ESSENTIALS OF PEDIATRIC
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1.
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Child Health Measurement
Stem: A 6-month-old infant presents for well-baby check. The
nurse notes the infant’s length is at the 10th percentile and
weight is at the 60th percentile on standard growth charts. The
parents express concern that the length is “too low.” Which
action should the nurse take first?
Options:
,A. Arrange immediate referral to pediatric endocrinology for
possible growth hormone deficiency.
B. Review growth chart trajectory, parental heights, and feeding
history with parents.
C. Schedule a bone age x-ray to evaluate skeletal maturation.
D. Tell the parents not to worry because percentiles are not
important.
Correct Answer: B
Rationales:
Correct (B): Growth assessment requires trend analysis and
consideration of familial (parental heights), nutrition, and
overall development. Reviewing the trajectory and feeding
history is the most appropriate first step to determine whether
the low length is a pattern or an isolated finding. This approach
aligns with pediatric standards emphasizing context before
specialty referral.
A: Referral is premature without evaluating growth velocity,
family stature, or nutritional causes.
C: Bone age is invasive/expensive and not first-line for an
isolated percentile discrepancy.
D: Dismissing parental concern is inappropriate and undermines
family-centered care.
Teaching Point: Always assess growth trends and family context
before specialty referral.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
, 2.
Reference: Ch. 1 — Measurement of Children’s Health Status —
Growth & Development
Stem: A 4-year-old in the clinic has a head circumference that
crossed downward from the 50th to the 5th percentile over six
months. The child’s parents report normal activity and feeding.
What is the nurse’s best immediate action?
Options:
A. Document the finding and advise routine follow-up in one
year.
B. Ask about developmental milestones, arrange a same-day
provider evaluation, and review past growth data.
C. Reassure parents that head circumference variations are
normal at this age.
D. Obtain a lead level because microcephaly is usually due to
lead poisoning.
Correct Answer: B
Rationales:
Correct (B): A significant downward crossing of head
circumference is a red flag requiring assessment of
development and prompt medical evaluation to rule out
intracranial, nutritional, or other causes. Immediate review of
prior measurements ensures accuracy and context.
A: Waiting a year risks delayed diagnosis of a potentially serious
condition.
C: This degree of change is not routine—reassurance alone is
unsafe.
, D: Lead poisoning can affect development but is not the most
likely first-step diagnostic action; lead testing may be
considered after clinical evaluation.
Teaching Point: Sudden percent-ile changes in head
circumference require urgent evaluation.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3.
Reference: Ch. 1 — History of Child Health and Child Health
Care — Evolution of Pediatric Care
Stem: A pediatric nurse educator is preparing a lecture on
trends in child health. Which historical trend should the nurse
emphasize as most influential in shifting care from institutional
to family-centered community care?
Options:
A. The discovery of antibiotics.
B. Federal legislation supporting children with disabilities and
community-based services.
C. The invention of the incubator.
D. The decrease in birth rates in developed countries.
Correct Answer: B
Rationales:
Correct (B): Federal policies that fund community-based
services and mandate education/rehabilitation for children with
disabilities transformed care delivery toward family-centered,
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1.
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Child Health Measurement
Stem: A 6-month-old infant presents for well-baby check. The
nurse notes the infant’s length is at the 10th percentile and
weight is at the 60th percentile on standard growth charts. The
parents express concern that the length is “too low.” Which
action should the nurse take first?
Options:
,A. Arrange immediate referral to pediatric endocrinology for
possible growth hormone deficiency.
B. Review growth chart trajectory, parental heights, and feeding
history with parents.
C. Schedule a bone age x-ray to evaluate skeletal maturation.
D. Tell the parents not to worry because percentiles are not
important.
Correct Answer: B
Rationales:
Correct (B): Growth assessment requires trend analysis and
consideration of familial (parental heights), nutrition, and
overall development. Reviewing the trajectory and feeding
history is the most appropriate first step to determine whether
the low length is a pattern or an isolated finding. This approach
aligns with pediatric standards emphasizing context before
specialty referral.
A: Referral is premature without evaluating growth velocity,
family stature, or nutritional causes.
C: Bone age is invasive/expensive and not first-line for an
isolated percentile discrepancy.
D: Dismissing parental concern is inappropriate and undermines
family-centered care.
Teaching Point: Always assess growth trends and family context
before specialty referral.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
, 2.
Reference: Ch. 1 — Measurement of Children’s Health Status —
Growth & Development
Stem: A 4-year-old in the clinic has a head circumference that
crossed downward from the 50th to the 5th percentile over six
months. The child’s parents report normal activity and feeding.
What is the nurse’s best immediate action?
Options:
A. Document the finding and advise routine follow-up in one
year.
B. Ask about developmental milestones, arrange a same-day
provider evaluation, and review past growth data.
C. Reassure parents that head circumference variations are
normal at this age.
D. Obtain a lead level because microcephaly is usually due to
lead poisoning.
Correct Answer: B
Rationales:
Correct (B): A significant downward crossing of head
circumference is a red flag requiring assessment of
development and prompt medical evaluation to rule out
intracranial, nutritional, or other causes. Immediate review of
prior measurements ensures accuracy and context.
A: Waiting a year risks delayed diagnosis of a potentially serious
condition.
C: This degree of change is not routine—reassurance alone is
unsafe.
, D: Lead poisoning can affect development but is not the most
likely first-step diagnostic action; lead testing may be
considered after clinical evaluation.
Teaching Point: Sudden percent-ile changes in head
circumference require urgent evaluation.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3.
Reference: Ch. 1 — History of Child Health and Child Health
Care — Evolution of Pediatric Care
Stem: A pediatric nurse educator is preparing a lecture on
trends in child health. Which historical trend should the nurse
emphasize as most influential in shifting care from institutional
to family-centered community care?
Options:
A. The discovery of antibiotics.
B. Federal legislation supporting children with disabilities and
community-based services.
C. The invention of the incubator.
D. The decrease in birth rates in developed countries.
Correct Answer: B
Rationales:
Correct (B): Federal policies that fund community-based
services and mandate education/rehabilitation for children with
disabilities transformed care delivery toward family-centered,
