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 —
Family-Centered Care
Question Stem: A 6-year-old with newly diagnosed type 1
diabetes is admitted for teaching. The nurse observes the
parents arguing about responsibility for blood glucose checks.
Which nursing action best supports family-centered care?
A. Ask the parents to alternate checking glucose every other
day to share responsibility.
B. Provide structured teaching to both parents together,
assessing family roles and preferences.
C. Instruct the primary caregiver only and schedule a follow-up
appointment for the other parent.
D. Leave written instructions at bedside and allow the parents
time alone to decide.
Correct Answer: B
Rationales — Correct: B: Providing structured teaching to both
parents while assessing roles supports family-centered care,
respects family strengths, and improves shared decision-
making. (Wong’s concepts: partnership and family
,involvement).
Incorrect: A: Alternating checks without assessment may ignore
who is physically/emotionally able and could increase risk.
Incorrect: C: Teaching only the primary caregiver excludes
family participation and may impair continuity.
Incorrect: D: Written materials alone do not ensure
understanding or address family dynamics.
Teaching Point: Involve and assess family roles; teach
collaboratively.
Citation: Wong’s Nursing Care of Infants & Children, 12th ed.,
Ch. 1, “Perspectives of Pediatric Nursing — Family-Centered
Care.”
2.
Reference: Ch. 2, Section: Health Promotion — Anticipatory
Guidance
Question Stem: At a 15-month well-child visit, a toddler’s
caregiver asks about preventing dental caries. Which guidance
should the nurse prioritize?
A. Stop putting the child to bed with a bottle and begin daily
parental tooth-brushing.
B. Limit juice to 24 ounces per day and switch to whole milk at
bedtime.
C. Delay first dental visit until age 3 if no visible cavities are
present.
D. Offer fruit snacks instead of sugary cereals at breakfast.
,Correct Answer: A
Rationales — Correct: A: Eliminating bedtime bottles and
initiating parental brushing are highest-impact interventions to
prevent early childhood caries. This is core anticipatory
guidance.
Incorrect: B: Limiting juice is helpful but 24 oz is excessive;
switching to milk at bedtime is not advised.
Incorrect: C: First dental visit should occur by first tooth or by
12 months, so delaying misses early prevention.
Incorrect: D: Fruit snacks still have sugars and may be less
effective than emphasizing brushing and bottle practices.
Teaching Point: Stop bedtime bottles; parents should brush
toddler teeth twice daily.
Citation: Wong’s Nursing Care of Infants & Children, 12th ed.,
Ch. 2, “Health Promotion — Oral Health & Anticipatory
Guidance.”
3.
Reference: Ch. 3, Section: Development — Growth and
Developmental Screening
Question Stem: A 4-month-old infant demonstrates limited
head control and persistent fisting. The nurse’s best initial
action is to:
A. Reassure the parents that motor skills vary and schedule
routine follow-up in 3 months.
B. Administer the Denver II screening and refer for early
, intervention if delays confirmed.
C. Teach parents passive stretching exercises and advise vitamin
supplementation.
D. Order head CT to rule out intracranial pathology.
Correct Answer: B
Rationales — Correct: B: Use standardized developmental
screening (e.g., Denver-type screening) and refer early if delays
present — early intervention improves outcomes.
Incorrect: A: Waiting risks delayed referral and lost intervention
window.
Incorrect: C: Passive stretching alone is not an evidence-based
first step without assessment and referral.
Incorrect: D: CT is not first-line for developmental delay absent
red flags (e.g., regression, seizures).
Teaching Point: Screen early and refer promptly for
developmental delays.
Citation: Wong’s Nursing Care of Infants & Children, 12th ed.,
Ch. 3, “Development — Screening & Early Intervention.”
4.
Reference: Ch. 4, Section: Nutrition — Infant Feeding and
Failure to Thrive
Question Stem: A 9-month-old with slow weight gain receives
formula and complementary foods but demonstrates low
intake. The nurse should first:
A. Order caloric supplementation with high-calorie formula.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1.
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing —
Family-Centered Care
Question Stem: A 6-year-old with newly diagnosed type 1
diabetes is admitted for teaching. The nurse observes the
parents arguing about responsibility for blood glucose checks.
