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11th Edition, Marilyn Hockenberry, Cheryl Rodgers
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Chapters 1 - 31
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,
,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Editiontt tt tt tt tt tt tt
MULTIPLE CHOICE tt
1. A nurse is planning a teaching session for parents of preschool children. Which statement ex-
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plains why the nurse should include information about morbidity and mortality?
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a. Life span statistics are included in the data. tt tt tt tt tt tt tt
b. It explains effectiveness of treatment. tt tt tt tt
c. Cost-effective treatment is detailed for the tt tt tt tt tt
general population. tt
d. High-risk age groups for certain disorders or tt tt tt tt tt tt
hazards are identified. tt tt
ANSWER: D tt
Analysis of morbidity and mortality data provides the parents with information about which
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groups of individuals are at risk for which health problems. Life span statistics is a part of the
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mortality data. Treatment modalities and cost are not included in morbidity and mortality data.
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DIF: Cognitive Level: Apply REF: p. tt t t t
11TOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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2. A clinic nurse is planning a teaching session about childhood obesity prevention for parents
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of school-age children. The nurse should include which associated risk of obesity in the
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teachingplan?
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a. Type I diabetes tt tt
b. Respiratory disease tt
c. Celiac disease tt
d. Type II diabetes tt tt
ANSWER: D tt
Childhood obesity has been associated with the rise of type II diabetes in children. Type I dia- betes
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is not associated with obesity and has a genetic component. Respiratory disease is not asso-ciated
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with obesity, and celiac disease is the inability to metabolize gluten in foods and is not as-sociated
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with obesity.
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DIF: Cognitive Level: Apply REF: p. tt t tt
2TOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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3. Which is the leading cause of death in infants younger than 1 year?
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a. Congenital anomalies tt
b. Sudden infant death syndrome tt tt tt
c. Respiratory distress syndrome tt tt
d. Bacterial sepsis of the newborn tt tt tt tt
ANSWER: A tt
, Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infant
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death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrome ac-
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counts for 3.4% of deaths in this age group. Infections specific to the perinatal period account
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for2.7% of deaths in this age group.
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DIF: Cognitive Level: Remember REF: p. 6 tt tt tt tt
TOP: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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4. Which leading cause of death topic should the nurse emphasize to a group ofAfrican-
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Americanboys ranging in age from 15 to 19 years? t tt tt tt tt tt tt tt tt
a. Suicide
b. Cancer
c. Firearm homicide tt
d. Occupational injuries tt
ANSWER: C tt
Firearm homicide is the second overall cause of death in this age group and the leading cause
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ofdeath in African-American males. Suicide is the third-leading cause of death in this population.
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Cancer, although a major health problem, is the fourth-leading cause of death in this age group.
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Occupational injuries do not contribute to a significant death rate for this age group.
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DIF: Cognitive Level: Understand REF: p. tt tt tt
7TOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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5. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease tt
c. Unintentional injuries tt
d. Congenital anomalies tt
ANSWER: C tt
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adoles-
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cence. Congenital anomalies are the leading cause of death in those younger than 1 year.
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Cancerranks either second or fourth, depending on the age group, and heart disease ranks fifth in
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the majority of the age groups.
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DIF: Cognitive Level: Remember REF: p. tt tt tt
7TOP: Integrated Process: Nursing Process: Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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6. Which is the leading cause of death from unintentional injuries for females ranging in age from 1to
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tt 14?
a. Mechanical suffocation tt
b. Drowning
c. Motor vehicle–related fatalities tt tt
d. Fire- and burn-related fatalities tt tt tt