Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question stem: A 6-year-old arrives after a playground fall with
a small laceration. The child is anxious and keeps looking at the
parent. Which initial nursing approach best reflects atraumatic,
family-centered care?
A. Ask the parent to step out of the room so you can examine
the wound quickly.
B. Provide age-appropriate explanation to the child, allow
parent presence, and use distraction during cleaning.
C. Restrain the child and proceed with wound care to limit time
of distress.
D. Promise the child pain medication if they cooperate fully
during the procedure.
Correct answer: B
Rationale (correct): Allowing parent presence, using age-
appropriate explanations, and distraction are atraumatic
techniques that reduce distress and support family-centered
,care, improving cooperation and outcomes. (Ch.1 concepts of
family-centered and atraumatic care.)
Rationale (A): Excluding the parent is contrary to family-
centered care and may increase child anxiety.
Rationale (C): Restraint should be minimized; it is used only
when necessary and with appropriate explanation and consent.
Rationale (D): Offering medication as a contingent promise is
inappropriate and may be coercive; analgesia should be used
based on clinical need.
Teaching point: Use atraumatic, family-centered strategies
(parent presence, explanation, distraction).
Citation: Hockenberry, M. J. (2024). Ch. 1, Perspectives of
Pediatric Nursing. Wong’s Nursing Care of Infants and Children
(12th ed.). Elsevier.
2
Reference: Ch. 4, Section: Communication and Physical
Assessment of the Child and Family
Question stem: A 9-month-old infant presents for a well visit.
Which developmental cue from the parent should prompt the
nurse to assess for possible gross-motor delay?
A. Infant does not attempt to sit unsupported for more than a
few seconds.
B. Infant will not mimic simple sounds such as “ba” or “ma.”
C. Infant is not following objects visually across the midline.
D. Infant refuses solid foods offered at mealtime.
,Correct answer: A
Rationale (correct): By 9 months, infants typically sit steadily
unsupported; inability suggests gross-motor delay and warrants
further assessment. (Developmental milestones and
assessment principles, Ch.4.)
Rationale (B): Lack of early babbling is more related to
communication/language development than gross motor.
Rationale (C): Visual tracking across midline is expected earlier;
its absence is a vision/neurologic concern, not primarily gross
motor.
Rationale (D): Feeding refusal is a nutritional/behavioral
concern, not a gross-motor milestone.
Teaching point: Compare age-specific milestones to identify
developmental delays early.
Citation: Hockenberry, M. J. (2024). Ch. 4, Communication and
Physical Assessment of the Child and Family. Wong’s (12th ed.).
Elsevier.
3
Reference: Ch. 10, Section: Health Promotion of the Infant and
Family
Question stem: A 4-month-old infant is exclusively formula fed
and is being introduced to solid foods. The mother asks when to
begin iron-fortified cereal. Which nurse response is best?
A. “Start iron-fortified cereal now because formula lacks iron.”
, B. “Wait until about 6 months of age; begin with iron-fortified
cereal when showing readiness.”
C. “Only breastfed infants need iron supplements; formula
provides enough iron.”
D. “Introduce whole cow’s milk instead of cereal to provide
iron.”
Correct answer: B
Rationale (correct): Solid foods with iron (iron-fortified cereal)
are typically introduced around 6 months when the infant
shows readiness (sits with support, loss of tongue-thrust),
complementing iron stores. (Ch.10 guidance on infant nutrition
and timing.)
Rationale (A): Introducing solids at 4 months is earlier than
recommended and may increase aspiration/allergy risks.
Rationale (C): While formula contains iron, complementary
foods with iron are introduced when appropriate; the
statement misrepresents recommendations.
Rationale (D): Whole cow’s milk before 12 months is
contraindicated and is not an iron source; it can cause iron-
deficiency anemia.
Teaching point: Introduce iron-rich solids (≈6 months) when
developmental readiness is present.
