,CHAPTER 1 Introduction to Child Health and Pediatric Nursing ln ln ln ln ln ln ln ln ln
MULTIPLE CHOICE ln
1. A nurse is planning a teaching session for parents of preschool children. Whic
ln ln ln ln ln ln ln ln ln ln ln ln
hstatement explains why the nurse should include information about morbidity a
ln ln ln ln ln ln ln ln ln ln ln
ndmortality?
ln
a. Life-span statistics are included in the data. ln ln ln ln ln ln
b. It explains effectiveness of treatment.
ln ln ln ln
c. Cost-effective treatment is detailed for the general population. ln ln ln ln ln ln ln
d. High-
risk age groups for certain disorders or hazards are identified.ANS: D
ln ln ln ln ln ln ln ln ln ln ln
Analysis of morbidity and mortality data provides the parents with information about wh
ln ln ln ln ln ln ln ln ln ln ln ln
ich groups of individuals are at risk for which health problems. Life-
ln ln ln ln ln ln ln ln ln ln ln
span statistics is apart of the mortality data. Treatment modalities and cost are not includ
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ed in morbidity and mortality data.
ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Apply REF: 6-
ln ln ln ln ln ln ln
8 TOP: Integrated Process: Nursing Process: Planni
ln ln ln ln ln ln
ng
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
2. A clinic nurse is planning a teaching session about childhood obesity prevention for p
ln ln ln ln ln ln ln ln ln ln ln ln ln
arents of school- ln ln
age children. The nurse should include which associated risk of obesityin the teaching pl
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
an?
a. Type I diabetes ln ln
b. Respiratory disease ln
c. Celiac disease ln
d. Type II diabetes ln ln ln
ANS: D ln
Childhood obesity has been associated with the rise of type II diabetes in children. Type I
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
diabetes is not associated with obesity and has a genetic component. Respiratory disease
ln ln ln ln ln ln ln ln ln ln ln ln ln
is not associated with obesity, and celiac disease is the inability to metabolize gluten in f
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
oods and is not associated with obesity.
ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Apply REF: 3
ln ln ln ln ln ln ln
TOP: Integrated Process: Nursing Process: Planning
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
3. Which is the leading cause of death in infants younger than 1 year?
ln ln ln ln ln ln ln ln ln ln ln ln
a. Congenital anomalies ln
b. Sudden infant death syndrome ln ln ln
c. Respiratory distress syndrome ln ln
d. Bacterial sepsis of the newbor ln ln ln ln
nANS: A
ln ln
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinat
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
al period account for 2.7% of deaths in this age group.
ln ln ln ln ln ln ln ln ln ln
,PTS: 1 DIF: Cognitive Level: Remember REF: 7 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Assessment
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
4. Which leading cause of death topic should the nurse emphasize to a group of African-
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
American boys ranging in ages 15 to 19 years?
ln ln ln ln ln ln ln ln ln
a. Suicide
b. Cancer
c. Firearm homicide ln
d. Occupational injuries ln ln
ANS: C ln
Firearm homicide is the second overall cause of death in this age group and the leading c
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ause of death in African-American males. Suicide is the third-
ln ln ln ln ln ln ln ln ln
leading cause of death in this population. Cancer, although a major health problem, is the
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
fourth-
ln
leading cause of death in this age group. Occupational injuries do not contribute to a signi
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ficant death ratefor this age group.
ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8T
ln ln ln ln ln ln ln ln ln ln
OP: Integrated Process: Nursing Process: Planning
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
5. Which is the major cause of death for children older than 1 year?
ln ln ln ln ln ln ln ln ln ln ln ln
a. Cancer
b. Heart disease ln
c. Unintentional injuries ln
d. Congenital anomalies ln ln
ANS: C ln
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
adolescence. Congenital anomalies are the leading cause of death in those younger than
ln ln ln ln ln ln ln ln ln ln ln ln ln
1year. Cancer ranks either second or fourth, depending on the age group, and heart disea
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
seranks fifth in the majority of the age groups.
ln ln ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Remember REF: 8 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Planning
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
6. Which is the leading cause of death from unintentional injuries for females ranging i
ln ln ln ln ln ln ln ln ln ln ln ln ln
nage from 1 to 14?
