Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Care for Children
Key Concept: Leading causes of childhood death and
nursing priorities.
Question Stem: A 7-year-old is being discharged after a minor
fracture. Which discharge teaching point most directly
addresses the leading cause of death in children ages 5–14?
A. Reinforce hand hygiene and vaccines.
B. Provide car-seat and booster seat safety education.
C. Counsel on sugary drink reduction.
D. Review toothbrushing and dental follow-up.
Correct Answer: B
Rationales:
Correct: Car-seat/booster seat safety prevents motor vehicle
injuries — a top cause of death in school-age children and a
priority in anticipatory guidance (Wong, Ch. 1: Health
Promotion). Reinforces injury prevention. CDC+1
A (wrong): Hand hygiene/vaccines prevent infection but are less
directly linked to unintentional injury mortality.
C (wrong): Dietary counseling addresses obesity but not the
immediate leading cause of death for this age.
D (wrong): Oral health is important but not the primary
mortality risk here.
,Teaching Point: Injury prevention (car-seats/booster seats) is
key for school-age safety.
2. Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Promotion / Healthy People 2030
Key Concept: Use of national health objectives to guide
pediatric interventions.
Question Stem: When creating a clinic program to improve
child health, which resource best helps prioritize measurable
pediatric health targets?
A. Local school PTA requests.
B. Healthy People 2030 Leading Health Indicators.
C. Manufacturer wellness ads.
D. Parent anecdotal concerns.
Correct Answer: B
Rationales:
Correct: Healthy People 2030 LHIs provide prioritized,
measurable public health objectives to guide child health
promotion programs (Wong, Ch. 1; Healthy People 2030).
Health.gov+1
A (wrong): PTA input is valuable but not a national evidence-
based framework.
C (wrong): Manufacturer ads are not evidence-based health
targets.
,D (wrong): Anecdotes inform planning but lack population-level
measurability.
Teaching Point: Use Healthy People 2030 metrics for evidence-
based program planning.
3. Chapter 1 – Perspectives of Pediatric Nursing
Section: Development
Key Concept: Developmental surveillance vs standardized
screening.
Question Stem: At a 15-month well visit, which action best
represents developmental screening (not just surveillance)?
A. Asking parents if the child is meeting milestones.
B. Observing play and documenting skills.
C. Administering a validated screening tool (e.g., M-CHAT or
ASQ).
D. Comparing the child to siblings.
Correct Answer: C
Rationales:
Correct: Using validated screening tools provides standardized
data to detect developmental concerns early (Wong, Ch. 1:
Development). Evolve
A (wrong): Parent report is surveillance but not formal
screening.
B (wrong): Observation is useful but lacks standardization vs
tools.
, D (wrong): Comparing to siblings is unreliable for screening
decisions.
Teaching Point: Use validated developmental screening tools at
recommended ages.
4. Chapter 1 – Perspectives of Pediatric Nursing
Section: Nutrition
Key Concept: Age-appropriate feeding to prevent iron
deficiency.
Question Stem: A 9-month-old is still exclusively formula-fed.
Which nursing instruction most reduces iron-deficiency risk?
A. Continue formula only until 12 months.
B. Begin iron-fortified cereals and pureed meats now.
C. Offer only fruit juice for calories.
D. Give cow’s milk as primary drink.
Correct Answer: B
Rationales:
Correct: Introducing iron-rich complementary foods (iron-
fortified cereals, meats) at about 6–9 months helps prevent iron
deficiency (Wong, Ch. 1: Nutrition). Evolve
A (wrong): Formula alone may not provide adequate iron if not
iron-fortified; timing and introduction of solids matter.
C (wrong): Fruit juice offers sugars and can decrease iron
absorption.
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Care for Children
Key Concept: Leading causes of childhood death and
nursing priorities.
Question Stem: A 7-year-old is being discharged after a minor
fracture. Which discharge teaching point most directly
addresses the leading cause of death in children ages 5–14?
A. Reinforce hand hygiene and vaccines.
B. Provide car-seat and booster seat safety education.
C. Counsel on sugary drink reduction.
D. Review toothbrushing and dental follow-up.
Correct Answer: B
Rationales:
Correct: Car-seat/booster seat safety prevents motor vehicle
injuries — a top cause of death in school-age children and a
priority in anticipatory guidance (Wong, Ch. 1: Health
Promotion). Reinforces injury prevention. CDC+1
A (wrong): Hand hygiene/vaccines prevent infection but are less
directly linked to unintentional injury mortality.
C (wrong): Dietary counseling addresses obesity but not the
immediate leading cause of death for this age.
D (wrong): Oral health is important but not the primary
mortality risk here.
,Teaching Point: Injury prevention (car-seats/booster seats) is
key for school-age safety.
2. Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Promotion / Healthy People 2030
Key Concept: Use of national health objectives to guide
pediatric interventions.
Question Stem: When creating a clinic program to improve
child health, which resource best helps prioritize measurable
pediatric health targets?
A. Local school PTA requests.
B. Healthy People 2030 Leading Health Indicators.
C. Manufacturer wellness ads.
D. Parent anecdotal concerns.
Correct Answer: B
Rationales:
Correct: Healthy People 2030 LHIs provide prioritized,
measurable public health objectives to guide child health
promotion programs (Wong, Ch. 1; Healthy People 2030).
Health.gov+1
A (wrong): PTA input is valuable but not a national evidence-
based framework.
C (wrong): Manufacturer ads are not evidence-based health
targets.
,D (wrong): Anecdotes inform planning but lack population-level
measurability.
Teaching Point: Use Healthy People 2030 metrics for evidence-
based program planning.
3. Chapter 1 – Perspectives of Pediatric Nursing
Section: Development
Key Concept: Developmental surveillance vs standardized
screening.
Question Stem: At a 15-month well visit, which action best
represents developmental screening (not just surveillance)?
A. Asking parents if the child is meeting milestones.
B. Observing play and documenting skills.
C. Administering a validated screening tool (e.g., M-CHAT or
ASQ).
D. Comparing the child to siblings.
Correct Answer: C
Rationales:
Correct: Using validated screening tools provides standardized
data to detect developmental concerns early (Wong, Ch. 1:
Development). Evolve
A (wrong): Parent report is surveillance but not formal
screening.
B (wrong): Observation is useful but lacks standardization vs
tools.
, D (wrong): Comparing to siblings is unreliable for screening
decisions.
Teaching Point: Use validated developmental screening tools at
recommended ages.
4. Chapter 1 – Perspectives of Pediatric Nursing
Section: Nutrition
Key Concept: Age-appropriate feeding to prevent iron
deficiency.
Question Stem: A 9-month-old is still exclusively formula-fed.
Which nursing instruction most reduces iron-deficiency risk?
A. Continue formula only until 12 months.
B. Begin iron-fortified cereals and pureed meats now.
C. Offer only fruit juice for calories.
D. Give cow’s milk as primary drink.
Correct Answer: B
Rationales:
Correct: Introducing iron-rich complementary foods (iron-
fortified cereals, meats) at about 6–9 months helps prevent iron
deficiency (Wong, Ch. 1: Nutrition). Evolve
A (wrong): Formula alone may not provide adequate iron if not
iron-fortified; timing and introduction of solids matter.
C (wrong): Fruit juice offers sugars and can decrease iron
absorption.