Citation: Hockenberry, M. J. (2024). Ch. 10, Health Promotion of
the Infant and Family. Wong’s (12th ed.). Elsevier.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question stem: A 6-year-old arrives after a playground fall with
a small laceration. The child is anxious and keeps looking at the
parent. Which initial nursing approach best reflects atraumatic,
family-centered care?
A. Ask the parent to step out of the room so you can examine
the wound quickly.
B. Provide age-appropriate explanation to the child, allow
parent presence, and use distraction during cleaning.
C. Restrain the child and proceed with wound care to limit time
of distress.
D. Promise the child pain medication if they cooperate fully
during the procedure.
Correct answer: B
Rationale (correct): Allowing parent presence, using age-
appropriate explanations, and distraction are atraumatic
techniques that reduce distress and support family-centered
,care, improving cooperation and outcomes. (Ch.1 concepts of
family-centered and atraumatic care.)
Rationale (A): Excluding the parent is contrary to family-
centered care and may increase child anxiety.
Rationale (C): Restraint should be minimized; it is used only
when necessary and with appropriate explanation and consent.
Rationale (D): Offering medication as a contingent promise is
inappropriate and may be coercive; analgesia should be used
based on clinical need.
Teaching point: Use atraumatic, family-centered strategies
(parent presence, explanation, distraction).
Citation: Hockenberry, M. J. (2024). Ch. 1, Perspectives of
Pediatric Nursing. Wong’s Nursing Care of Infants and Children
(12th ed.). Elsevier.
2
Reference: Ch. 4, Section: Communication and Physical
Assessment of the Child and Family
Question stem: A 9-month-old infant presents for a well visit.
Which developmental cue from the parent should prompt the
nurse to assess for possible gross-motor delay?
A. Infant does not attempt to sit unsupported for more than a
few seconds.
B. Infant will not mimic simple sounds such as “ba” or “ma.”
C. Infant is not following objects visually across the midline.
D. Infant refuses solid foods offered at mealtime.
,Correct answer: A
Rationale (correct): By 9 months, infants typically sit steadily
unsupported; inability suggests gross-motor delay and warrants
further assessment. (Developmental milestones and
assessment principles, Ch.4.)
Rationale (B): Lack of early babbling is more related to
communication/language development than gross motor.
Rationale (C): Visual tracking across midline is expected earlier;
its absence is a vision/neurologic concern, not primarily gross
motor.
Rationale (D): Feeding refusal is a nutritional/behavioral
concern, not a gross-motor milestone.
Teaching point: Compare age-specific milestones to identify
developmental delays early.
Citation: Hockenberry, M. J. (2024). Ch. 4, Communication and
Physical Assessment of the Child and Family. Wong’s (12th ed.).
Elsevier.
3
Reference: Ch. 10, Section: Health Promotion of the Infant and
Family
Question stem: A 4-month-old infant is exclusively formula fed
and is being introduced to solid foods. The mother asks when to
begin iron-fortified cereal. Which nurse response is best?
A. “Start iron-fortified cereal now because formula lacks iron.”
, B. “Wait until about 6 months of age; begin with iron-fortified
cereal when showing readiness.”
C. “Only breastfed infants need iron supplements; formula
provides enough iron.”
D. “Introduce whole cow’s milk instead of cereal to provide
iron.”
Correct answer: B
Rationale (correct): Solid foods with iron (iron-fortified cereal)
are typically introduced around 6 months when the infant
shows readiness (sits with support, loss of tongue-thrust),
complementing iron stores. (Ch.10 guidance on infant nutrition
and timing.)
Rationale (A): Introducing solids at 4 months is earlier than
recommended and may increase aspiration/allergy risks.
Rationale (C): While formula contains iron, complementary
foods with iron are introduced when appropriate; the
statement misrepresents recommendations.
Rationale (D): Whole cow’s milk before 12 months is
contraindicated and is not an iron source; it can cause iron-
deficiency anemia.
Teaching point: Introduce iron-rich solids (≈6 months) when
developmental readiness is present.
Citation: Hockenberry, M. J. (2024). Ch. 10, Health Promotion of
the Infant and Family. Wong’s (12th ed.). Elsevier.
