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NSG 451 Exam 1 Questions and Verified Answers | Latest 2026/2027 Update | Grade A Study Guide

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This comprehensive NSG 451 Exam 1 study guide contains verified questions and answers covering pediatric nursing concepts, family-centered care, growth and development, developmental theories, health promotion, infant and child milestones, cultural competence, and pediatric nursing roles. It is designed to help students review essential exam content, strengthen understanding of key nursing principles, and prepare confidently for examinations. Based on a detailed question-and-answer format for efficient studying and revision.

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Exam 1: NSG 451| Questions and verified
Answers | 100out of 100 |Latest 2026/ 2027
Update (Grade A)


Historical perspectives of children?

-children were expendable; property, a means of income
-originated concept of family-centered care; parental involvement, support of families




How were children historically treated as?

-historically treated as small adults

-they aren't small adults




Why was there a high child mortality rate in the 1800s?

-long workdays, poverty, infectious disease, unsanitary conditions




Who initiated what in the 1900s?
-lilllian wald initiated public health nursing, educating mothers, hygiene




Health is a state of complete what?

-health is a state of complete physical, mental, and social well-being and not merely the absence
of disease

, Exam 1: NSG 451| Questions and verified
Answers | 100out of 100 |Latest 2026/ 2027
Update (Grade A)

What is the major goal of pediatric nursing?

-to improve the quality of healthcare for children and their families




What are the goals of healthy people 2020?

-increase quality and length of human life

-eliminate health disparities




What are health indicators from healthy people 2020?

-physical activity

-overweight and obesity

-tobacco use (vaping)

-substance abuse

-sexual behavior
-mental health

-injury and violence

-environmental quality
-immunizations

-access to health care




What are the causes of infant mortality?

, Exam 1: NSG 451| Questions and verified
Answers | 100out of 100 |Latest 2026/ 2027
Update (Grade A)
-primary cause: low birth weight < 2500 g, higher mortality rate

-congenital anomalies: cardiac defects

-sudden infant death syndrome (SIDS): back to sleep program

-unintentional injury: suffocation is the leading cause of death from injury for infants;
cosleeping, blankets in crib




What are risk factors for infant mortality?
-african-american race

-male gender

-short or long gestation

-maternal age (younger or older)

-maternal education

-males are at a disadvantage




What is the leading cause of death in children older than 1 year?

-unintentional injuries

-next MVA: unrestrained leading cause of accidental death

-followed by drownings, burns, firearms and poisonings




Definition of childhood morbidity?
-may denote acute illness, chronic disease, or disability

, Exam 1: NSG 451| Questions and verified
Answers | 100out of 100 |Latest 2026/ 2027
Update (Grade A)
-difficult to define and measure

-groups with increased morbidity: children who are homeless, poor, or chronically ill; foreign-
born adopted children; and children in daycare




What percentage of children live in poverty?

-17% of children live in families with incomes below the poverty level




Children who live in poverty have poorer what?

-have poorer health when compared to children from higher income families




Between 1970 and 2006 what proportion increased?

-the proportion of children living with a never-married parent increased from 7% to 42%




Children of single mothers are how many times more likely to be poor?

-5 times more likely




What does family centered care mean?

-family is whatever a person considers it to be
-traditional versus non-traditional families

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