PEDS Practice: Chapter 9
Health Supervision 2024
Exam Questions and
Correct Answers
Denning [Date] [Course title]
,The nurse is discussing measles, mumps, and rubella vaccination with a mother who is concerned about
using the combined vaccine for her 12-month-old. Which statements by the nurse will be most helpful
to the mother in accepting the vaccine? - Correct Answers: "The vaccine is shown to be effective and
safe and will reduce the number of injections your child will need."
The mother may not understand that combining the vaccines creates no safety or effectiveness
problems and reduces the number of injections her child must endure. The other statements are true
and offer some reassurance as to safety and efficacy but are not as helpful to the parent in
understanding how she can protect her child from unnecessary discomfort. pg 262
The nurse has just taken the blood pressure of a 13-year-old, and the percentile rank is 88%. Why would
the nurse categorize the child as prehypertensive? - Correct Answers: The teenager's blood pressure was
122/83.
A blood pressure greater than 120/80 is categorized as prehypertensive regardless of the percentile.
Preterm birth is a risk factor for hypertension and does not indicate prehypertension itself. A high-fat
diet and lack of exercise are risks for cardiovascular disease. Both require the nurse's attention to
promote health but are not factors in categorizing the adolescent as prehypertensive. pg 248
Curious parents ask what type of immunity is provided to their child through immunization with various
vaccines. What will be the nurse's answer? - Correct Answers: Artificially acquired active immunity
Artificially acquired active immunity develops through vaccine administration of an antigen that
stimulates the child's body to produce antibodies against that antigen (pathogen) and to remember the
antigen should it reappear. Natural immunity is produced through natural invasion of an antigen
(pathogen). Natural and artificial passive immunity involves providing antibodies to fight a pathogen
rather than expecting the child's body to produce them. This type of immunity has a short life. pg 249
The nurse will expect that which hearing test will be performed before the newborn is discharged
home? - Correct Answers: Auditory brainstem response
The auditory brainstem response (ABR) or the brainstem auditory-evoked response (BAER) is used for
newborns. It measures the infant's electroencephalographic response to sound. All of the other hearing
tests listed are used with older infants and children and are not appropriate for evaluating newborns. p
245
, Parents report that their neonate received intravenous antibiotics while in the newborn nursery. The
nurse recognizes this as a potential risk factor for which health problem? - Correct Answers: Hearing
impairment
The child's hearing is at risk. Determining which antibiotics were administered will be helpful in
evaluating the risk. Certain antibiotics are ototoxic. These require regular follow-up to check the child's
hearing ability. Having received antibiotics should not increase the risk for the other health problems. pg
243
The nurse is promoting the benefits of achieving a healthy weight to an overweight 12-year-old child
and her parents. Which approach is best? - Correct Answers: Ask what activities she enjoys such as
dance or sports
Asking what activities the child enjoys in order to promote exercise is best for several reasons. It
provides assessment of the child's activity preferences and whether the child is health-centered
(positive) or weight-centered (negative). It also offers variety. If one sport doesn't work, others might.
Emphasizing appropriate weight or dietary shortcomings can lead to eating disorders or body hatred.
Suggesting only softball limits the success of the healthy weight promotion. pg 264
The nurse is anticipating that health supervision for a 5-year-old child will be challenging. Which
indicator supports this concern? - Correct Answers: The home is in a high-crime neighborhood.
Neighborhoods with high crime, high poverty, and lack of resources may contribute to poor health care
and illness. If the aged grandparents have healthy lifestyles, they would be positive partners.
Developmentally appropriate chores and responsibilities could be positive signs of parental guidance.
The doting mother could make a strong health supervision partner. pg 238
The school nurse has completed an educational program about vaccines to a group of parents. Which
statement by a parent would indicate the need for further education? - Correct Answers: "My 7-year-old
will need to get a Hib booster at his next checkup."
