Wong’s Nursing Care of Infants and Children
11th Edition by Marilyn J. Hockenberry,
Chapters 1 - 34 | All Chapters
,
,Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. 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
ANSWER: 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
2. 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.
ANSWER: 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
3. 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.
ANSWER: 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
4. 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
ANSWER: A
Congenital fanomalies faccount ffor f20.1% fof fdeaths fin finfants fyounger fthan f1 fyear fcompared fwith fsudden
finfant fdeath f syndrome, f which f accounts f for f 8.2%; f disorders f related f to f short f gestation f and
f unspecified f low f birth fweight, f which f account f for f 16.5%; f and f maternal f complications f such f as
f infections f specific f to f the f perinatal fperiod, f which f account f for f 6.1% f of f deaths f in f infants f younger
f than f 1 f year f of f age.
DIF: f Cognitive f Level: f Remembering
MSC: fClient fNeeds: fHealth fPromotion f and f Maintenance
5. In faddition fto f injuries, fwhat fare fthe f leading fcauses f of fdeath fin fadolescents fages f 15 f to f19 f years?
a. Suicide fand f cancer
b. Suicide f and f homicide
c. Drowning f and f cancer
d. Homicide fand fheart
fdisease fANSWER: fB
Suicide fand fhomicide faccount ffor f16.7% fof fdeaths fin fthis fage fgroup. fSuicide fand fcancer faccount ffor
f10.9% fof fdeaths, fheart fdisease fand fcancer faccount ffor fapproximately f5.5%, fand fhomicide fand fheart
fdisease faccount ffor f10.9% fof fthe fdeaths fin fthis fage fgroup.