Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing:
Role of the Pediatric Nurse
Stem: A pediatric nurse is reviewing the philosophy of family-
centered care before a shift. Which statement by the nurse best
demonstrates an understanding of a core principle of this
model?
Options:
A) "I will ensure the child follows all unit rules to maintain a safe
and structured environment."
B) "I will provide the parents with a detailed report of our care
so they can assist us with tasks."
C) "I will collaborate with the family to establish the plan of care
based on their priorities and goals."
D) "I will encourage the parents to go home and rest so we can
provide specialized medical care."
Correct Answer: C
Rationales:
• Correct (C): Family-centered care is built on the principle of
collaboration and partnership between the family and
healthcare team. The family is recognized as the constant
in the child's life and the expert on the child, making their
involvement in care planning essential (Hockenberry,
Chapter 1).
, • Incorrect (A): While safety is important, this authoritarian
approach does not reflect the collaborative, empowering
nature of family-centered care.
• Incorrect (B): This views the parents as helpers to the
nursing staff rather than as integral partners and leaders in
the child's care.
• Incorrect (D): This creates a separation between the family
and the child, which undermines the core concept of
keeping the family unit together.
Teaching Point: Family-centered care partners with the
family as experts on their child.
Question 2
Chapter & Subtopic: Chapter 1 – Disease Prevention and Health
Promotion: Health Teaching
Stem: A nurse is providing anticipatory guidance to the parents
of a 6-month-old infant during a well-child visit. Which teaching
point is the highest priority for injury prevention at this age?
Options:
A) Discuss the dangers of secondhand smoke exposure.
B) Instruct on the correct use of a forward-facing car seat.
C) Encourage the installation of safety gates at the top and
bottom of stairs.
D) Advise to remove small toys and coins from the infant's
reach to prevent aspiration.
,Correct Answer: B
Rationales:
• Correct (B): Motor vehicle injuries are a leading cause of
death in children. A rear-facing car seat (not forward-
facing) is recommended until at least age 2, but ensuring
proper car seat use is always a top priority for injury
prevention (Hockenberry, Chapter 1).
• Incorrect (A): While important, this is a health promotion
topic, not the highest-priority injury prevention tip for this
age.
• Incorrect (C): This is a key priority for when the infant
begins to crawl and cruise, typically around 8-10 months,
not a 6-month-old who may not be mobile yet.
• Incorrect (D): This is crucial for preventing foreign body
aspiration when the infant develops a pincer grasp and
explores objects with their mouth, around 9-12 months.
Teaching Point: Prioritize motor vehicle safety; proper car
seat use is non-negotiable.
Question 3
Chapter & Subtopic: Chapter 1 – Childhood Health Problems:
Obesity
Stem: The school nurse is developing a health promotion
program to reduce childhood obesity. Which strategy is most
likely to be effective based on the social-ecological model?
, Options:
A) Host a one-time assembly for students about choosing
healthy snacks.
B) Implement a policy offering only nutritious snacks in school
vending machines.
C) Provide a pamphlet to parents about the MyPlate nutritional
guidelines.
D) Refer individual students with a high BMI to a nutritionist.
Correct Answer: B
Rationales:
• Correct (B): The social-ecological model addresses multiple
levels of influence. Changing organizational policy (school
vending machines) creates a sustainable environment that
supports healthy choices for all children, making it more
effective than individual-level interventions (Hockenberry,
Chapter 1).
• Incorrect (A): A one-time educational event has limited
long-term impact on behavior change.
• Incorrect (C): Providing passive information is a weak
intervention and does not change the environment.
• Incorrect (D): This is a tertiary intervention for individuals
already affected, not a broad primary prevention strategy
for the population.
Teaching Point: Effective health promotion changes the
environment to support healthy choices.
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing:
Role of the Pediatric Nurse
Stem: A pediatric nurse is reviewing the philosophy of family-
centered care before a shift. Which statement by the nurse best
demonstrates an understanding of a core principle of this
model?
Options:
A) "I will ensure the child follows all unit rules to maintain a safe
and structured environment."
B) "I will provide the parents with a detailed report of our care
so they can assist us with tasks."
C) "I will collaborate with the family to establish the plan of care
based on their priorities and goals."
D) "I will encourage the parents to go home and rest so we can
provide specialized medical care."
Correct Answer: C
Rationales:
• Correct (C): Family-centered care is built on the principle of
collaboration and partnership between the family and
healthcare team. The family is recognized as the constant
in the child's life and the expert on the child, making their
involvement in care planning essential (Hockenberry,
Chapter 1).
, • Incorrect (A): While safety is important, this authoritarian
approach does not reflect the collaborative, empowering
nature of family-centered care.
• Incorrect (B): This views the parents as helpers to the
nursing staff rather than as integral partners and leaders in
the child's care.
• Incorrect (D): This creates a separation between the family
and the child, which undermines the core concept of
keeping the family unit together.
Teaching Point: Family-centered care partners with the
family as experts on their child.
Question 2
Chapter & Subtopic: Chapter 1 – Disease Prevention and Health
Promotion: Health Teaching
Stem: A nurse is providing anticipatory guidance to the parents
of a 6-month-old infant during a well-child visit. Which teaching
point is the highest priority for injury prevention at this age?
Options:
A) Discuss the dangers of secondhand smoke exposure.
B) Instruct on the correct use of a forward-facing car seat.
C) Encourage the installation of safety gates at the top and
bottom of stairs.
D) Advise to remove small toys and coins from the infant's
reach to prevent aspiration.
,Correct Answer: B
Rationales:
• Correct (B): Motor vehicle injuries are a leading cause of
death in children. A rear-facing car seat (not forward-
facing) is recommended until at least age 2, but ensuring
proper car seat use is always a top priority for injury
prevention (Hockenberry, Chapter 1).
• Incorrect (A): While important, this is a health promotion
topic, not the highest-priority injury prevention tip for this
age.
• Incorrect (C): This is a key priority for when the infant
begins to crawl and cruise, typically around 8-10 months,
not a 6-month-old who may not be mobile yet.
• Incorrect (D): This is crucial for preventing foreign body
aspiration when the infant develops a pincer grasp and
explores objects with their mouth, around 9-12 months.
Teaching Point: Prioritize motor vehicle safety; proper car
seat use is non-negotiable.
Question 3
Chapter & Subtopic: Chapter 1 – Childhood Health Problems:
Obesity
Stem: The school nurse is developing a health promotion
program to reduce childhood obesity. Which strategy is most
likely to be effective based on the social-ecological model?
, Options:
A) Host a one-time assembly for students about choosing
healthy snacks.
B) Implement a policy offering only nutritious snacks in school
vending machines.
C) Provide a pamphlet to parents about the MyPlate nutritional
guidelines.
D) Refer individual students with a high BMI to a nutritionist.
Correct Answer: B
Rationales:
• Correct (B): The social-ecological model addresses multiple
levels of influence. Changing organizational policy (school
vending machines) creates a sustainable environment that
supports healthy choices for all children, making it more
effective than individual-level interventions (Hockenberry,
Chapter 1).
• Incorrect (A): A one-time educational event has limited
long-term impact on behavior change.
• Incorrect (C): Providing passive information is a weak
intervention and does not change the environment.
• Incorrect (D): This is a tertiary intervention for individuals
already affected, not a broad primary prevention strategy
for the population.
Teaching Point: Effective health promotion changes the
environment to support healthy choices.
