics Are Your Exam Advantage

Pediatric and congenital nursing holds strong exam relevance:

  • Developmental milestones test growth monitoring skills
  • Congenital heart defects evaluate emergency recognition
  • Genetic syndromes assess holistic care knowledge
  • These areas blend theory with practical application for higher scores
    logyanlo.in offers solved rationale-based content to build lasting understanding!

Essential Concepts You Must Master for Top Ranks

Developmental Milestones

Quick Fact

Gross motor milestones follow cephalo-caudal pattern.

Complete Coverage

Age-Wise Milestones Table

Age Gross Motor Fine Motor Language Social
3 months Head control Hands open Coos Social smile
6 months Rolls over Transfers objects Babbles Recognizes mother
9 months Sits without support Pincer grasp Mama/Dada nonspecific Waves bye-bye
12 months Walks with support Pincer grasp refined 1–2 words Plays pat-a-cake
18 months Walks independently Tower of 3 cubes 10 words Feeds self
2 years Runs, kicks ball Tower of 6 cubes 2-word sentences Parallel play

Red Flags
No head control by 4 months, no walking by 18 months

High-yield fact for exams
Pincer grasp at 9 months.

Tetralogy of Fallot

Quick Fact

Tet spells relieved by knee-chest position.

Complete Coverage

Four Defects
Pulmonary stenosis, RV hypertrophy, overriding aorta, VSD

Clinical Signs
Cyanosis, clubbing, tet spells (hypercyanotic)

Management
Prostaglandin E1 (keep PDA open), surgical correction

High-yield fact for exams
Boot-shaped heart on X-ray.

Down Syndrome

Quick Fact

Trisomy 21 most common cause.

Complete Coverage

Features
Hypotonia, flat facies, upslanting palpebral fissures, single palmar crease

Associated Conditions
Congenital heart disease (AV canal), hypothyroidism, leukemia risk

Screening
Triple/quad test, NIPT

High-yield fact for exams
Brushfield spots on iris.

Growth Measurements

Quick Fact

Head circumference measured till 3 years.

Complete Coverage

Parameters
Weight, length/height, head circumference, BMI

Growth Charts
WHO standards till 5 years

Failure to Thrive
Weight <3rd percentile or crossing centiles

High-yield fact for exams
Fontanelle closure by 18 months.

Cystic Fibrosis

Quick Fact

CFTR gene mutation.

Complete Coverage

Pathophysiology
Thick mucus → lung/pancreas obstruction

Signs
Meconium ileus, recurrent infections, failure to thrive

Diagnostics
Sweat chloride test >60 mmol/L

Management
Chest physiotherapy, pancreatic enzymes

High-yield fact for exams
Sweat test gold standard.

PDA (Patent Ductus Arteriosus)

Quick Fact

Machine-like murmur characteristic.

Complete Coverage

Pathophysiology
Ductus fails to close post-birth

Signs
Continuous murmur, bounding pulses

Management
Indomethacin (preterm), surgical ligation

High-yield fact for exams
Left to right shunt.

Turner Syndrome

Quick Fact

45,XO karyotype.

Complete Coverage

Features
Short stature, webbed neck, streak gonads

Associated
Coarctation of aorta, horseshoe kidney

Management
Growth hormone, estrogen replacement

High-yield fact for exams
Lymphoedema in infancy.

Top Searched Questions for Nursing Officer Exam 2026

Q: Tetralogy of Fallot components? → 4 defects (VSD, PS, overriding aorta, RVH)
Q: Down syndrome karyotype? → Trisomy 21
Q: CF diagnostic test? → Sweat chloride
Q: PDA murmur type? → Continuous machine-like
Q: Turner syndrome feature? → Webbed neck

Free Resource: Join our Telegram channel for daily free mocks & PYQs PDF downloads – link in sidebar!

Recommended MCQs: Wong's Pediatric Nursing 

Why logyanlo.in Is Your Pediatric Nursing Success Partner

We specialize in child health topics with solved rationale, free tools, and supportive community that helps thousands secure nursing officer positions.

Conclusion: Your Pediatric Nursing Prep Is Advanced!

Day 201 has covered vital pediatric and congenital concepts. Continue daily for outstanding results!

Call to Action

Share this post with your pediatric study groups on WhatsApp & Telegram! Download the free PDF, join our community, and let's achieve 2026 nursing officer success!

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