ln ln ln ln ln
a. Mechanical suffocation ln
b. Drowning
c. Motorvehicle-related fatalities ln
d. Fire- and burn- ln ln
related fatalitiesANS: C ln ln ln
Motorvehicle-
related fatalities are the leading cause of death for females ranging in agefrom 1 to 14,
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
either as passengers or as pedestrians. Mechanical suffocation is fourth orfifth, dependi
ln ln ln ln ln ln ln ln ln ln ln ln
ng on the age. Drowning is the second- or third-
ln ln ln ln ln ln ln ln ln
leading cause of death, depending on the age. Fire- and burn-
ln ln ln ln ln ln ln ln ln ln
related fatalities are the second-leading cause of death.
ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Remember REF: 4 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Assessment
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
, 7. Which factor most impacts the type of injury a child is susceptible to, according to th
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
echilds age?
ln ln
a. Physical health of the child ln ln ln ln
b. Developmental level of the child ln ln ln ln
c. Educational level of the child ln ln ln ln
d. Number of responsible adults in the hom ln ln ln ln ln ln
eANS: B
ln ln
The childs developmental stage determines the type of injury that is likely to occur. The
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
childs physical health may facilitate the childs recovery from an injury but does not impa
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ct the type of injury. Educational level is related to developmental level, but it is not as i
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
mportant as the childs developmental level in determining the type of injury. The number
ln ln ln ln ln ln ln ln ln ln ln ln ln
of responsible adults in the home may affect the number of unintentional injuries,but the
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
type of injury is related to the childs developmental stage.
ln ln ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Understand REF: 3-
ln ln ln ln ln ln ln
4TOP: Integrated Process: Nursing Process: Planning
ln ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
8. Which is now referred to as the new morbidity? ln ln ln ln ln ln ln ln
a. Limitations in the major activities of daily living ln ln ln ln ln ln ln
b. Unintentional injuries that cause chronic health problems ln ln ln ln ln ln
c. Discoveries of new therapies to treat health problems ln ln ln ln ln ln ln
d. Behavioral, social, and educational problems that alter healt ln ln ln ln ln ln ln
hANS: D ln ln
The new morbidity reflects the behavioral, social, and educational problems that interfere
ln ln ln ln ln ln ln ln ln ln ln ln
with the childs social and academic development. It is currently estimated that the incide
ln ln ln ln ln ln ln ln ln ln ln ln ln
nce of these issues is from 5% to 30%. Limitations in major activities of daily living and
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln l
nunintentional injuries that result in chronic health problems are included in morbidity da
ln ln ln ln ln ln ln ln ln ln ln ln
ta. Discovery of new therapies would be reflected in changes in morbidity data over time
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
.
PTS: 1 DIF: Cognitive Level: Remember REF: 3 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Assessment
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
9. A nurse on a pediatric unit is practicing family-
ln ln ln ln ln ln ln ln
centered care. Which is mostdescriptive of the care the nurse is delivering?
ln ln ln ln ln ln ln ln ln ln ln ln
a. Taking over total care of the child to reduce stress on the family
ln ln ln ln ln ln ln ln ln ln ln ln
b. Encouraging family dependence on health care systems ln ln ln ln ln ln
c. Recognizing that the family is the constant in a childs life ln ln ln ln ln ln ln ln ln ln
d. Excluding families from the decision- ln ln ln ln
making processANS: C ln ln ln
The three key components of family-
ln ln ln ln ln
centered care are respect, collaboration, and support.Family-
ln ln ln ln ln ln ln
centered care recognizes the family as the constant in the childs life. Taking over total ca
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
re does not include the family in the process and may increase stress instead of reducing
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
stress. The family should be enabled and empowered to work with the health care system
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
. The family is expected to be part of the decision-making process.
ln ln ln ln ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Remember REF: 8
ln ln ln ln ln ln ln
TOP: Integrated Process: Nursing Process: Implementation MS
ln ln ln ln ln ln
C: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
MULTIPLE CHOICE ln
1. A nurse is planning a teaching session for parents of preschool children. Whic
ln ln ln ln ln ln ln ln ln ln ln ln
hstatement explains why the nurse should include information about morbidity a
ln ln ln ln ln ln ln ln ln ln ln
ndmortality?
