Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Promotion — Immunizations
Key Concept: Routine childhood immunization
recommendations and nursing advocacy.
Question Stem: A 2-month-old infant is due for routine
immunizations. Which nursing action best promotes safe
vaccine administration? (≤65 words)
A. Administer all recommended vaccines intramuscularly in a
single visit without parental counseling.
B. Explain benefits and risks, obtain informed consent, and
administer recommended vaccines per schedule.
C. Delay all vaccines until 6 months to reduce adverse reaction
risk.
D. Give only the single most important vaccine to avoid multiple
injections.
Correct Answer: B
Rationales
Correct (B): Obtaining informed consent, explaining
benefits/risks, and administering vaccines per CDC schedule is
standard pediatric nursing practice to promote prevention and
safety (Wong, Ch. 1 — Health Promotion: Immunizations).
EvolveCDC
,Incorrect (A): Omitting counseling risks parental
misunderstanding and legal/ethical issues; counseling is
required.
Incorrect (C): Unnecessary delay increases infection risk; follow
recommended schedule.
Incorrect (D): Selective vaccination without indication leaves
the child unprotected against other vaccine-preventable
diseases.
Teaching Point: Always counsel, obtain consent, and follow the
CDC immunization schedule. CDC
2.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Promotion — Nutrition
Key Concept: Breastfeeding benefits and guidance.
Question Stem: A mother asks why exclusive breastfeeding is
recommended for the first 6 months. Which statement by the
nurse is most accurate?
A. “Breast milk provides ideal nutrition and immune protection
for the first 6 months.”
B. “Breastfeeding is optional because formula and breast milk
are exactly the same.”
C. “Solid foods should be started at 2 months to encourage
growth.”
D. “Breastfeeding prevents all childhood illnesses permanently.”
,Correct Answer: A
Rationales
Correct (A): Breast milk supplies complete nutrition and
maternal antibodies that protect infants; Wong emphasizes
breastfeeding in health promotion (Ch.1 — Nutrition). Google
Books
Incorrect (B): Formula is a safe alternative but not identical
immunologically.
Incorrect (C): Solids started too early increase aspiration/allergy
risks; recommended at about 6 months.
Incorrect (D): Breastfeeding reduces risk but does not confer
lifelong immunity to all illnesses.
Teaching Point: Breast milk meets nutritional and immunologic
needs for ~6 months.
3.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Oral Health
Key Concept: Early dental hygiene and caries prevention.
Question Stem: Which instruction should a nurse give parents
to reduce early childhood caries?
A. “Avoid giving the infant a bedtime bottle of juice or milk.”
B. “Sweetened pacifiers help soothe and prevent crying.”
C. “Delay the first dental visit until age 6.”
D. “Only brush teeth after age 3.”
, Correct Answer: A
Rationales
Correct (A): Nighttime bottles with milk/juice prolong
carbohydrate exposure and increase caries risk; Wong highlights
prevention via feeding practices (Ch.1 — Oral Health). Nurse
Key
Incorrect (B): Sweetened pacifiers increase caries risk.
Incorrect (C): First dental visit recommended by first tooth or by
12 months, not age 6.
Incorrect (D): Dental cleaning should begin with eruption of
first tooth.
Teaching Point: Avoid bedtime bottles of sugary liquids to
prevent caries.
4.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Obesity and Type 2 Diabetes
Key Concept: Identification and counseling for pediatric obesity.
Question Stem: A 12-year-old with BMI in the 98th percentile
presents for well care. Which nursing response is best initial
action?
A. Provide nonjudgmental education on healthy eating, physical
activity, and set family goals.
B. Advise immediate bariatric surgery referral.
Chapter 1: Perspectives of Pediatric Nursing.
1.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Promotion — Immunizations
Key Concept: Routine childhood immunization
recommendations and nursing advocacy.
Question Stem: A 2-month-old infant is due for routine
immunizations. Which nursing action best promotes safe
vaccine administration? (≤65 words)
A. Administer all recommended vaccines intramuscularly in a
single visit without parental counseling.
B. Explain benefits and risks, obtain informed consent, and
administer recommended vaccines per schedule.
C. Delay all vaccines until 6 months to reduce adverse reaction
risk.
D. Give only the single most important vaccine to avoid multiple
injections.
Correct Answer: B
Rationales
Correct (B): Obtaining informed consent, explaining
benefits/risks, and administering vaccines per CDC schedule is
standard pediatric nursing practice to promote prevention and
safety (Wong, Ch. 1 — Health Promotion: Immunizations).
EvolveCDC
,Incorrect (A): Omitting counseling risks parental
misunderstanding and legal/ethical issues; counseling is
required.
Incorrect (C): Unnecessary delay increases infection risk; follow
recommended schedule.
Incorrect (D): Selective vaccination without indication leaves
the child unprotected against other vaccine-preventable
diseases.
Teaching Point: Always counsel, obtain consent, and follow the
CDC immunization schedule. CDC
2.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Health Promotion — Nutrition
Key Concept: Breastfeeding benefits and guidance.
Question Stem: A mother asks why exclusive breastfeeding is
recommended for the first 6 months. Which statement by the
nurse is most accurate?
A. “Breast milk provides ideal nutrition and immune protection
for the first 6 months.”
B. “Breastfeeding is optional because formula and breast milk
are exactly the same.”
C. “Solid foods should be started at 2 months to encourage
growth.”
D. “Breastfeeding prevents all childhood illnesses permanently.”
,Correct Answer: A
Rationales
Correct (A): Breast milk supplies complete nutrition and
maternal antibodies that protect infants; Wong emphasizes
breastfeeding in health promotion (Ch.1 — Nutrition). Google
Books
Incorrect (B): Formula is a safe alternative but not identical
immunologically.
Incorrect (C): Solids started too early increase aspiration/allergy
risks; recommended at about 6 months.
Incorrect (D): Breastfeeding reduces risk but does not confer
lifelong immunity to all illnesses.
Teaching Point: Breast milk meets nutritional and immunologic
needs for ~6 months.
3.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Oral Health
Key Concept: Early dental hygiene and caries prevention.
Question Stem: Which instruction should a nurse give parents
to reduce early childhood caries?
A. “Avoid giving the infant a bedtime bottle of juice or milk.”
B. “Sweetened pacifiers help soothe and prevent crying.”
C. “Delay the first dental visit until age 6.”
D. “Only brush teeth after age 3.”
, Correct Answer: A
Rationales
Correct (A): Nighttime bottles with milk/juice prolong
carbohydrate exposure and increase caries risk; Wong highlights
prevention via feeding practices (Ch.1 — Oral Health). Nurse
Key
Incorrect (B): Sweetened pacifiers increase caries risk.
Incorrect (C): First dental visit recommended by first tooth or by
12 months, not age 6.
Incorrect (D): Dental cleaning should begin with eruption of
first tooth.
Teaching Point: Avoid bedtime bottles of sugary liquids to
prevent caries.
4.
Chapter 1 – Perspectives of Pediatric Nursing
Section: Obesity and Type 2 Diabetes
Key Concept: Identification and counseling for pediatric obesity.
Question Stem: A 12-year-old with BMI in the 98th percentile
presents for well care. Which nursing response is best initial
action?
A. Provide nonjudgmental education on healthy eating, physical
activity, and set family goals.
B. Advise immediate bariatric surgery referral.
