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11th Edition, Marilyn Hockenberry, Cheryl Rodgers
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ff 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 Edition
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MULTIPLE CHOICE ff
1. A nurse is planning a teaching session for parents of preschool children. Which statement
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ex-plains why the nurse should include information about morbidity and mortality?
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a. Life span statistics are included in the ff ff ff ff ff ff
data. ff
b. It explains effectiveness of treatment. ff ff ff ff
c. Cost-effective treatment is detailed for the ff ff ff ff ff
general population. ff
d. High-risk age groups for certain disorders ff ff ff ff ff
or ff
hazards are identified. ff ff
ANSWER: D ff
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. ff ff f f
11TOP: Integrated Process: Nursing Process:
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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 ff ff
b. Respiratory disease ff
c. Celiac disease ff
d. Type II diabetes ff ff
ANSWER: D ff
Childhood obesity has been associated with the rise of type II diabetes in children. Type I dia-
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betes is not associated with obesity and has a genetic component. Respiratory disease is not
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asso-ciated with obesity, and celiac disease is the inability to metabolize gluten in foods and is
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not as-sociated with obesity.
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DIF: Cognitive Level: Apply REF: p. ff ff ff
2TOP: Integrated Process: Nursing Process:
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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 ff
b. Sudden infant death syndrome ff ff ff
c. Respiratory distress syndrome ff ff
d. Bacterial sepsis of the newborn ff ff ff ff
ANSWER: A ff
, Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
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infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
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syndrome ac-counts for 3.4% of deaths in this age group. Infections specific to the perinatal
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period account for2.7% of deaths in this age group.
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DIF: Cognitive Level: Remember REF: p. 6 ff ff ff ff
TOP: Integrated Process: Nursing Process:
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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 of African-
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Americanboys ranging in age from 15 to 19 years? f ff ff ff ff ff ff ff ff
a. Suicide
b. Cancer
c. Firearm homicide ff
d. Occupational injuries ff
ANSWER: C ff
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
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population. Cancer, although a major health problem, is the fourth-leading cause of death in
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this age group. Occupational injuries do not contribute to a significant death rate for this age
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group.
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DIF: Cognitive Level: Understand REF: p. ff ff ff
7TOP: Integrated Process: Nursing Process:
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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 ff
c. Unintentional injuries ff
d. Congenital anomalies ff
ANSWER: C ff
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adoles-cence. Congenital anomalies are the leading cause of death in those younger than 1
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year. Cancerranks either second or fourth, depending on the age group, and heart disease
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ranks fifth in the majority of the age groups.
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DIF: Cognitive Level: Remember REF: p. ff ff ff
7TOP: Integrated Process: Nursing Process:
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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
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ff from 1to 14? ff f ff
a. Mechanical suffocation ff
b. Drowning
c. Motor vehicle–related fatalities ff ff
d. Fire- and burn-related fatalities ff ff ff