ln
a. Life-span statistics are included in the data. ln ln ln ln ln ln
b. It explains effectiveness of treatment.
ln ln ln ln
c. Cost-effective treatment is detailed for the general population. ln ln ln ln ln ln ln
d. High-
risk age groups for certain disorders or hazards are identified.ANS: D
ln ln ln ln ln ln ln ln ln ln ln
Analysis of morbidity and mortality data provides the parents with information about wh
ln ln ln ln ln ln ln ln ln ln ln ln
ich groups of individuals are at risk for which health problems. Life-
ln ln ln ln ln ln ln ln ln ln ln
span statistics is apart of the mortality data. Treatment modalities and cost are not includ
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ed in morbidity and mortality data.
ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Apply REF: 6-
ln ln ln ln ln ln ln
8 TOP: Integrated Process: Nursing Process: Planni
ln ln ln ln ln ln
ng
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
2. A clinic nurse is planning a teaching session about childhood obesity prevention for p
ln ln ln ln ln ln ln ln ln ln ln ln ln
arents of school- ln ln
age children. The nurse should include which associated risk of obesityin the teaching pl
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
an?
a. Type I diabetes ln ln
b. Respiratory disease ln
c. Celiac disease ln
d. Type II diabetes ln ln ln
ANS: D ln
Childhood obesity has been associated with the rise of type II diabetes in children. Type I
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
diabetes is not associated with obesity and has a genetic component. Respiratory disease
ln ln ln ln ln ln ln ln ln ln ln ln ln
is not associated with obesity, and celiac disease is the inability to metabolize gluten in f
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
oods and is not associated with obesity.
ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Apply REF: 3
ln ln ln ln ln ln ln
TOP: Integrated Process: Nursing Process: Planning
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
3. Which is the leading cause of death in infants younger than 1 year?
ln ln ln ln ln ln ln ln ln ln ln ln
a. Congenital anomalies ln
b. Sudden infant death syndrome ln ln ln
c. Respiratory distress syndrome ln ln
d. Bacterial sepsis of the newbor ln ln ln ln
nANS: A
ln ln
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinat
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
al period account for 2.7% of deaths in this age group.
ln ln ln ln ln ln ln ln ln ln
,PTS: 1 DIF: Cognitive Level: Remember REF: 7 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Assessment
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
4. Which leading cause of death topic should the nurse emphasize to a group of African-
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
American boys ranging in ages 15 to 19 years?
ln ln ln ln ln ln ln ln ln
a. Suicide
b. Cancer
c. Firearm homicide ln
d. Occupational injuries ln ln
ANS: C ln
Firearm homicide is the second overall cause of death in this age group and the leading c
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ause of death in African-American males. Suicide is the third-
ln ln ln ln ln ln ln ln ln
leading cause of death in this population. Cancer, although a major health problem, is the
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
fourth-
ln
leading cause of death in this age group. Occupational injuries do not contribute to a signi
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ficant death ratefor this age group.
ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8T
ln ln ln ln ln ln ln ln ln ln
OP: Integrated Process: Nursing Process: Planning
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
5. Which is the major cause of death for children older than 1 year?
ln ln ln ln ln ln ln ln ln ln ln ln
a. Cancer
b. Heart disease ln
c. Unintentional injuries ln
d. Congenital anomalies ln ln
ANS: C ln
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
adolescence. Congenital anomalies are the leading cause of death in those younger than
ln ln ln ln ln ln ln ln ln ln ln ln ln
1year. Cancer ranks either second or fourth, depending on the age group, and heart disea
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
seranks fifth in the majority of the age groups.
ln ln ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Remember REF: 8 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Planning
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
6. Which is the leading cause of death from unintentional injuries for females ranging i
ln ln ln ln ln ln ln ln ln ln ln ln ln
nage from 1 to 14?
ln ln ln ln ln
a. Mechanical suffocation ln
b. Drowning
c. Motorvehicle-related fatalities ln
d. Fire- and burn- ln ln
related fatalitiesANS: C ln ln ln
Motorvehicle-
related fatalities are the leading cause of death for females ranging in agefrom 1 to 14,
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
either as passengers or as pedestrians. Mechanical suffocation is fourth orfifth, dependi
ln ln ln ln ln ln ln ln ln ln ln ln
ng on the age. Drowning is the second- or third-
ln ln ln ln ln ln ln ln ln
leading cause of death, depending on the age. Fire- and burn-
ln ln ln ln ln ln ln ln ln ln
related fatalities are the second-leading cause of death.
ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Remember REF: 4 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Assessment
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
, 7. Which factor most impacts the type of injury a child is susceptible to, according to th
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
echilds age?
ln ln
a. Physical health of the child ln ln ln ln
b. Developmental level of the child ln ln ln ln
c. Educational level of the child ln ln ln ln
d. Number of responsible adults in the hom ln ln ln ln ln ln
eANS: B
ln ln
The childs developmental stage determines the type of injury that is likely to occur. The
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
childs physical health may facilitate the childs recovery from an injury but does not impa
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
ct the type of injury. Educational level is related to developmental level, but it is not as i
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
mportant as the childs developmental level in determining the type of injury. The number
ln ln ln ln ln ln ln ln ln ln ln ln ln
of responsible adults in the home may affect the number of unintentional injuries,but the
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
type of injury is related to the childs developmental stage.
ln ln ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Understand REF: 3-
ln ln ln ln ln ln ln
4TOP: Integrated Process: Nursing Process: Planning
ln ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
8. Which is now referred to as the new morbidity? ln ln ln ln ln ln ln ln
a. Limitations in the major activities of daily living ln ln ln ln ln ln ln
b. Unintentional injuries that cause chronic health problems ln ln ln ln ln ln
c. Discoveries of new therapies to treat health problems ln ln ln ln ln ln ln
d. Behavioral, social, and educational problems that alter healt ln ln ln ln ln ln ln
hANS: D ln ln
The new morbidity reflects the behavioral, social, and educational problems that interfere
ln ln ln ln ln ln ln ln ln ln ln ln
with the childs social and academic development. It is currently estimated that the incide
ln ln ln ln ln ln ln ln ln ln ln ln ln
nce of these issues is from 5% to 30%. Limitations in major activities of daily living and
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln l
nunintentional injuries that result in chronic health problems are included in morbidity da
ln ln ln ln ln ln ln ln ln ln ln ln
ta. Discovery of new therapies would be reflected in changes in morbidity data over time
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
.
PTS: 1 DIF: Cognitive Level: Remember REF: 3 TO
ln ln ln ln ln ln ln ln
P: Integrated Process: Nursing Process: Assessment
ln ln ln ln ln
MSC: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
9. A nurse on a pediatric unit is practicing family-
ln ln ln ln ln ln ln ln
centered care. Which is mostdescriptive of the care the nurse is delivering?
ln ln ln ln ln ln ln ln ln ln ln ln
a. Taking over total care of the child to reduce stress on the family
ln ln ln ln ln ln ln ln ln ln ln ln
b. Encouraging family dependence on health care systems ln ln ln ln ln ln
c. Recognizing that the family is the constant in a childs life ln ln ln ln ln ln ln ln ln ln
d. Excluding families from the decision- ln ln ln ln
making processANS: C ln ln ln
The three key components of family-
ln ln ln ln ln
centered care are respect, collaboration, and support.Family-
ln ln ln ln ln ln ln
centered care recognizes the family as the constant in the childs life. Taking over total ca
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
re does not include the family in the process and may increase stress instead of reducing
ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln ln
stress. The family should be enabled and empowered to work with the health care system
ln ln ln ln ln ln ln ln ln ln ln ln ln ln
. The family is expected to be part of the decision-making process.
ln ln ln ln ln ln ln ln ln ln ln
PTS: 1 DIF: Cognitive Level: Remember REF: 8
ln ln ln ln ln ln ln
TOP: Integrated Process: Nursing Process: Implementation MS
ln ln ln ln ln ln
C: Area of Client Needs: Health Promotion and Maintenance
ln ln ln ln ln ln ln ln