Which nursing action best supports family-centered care?
A. Ask the parents to alternate checking glucose every other
day to share responsibility.
B. Provide structured teaching to both parents together,
assessing family roles and preferences.
C. Instruct the primary caregiver only and schedule a follow-up
appointment for the other parent.
D. Leave written instructions at bedside and allow the parents
time alone to decide.
Correct Answer: B
Rationales — Correct: B: Providing structured teaching to both
parents while assessing roles supports family-centered care,
respects family strengths, and improves shared decision-
making. (Wong’s concepts: partnership and family
,involvement).
Incorrect: A: Alternating checks without assessment may ignore
who is physically/emotionally able and could increase risk.
Incorrect: C: Teaching only the primary caregiver excludes
family participation and may impair continuity.
Incorrect: D: Written materials alone do not ensure
understanding or address family dynamics.
Teaching Point: Involve and assess family roles; teach
collaboratively.
Citation: Wong’s Nursing Care of Infants & Children, 12th ed.,
Ch. 1, “Perspectives of Pediatric Nursing — Family-Centered
Care.”
2.
Reference: Ch. 2, Section: Health Promotion — Anticipatory
Guidance
Question Stem: At a 15-month well-child visit, a toddler’s
caregiver asks about preventing dental caries. Which guidance
should the nurse prioritize?
A. Stop putting the child to bed with a bottle and begin daily
parental tooth-brushing.
B. Limit juice to 24 ounces per day and switch to whole milk at
bedtime.
C. Delay first dental visit until age 3 if no visible cavities are
present.
D. Offer fruit snacks instead of sugary cereals at breakfast.
,Correct Answer: A
Rationales — Correct: A: Eliminating bedtime bottles and
initiating parental brushing are highest-impact interventions to
prevent early childhood caries. This is core anticipatory
guidance.
Incorrect: B: Limiting juice is helpful but 24 oz is excessive;
switching to milk at bedtime is not advised.
Incorrect: C: First dental visit should occur by first tooth or by
12 months, so delaying misses early prevention.
Incorrect: D: Fruit snacks still have sugars and may be less
effective than emphasizing brushing and bottle practices.
Teaching Point: Stop bedtime bottles; parents should brush
toddler teeth twice daily.
Citation: Wong’s Nursing Care of Infants & Children, 12th ed.,
Ch. 2, “Health Promotion — Oral Health & Anticipatory
Guidance.”
3.
Reference: Ch. 3, Section: Development — Growth and
Developmental Screening
Question Stem: A 4-month-old infant demonstrates limited
head control and persistent fisting. The nurse’s best initial
action is to:
A. Reassure the parents that motor skills vary and schedule
routine follow-up in 3 months.
B. Administer the Denver II screening and refer for early
, intervention if delays confirmed.
C. Teach parents passive stretching exercises and advise vitamin
supplementation.
D. Order head CT to rule out intracranial pathology.
Correct Answer: B
Rationales — Correct: B: Use standardized developmental
screening (e.g., Denver-type screening) and refer early if delays
present — early intervention improves outcomes.
Incorrect: A: Waiting risks delayed referral and lost intervention
window.
Incorrect: C: Passive stretching alone is not an evidence-based
first step without assessment and referral.
Incorrect: D: CT is not first-line for developmental delay absent
red flags (e.g., regression, seizures).
Teaching Point: Screen early and refer promptly for
developmental delays.
Citation: Wong’s Nursing Care of Infants & Children, 12th ed.,
Ch. 3, “Development — Screening & Early Intervention.”
4.
Reference: Ch. 4, Section: Nutrition — Infant Feeding and
Failure to Thrive
Question Stem: A 9-month-old with slow weight gain receives
formula and complementary foods but demonstrates low
intake. The nurse should first:
A. Order caloric supplementation with high-calorie formula.
