Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 — Section: Health Care for Children
Key concept: Family-centered care and care coordination.
Question Stem
A 6-year-old with newly diagnosed asthma is discharged home.
The most important nursing action to support family-centered
care is: (choose one).
Options
A. Provide the family with a printed asthma action plan and
teach symptom recognition.
B. Schedule an appointment with a pulmonology specialist only.
C. Instruct the parents to call if symptoms worsen without
providing written instructions.
D. Focus teaching only on the child so the family learns through
observation.
Correct Answer
A
Rationales
Correct: Providing a written asthma action plan and teaching
symptom recognition empowers the family, improves self-
management, and reduces readmissions (Wong, Chapter 1 —
Health Care for Children; Family-Centered Care).
A: Evidence shows written action plans + teaching improve
outcomes.
,B: Specialist referral may be appropriate but alone does not
ensure daily management.
C: Passive instruction without clear plan risks delayed care and
safety issues.
D: Excluding parents undermines family-centered care and safe
home management.
Teaching Point
Provide clear written action plans and family education to
support safe home care.
2. Chapter 1 — Section: Health Promotion
Key concept: Anticipatory guidance and immunization
counseling.
Question Stem
Parent asks whether to vaccinate a healthy 8-month-old against
seasonal respiratory viruses. Best nursing response:
Options
A. Discuss benefits and safety of recommended vaccinations
and coordinate with provider.
B. Advise waiting until toddlerhood when immune systems are
stronger.
C. Recommend herbal supplements instead of vaccines.
D. Tell the parent vaccines are unnecessary for healthy children.
Correct Answer
A
,Rationales
Correct: Nurses should provide evidence-based counseling
about recommended vaccines, benefits, and safety, then
coordinate vaccination with the provider (Wong, Chapter 1 —
Health Promotion). CDC
B: Delaying recommended vaccines increases risk of
preventable illness.
C: Herbal supplements lack evidence for preventing viral
diseases and are not substitutes for vaccines.
D: Saying vaccines are unnecessary is incorrect and unsafe.
Teaching Point
Use evidence-based vaccine counseling to support informed
parental decisions.
3. Chapter 1 — Section: Development
Key concept: Developmental screening and milestone
interpretation.
Question Stem
At 9 months, an infant does not pull to stand, has minimal
babbling, but reaches for objects. Priority nursing action:
Options
A. Refer for developmental evaluation and discuss early
intervention services.
B. Reassure parents that all infants develop at their own pace.
, C. Start iron supplementation immediately.
D. Advise waiting until 18 months to reassess.
Correct Answer
A
Rationales
Correct: Delays in gross motor and communication milestones
at 9 months warrant referral for developmental evaluation and
early intervention. Early therapy improves outcomes (Wong,
Chapter 1 — Development).
B: Minimizing parental concern may delay needed evaluation.
C: Iron supplementation is not indicated solely for
developmental delay without assessment.
D: Waiting risks missing critical early-intervention window.
Teaching Point
Refer suspected developmental delays early—timely
intervention improves long-term outcomes.
4. Chapter 1 — Section: Nutrition
Key concept: Benefits of exclusive breastfeeding and
counseling.
Question Stem
A mother plans to exclusively breastfeed her newborn. Which
nursing statement best supports successful breastfeeding?
Options
A. Encourage frequent skin-to-skin contact and feeding on
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 — Section: Health Care for Children
Key concept: Family-centered care and care coordination.
Question Stem
A 6-year-old with newly diagnosed asthma is discharged home.
The most important nursing action to support family-centered
care is: (choose one).
Options
A. Provide the family with a printed asthma action plan and
teach symptom recognition.
B. Schedule an appointment with a pulmonology specialist only.
C. Instruct the parents to call if symptoms worsen without
providing written instructions.
D. Focus teaching only on the child so the family learns through
observation.
Correct Answer
A
Rationales
Correct: Providing a written asthma action plan and teaching
symptom recognition empowers the family, improves self-
management, and reduces readmissions (Wong, Chapter 1 —
Health Care for Children; Family-Centered Care).
A: Evidence shows written action plans + teaching improve
outcomes.
,B: Specialist referral may be appropriate but alone does not
ensure daily management.
C: Passive instruction without clear plan risks delayed care and
safety issues.
D: Excluding parents undermines family-centered care and safe
home management.
Teaching Point
Provide clear written action plans and family education to
support safe home care.
2. Chapter 1 — Section: Health Promotion
Key concept: Anticipatory guidance and immunization
counseling.
Question Stem
Parent asks whether to vaccinate a healthy 8-month-old against
seasonal respiratory viruses. Best nursing response:
Options
A. Discuss benefits and safety of recommended vaccinations
and coordinate with provider.
B. Advise waiting until toddlerhood when immune systems are
stronger.
C. Recommend herbal supplements instead of vaccines.
D. Tell the parent vaccines are unnecessary for healthy children.
Correct Answer
A
,Rationales
Correct: Nurses should provide evidence-based counseling
about recommended vaccines, benefits, and safety, then
coordinate vaccination with the provider (Wong, Chapter 1 —
Health Promotion). CDC
B: Delaying recommended vaccines increases risk of
preventable illness.
C: Herbal supplements lack evidence for preventing viral
diseases and are not substitutes for vaccines.
D: Saying vaccines are unnecessary is incorrect and unsafe.
Teaching Point
Use evidence-based vaccine counseling to support informed
parental decisions.
3. Chapter 1 — Section: Development
Key concept: Developmental screening and milestone
interpretation.
Question Stem
At 9 months, an infant does not pull to stand, has minimal
babbling, but reaches for objects. Priority nursing action:
Options
A. Refer for developmental evaluation and discuss early
intervention services.
B. Reassure parents that all infants develop at their own pace.
, C. Start iron supplementation immediately.
D. Advise waiting until 18 months to reassess.
Correct Answer
A
Rationales
Correct: Delays in gross motor and communication milestones
at 9 months warrant referral for developmental evaluation and
early intervention. Early therapy improves outcomes (Wong,
Chapter 1 — Development).
B: Minimizing parental concern may delay needed evaluation.
C: Iron supplementation is not indicated solely for
developmental delay without assessment.
D: Waiting risks missing critical early-intervention window.
Teaching Point
Refer suspected developmental delays early—timely
intervention improves long-term outcomes.
4. Chapter 1 — Section: Nutrition
Key concept: Benefits of exclusive breastfeeding and
counseling.
Question Stem
A mother plans to exclusively breastfeed her newborn. Which
nursing statement best supports successful breastfeeding?
Options
A. Encourage frequent skin-to-skin contact and feeding on