Hib vaccine is not routinely given to children 5 years of age or older. Haemophilus influenzae type B is a
bacterium that causes several life-threatening illnesses in children younger than 5 years of age. These
infections include meningitis, epiglottitis, and septic arthritis. A booster vaccine is needed at 12 to 15
months. pg 260
Health Supervision 2024
Exam Questions and
Correct Answers
Denning [Date] [Course title]
,The nurse is discussing measles, mumps, and rubella vaccination with a mother who is concerned about
using the combined vaccine for her 12-month-old. Which statements by the nurse will be most helpful
to the mother in accepting the vaccine? - Correct Answers: "The vaccine is shown to be effective and
safe and will reduce the number of injections your child will need."
The mother may not understand that combining the vaccines creates no safety or effectiveness
problems and reduces the number of injections her child must endure. The other statements are true
and offer some reassurance as to safety and efficacy but are not as helpful to the parent in
understanding how she can protect her child from unnecessary discomfort. pg 262
The nurse has just taken the blood pressure of a 13-year-old, and the percentile rank is 88%. Why would
the nurse categorize the child as prehypertensive? - Correct Answers: The teenager's blood pressure was
122/83.
A blood pressure greater than 120/80 is categorized as prehypertensive regardless of the percentile.
Preterm birth is a risk factor for hypertension and does not indicate prehypertension itself. A high-fat
diet and lack of exercise are risks for cardiovascular disease. Both require the nurse's attention to
promote health but are not factors in categorizing the adolescent as prehypertensive. pg 248
Curious parents ask what type of immunity is provided to their child through immunization with various
vaccines. What will be the nurse's answer? - Correct Answers: Artificially acquired active immunity
Artificially acquired active immunity develops through vaccine administration of an antigen that
stimulates the child's body to produce antibodies against that antigen (pathogen) and to remember the
antigen should it reappear. Natural immunity is produced through natural invasion of an antigen
(pathogen). Natural and artificial passive immunity involves providing antibodies to fight a pathogen
rather than expecting the child's body to produce them. This type of immunity has a short life. pg 249
The nurse will expect that which hearing test will be performed before the newborn is discharged
home? - Correct Answers: Auditory brainstem response
The auditory brainstem response (ABR) or the brainstem auditory-evoked response (BAER) is used for
newborns. It measures the infant's electroencephalographic response to sound. All of the other hearing
tests listed are used with older infants and children and are not appropriate for evaluating newborns. p
245
, Parents report that their neonate received intravenous antibiotics while in the newborn nursery. The
nurse recognizes this as a potential risk factor for which health problem? - Correct Answers: Hearing
impairment
The child's hearing is at risk. Determining which antibiotics were administered will be helpful in
evaluating the risk. Certain antibiotics are ototoxic. These require regular follow-up to check the child's
hearing ability. Having received antibiotics should not increase the risk for the other health problems. pg
243
The nurse is promoting the benefits of achieving a healthy weight to an overweight 12-year-old child
and her parents. Which approach is best? - Correct Answers: Ask what activities she enjoys such as
dance or sports
Asking what activities the child enjoys in order to promote exercise is best for several reasons. It
provides assessment of the child's activity preferences and whether the child is health-centered
(positive) or weight-centered (negative). It also offers variety. If one sport doesn't work, others might.
Emphasizing appropriate weight or dietary shortcomings can lead to eating disorders or body hatred.
Suggesting only softball limits the success of the healthy weight promotion. pg 264
The nurse is anticipating that health supervision for a 5-year-old child will be challenging. Which
indicator supports this concern? - Correct Answers: The home is in a high-crime neighborhood.
Neighborhoods with high crime, high poverty, and lack of resources may contribute to poor health care
and illness. If the aged grandparents have healthy lifestyles, they would be positive partners.
Developmentally appropriate chores and responsibilities could be positive signs of parental guidance.
The doting mother could make a strong health supervision partner. pg 238
The school nurse has completed an educational program about vaccines to a group of parents. Which
statement by a parent would indicate the need for further education? - Correct Answers: "My 7-year-old
will need to get a Hib booster at his next checkup."
Hib vaccine is not routinely given to children 5 years of age or older. Haemophilus influenzae type B is a
bacterium that causes several life-threatening illnesses in children younger than 5 years of age. These
infections include meningitis, epiglottitis, and septic arthritis. A booster vaccine is needed at 12 to 15
months. pg 260
