Table of Contents
Table of Contents 1
Chapter 01: Perspectives of Pediatric Nursing 2
Chapter 02: Social, Cultural, Religious, and Family Influences on Child Health Promotion
18
Chapter 03: Hereditary Influences on Health Promotion of the Child and Family
36 Chapter 04: Communication, Physical, and Developmental Assessment of the Child and
Family
54 Chapter 05:
Pain Assessment and Management in Children 76
Chapter 06: Childhood Communicable and Infectious Diseases 94
Chapter 07: Health Promotion of the Newborn and Family 114
Chapter 08: Health Problems of the Newborn 132
Chapter 09: The High-Risk Newborn and Family Chapter 148
10: Health Promotion of the Infant and Family Chapter 173
11: Health Problems of the Infant 194
Chapter 12: Health Promotion of the Toddler and Family 215
Chapter 13: Health Promotion of the Preschooler and Family 236
Chapter 14: Health Problems of Early Childhood 254
Chapter 15: Health Promotion of the School-Age Child and Family 272
Chapter 16: Health Problems of the School-Age Child 292
Chapter 17: Health Promotion of the Adolescent and Family 311
Chapter 18: Health Problems of the Adolescent 327
Chapter 19: Family-Centered Care of the Child with Chronic Illness or Disability 355
Chapter 20: Family-Centered Palliative Care 377
Chapter 20: Impact of Cognitive or Sensory Impairment on the Child and Family 395
Chapter 21: Family-Centered Care of the Child During Illness and Hospitalization 416
Chapter 22: Pediatric Nursing Interventions and Skills 436
Chapter 23: The Child with Fluid and Electrolyte Imbalance 460
Chapter 24: The Child with Renal Dysfunction 489
Chapter 25: The Child with Gastrointestinal Dysfunction 518
Chapter 26: The Child with Respiratory Dysfunction 549
Chapter 27: The Child with Cardiovascular Dysfunction 582
Chapter 28: The Child with Hematologic or Immunologic Dysfunction 613
,Chapter 29: The Child with Cancer 643
Chapter 30: The Child with Cerebral Dysfunction Chapter 671
31: The Child with Endocrine Dysfunction Chapter 32: 702
The Child with Integumentary Dysfunction 730
Chapter 33: The Child with Musculoskeletal or Articular Dysfunction 749
Chapter 34: The Child with Neuromuscular or Muscular Dysfunction 778
Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries.
Compared with other countries that have a population of at least 25 million, the nurse makes which
determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among nations with
a population of at least 25 million. The United States has the highest infant death rate of developed nations.
DIF: Cognitive Level: Remembering
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant
death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight,
,which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which
account for 6.1% of deaths in infants younger than 1 year of age.
DIF: Cognitive Level: Remembering
MSC: Client Needs: Health Promotion and Maintenance
3. What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The
leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart
disease cause a significantly lower percentage of deaths in children older than 1 year of age.
DIF: Cognitive Level: Understanding
MSC: Client Needs: Health Promotion and Maintenance
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for
10.9% of the deaths in this age group.
DIF: Cognitive Level: Remembering
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should
the nurse include in the session with regard to deaths caused by injuries?
a. More deaths occur in males.
, b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups.
ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly
among different ethnic groups, and the causes of unintentional deaths vary with age and gender.
DIF: Cognitive Level: Applying
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data
regarding disease within a geographic region, or in greater than expected numbers in a community, may be
extrapolated from analyzing the morbidity statistics.
DIF: Cognitive Level: Remembering
MSC: Client Needs: Health Promotion and Maintenance
7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third
leading cause of death?
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
Table of Contents 1
Chapter 01: Perspectives of Pediatric Nursing 2
Chapter 02: Social, Cultural, Religious, and Family Influences on Child Health Promotion
18
Chapter 03: Hereditary Influences on Health Promotion of the Child and Family
36 Chapter 04: Communication, Physical, and Developmental Assessment of the Child and
Family
54 Chapter 05:
Pain Assessment and Management in Children 76
Chapter 06: Childhood Communicable and Infectious Diseases 94
Chapter 07: Health Promotion of the Newborn and Family 114
Chapter 08: Health Problems of the Newborn 132
Chapter 09: The High-Risk Newborn and Family Chapter 148
10: Health Promotion of the Infant and Family Chapter 173
11: Health Problems of the Infant 194
Chapter 12: Health Promotion of the Toddler and Family 215
Chapter 13: Health Promotion of the Preschooler and Family 236
Chapter 14: Health Problems of Early Childhood 254
Chapter 15: Health Promotion of the School-Age Child and Family 272
Chapter 16: Health Problems of the School-Age Child 292
Chapter 17: Health Promotion of the Adolescent and Family 311
Chapter 18: Health Problems of the Adolescent 327
Chapter 19: Family-Centered Care of the Child with Chronic Illness or Disability 355
Chapter 20: Family-Centered Palliative Care 377
Chapter 20: Impact of Cognitive or Sensory Impairment on the Child and Family 395
Chapter 21: Family-Centered Care of the Child During Illness and Hospitalization 416
Chapter 22: Pediatric Nursing Interventions and Skills 436
Chapter 23: The Child with Fluid and Electrolyte Imbalance 460
Chapter 24: The Child with Renal Dysfunction 489
Chapter 25: The Child with Gastrointestinal Dysfunction 518
Chapter 26: The Child with Respiratory Dysfunction 549
Chapter 27: The Child with Cardiovascular Dysfunction 582
Chapter 28: The Child with Hematologic or Immunologic Dysfunction 613
,Chapter 29: The Child with Cancer 643
Chapter 30: The Child with Cerebral Dysfunction Chapter 671
31: The Child with Endocrine Dysfunction Chapter 32: 702
The Child with Integumentary Dysfunction 730
Chapter 33: The Child with Musculoskeletal or Articular Dysfunction 749
Chapter 34: The Child with Neuromuscular or Muscular Dysfunction 778
Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries.
Compared with other countries that have a population of at least 25 million, the nurse makes which
determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among nations with
a population of at least 25 million. The United States has the highest infant death rate of developed nations.
DIF: Cognitive Level: Remembering
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant
death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight,
,which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which
account for 6.1% of deaths in infants younger than 1 year of age.
DIF: Cognitive Level: Remembering
MSC: Client Needs: Health Promotion and Maintenance
3. What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The
leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart
disease cause a significantly lower percentage of deaths in children older than 1 year of age.
DIF: Cognitive Level: Understanding
MSC: Client Needs: Health Promotion and Maintenance
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for
10.9% of the deaths in this age group.
DIF: Cognitive Level: Remembering
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should
the nurse include in the session with regard to deaths caused by injuries?
a. More deaths occur in males.
, b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups.
ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly
among different ethnic groups, and the causes of unintentional deaths vary with age and gender.
DIF: Cognitive Level: Applying
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data
regarding disease within a geographic region, or in greater than expected numbers in a community, may be
extrapolated from analyzing the morbidity statistics.
DIF: Cognitive Level: Remembering
MSC: Client Needs: Health Promotion and Maintenance
7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third
leading cause of death?
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
