Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter & Subtopic
Chapter 1 – Perspectives of Pediatric Nursing; Health
Promotion & Disease Prevention
Question Stem
A school nurse is planning a fall influenza campaign for a diverse
elementary school. Which action best reflects primary
prevention?
A. Offering free in-school influenza vaccination clinics
B. Teaching parents how to monitor a child with fever at home
C. Arranging home oxygen for a child with influenza-related
pneumonia
D. Providing antiviral medication to unvaccinated children
exposed to flu
Correct Answer
A. Offering free in-school influenza vaccination clinics
Rationales
Correct: Primary prevention prevents disease before it occurs;
vaccination is the classic example (Wong 12e, Ch 1, “Levels of
Prevention”).
B: Secondary prevention—early detection/home monitoring
after exposure.
C: Tertiary prevention—limiting disability in established disease.
,D: Secondary prevention—post-exposure prophylaxis after risk
identified.
Teaching Point
Primary prevention = keep the disease from ever happening.
2. Chapter & Subtopic
Chapter 1 – Infant Mortality; Social Determinants
Question Stem
The CDC ranks the U.S. 33rd globally in infant mortality. Which
maternal factor should a pediatric nurse prioritize for
community intervention to lower this rate?
A. Late or no prenatal care
B. Neonatal abstinence syndrome
C. Congenital syphilis infection
D. Maternal-request cesarean delivery
Correct Answer
A. Late or no prenatal care
Rationales
Correct: Late entry into prenatal care is the strongest
population-level predictor of preventable infant death (Wong
12e, Ch 1, “Infant Mortality”).
B: Important but less prevalent contributor.
C: Screening/treatment already standard of care.
D: Elective cesarean without medical indication contributes to
morbidity, not mortality.
,Teaching Point
Early prenatal care saves babies’ lives.
3. Chapter & Subtopic
Chapter 1 – Childhood Morbidity; Chronic Illness
Management
Question Stem
A 9-year-old with asthma has three emergency visits in six
months. Which outcome measure best indicates improved
quality per the National Quality Forum pediatric asthma core
set?
A. Percentage of days without rescue inhaler use
B. Written asthma action plan documented in chart
C. Parental satisfaction with nursing courtesy
D. School attendance >95 %
Correct Answer
B. Written asthma action plan documented in chart
Rationales
Correct: NQF-endorsed process measure directly linked to
fewer exacerbations (Wong 12e, Ch 1, “Quality Outcome
Measures”).
A: Patient-reported, not standardized.
C: Satisfaction ≠ clinical quality.
D: Important but influenced by many variables.
, Teaching Point
Evidence-based process measures drive pediatric quality.
4. Chapter & Subtopic
Chapter 1 – Role of the Pediatric Nurse; Family-Centered
Care
Question Stem
The nurse caring for a newly diagnosed diabetic 5-year-old
notes the parents appear overwhelmed. Which initial response
demonstrates family-centered care?
A. “I will give you a pamphlet to read when you get home.”
B. “Tell me what worries you most right now.”
C. “Don’t worry, most kids do very well.”
D. “Let me demonstrate the insulin injection.”
Correct Answer
B. “Tell me what worries you most right now.”
Rationales
Correct: Family-centered care begins with assessing family
needs and perspectives (Wong 12e, Ch 1, “Family Advocacy and
Caring”).
A: Passive, one-way communication.
C: False reassurance blocks dialogue.
D: Premature teaching before assessment.
Teaching Point
Ask first, teach second—family-centered mantra.
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter & Subtopic
Chapter 1 – Perspectives of Pediatric Nursing; Health
Promotion & Disease Prevention
Question Stem
A school nurse is planning a fall influenza campaign for a diverse
elementary school. Which action best reflects primary
prevention?
A. Offering free in-school influenza vaccination clinics
B. Teaching parents how to monitor a child with fever at home
C. Arranging home oxygen for a child with influenza-related
pneumonia
D. Providing antiviral medication to unvaccinated children
exposed to flu
Correct Answer
A. Offering free in-school influenza vaccination clinics
Rationales
Correct: Primary prevention prevents disease before it occurs;
vaccination is the classic example (Wong 12e, Ch 1, “Levels of
Prevention”).
B: Secondary prevention—early detection/home monitoring
after exposure.
C: Tertiary prevention—limiting disability in established disease.
,D: Secondary prevention—post-exposure prophylaxis after risk
identified.
Teaching Point
Primary prevention = keep the disease from ever happening.
2. Chapter & Subtopic
Chapter 1 – Infant Mortality; Social Determinants
Question Stem
The CDC ranks the U.S. 33rd globally in infant mortality. Which
maternal factor should a pediatric nurse prioritize for
community intervention to lower this rate?
A. Late or no prenatal care
B. Neonatal abstinence syndrome
C. Congenital syphilis infection
D. Maternal-request cesarean delivery
Correct Answer
A. Late or no prenatal care
Rationales
Correct: Late entry into prenatal care is the strongest
population-level predictor of preventable infant death (Wong
12e, Ch 1, “Infant Mortality”).
B: Important but less prevalent contributor.
C: Screening/treatment already standard of care.
D: Elective cesarean without medical indication contributes to
morbidity, not mortality.
,Teaching Point
Early prenatal care saves babies’ lives.
3. Chapter & Subtopic
Chapter 1 – Childhood Morbidity; Chronic Illness
Management
Question Stem
A 9-year-old with asthma has three emergency visits in six
months. Which outcome measure best indicates improved
quality per the National Quality Forum pediatric asthma core
set?
A. Percentage of days without rescue inhaler use
B. Written asthma action plan documented in chart
C. Parental satisfaction with nursing courtesy
D. School attendance >95 %
Correct Answer
B. Written asthma action plan documented in chart
Rationales
Correct: NQF-endorsed process measure directly linked to
fewer exacerbations (Wong 12e, Ch 1, “Quality Outcome
Measures”).
A: Patient-reported, not standardized.
C: Satisfaction ≠ clinical quality.
D: Important but influenced by many variables.
, Teaching Point
Evidence-based process measures drive pediatric quality.
4. Chapter & Subtopic
Chapter 1 – Role of the Pediatric Nurse; Family-Centered
Care
Question Stem
The nurse caring for a newly diagnosed diabetic 5-year-old
notes the parents appear overwhelmed. Which initial response
demonstrates family-centered care?
A. “I will give you a pamphlet to read when you get home.”
B. “Tell me what worries you most right now.”
C. “Don’t worry, most kids do very well.”
D. “Let me demonstrate the insulin injection.”
Correct Answer
B. “Tell me what worries you most right now.”
Rationales
Correct: Family-centered care begins with assessing family
needs and perspectives (Wong 12e, Ch 1, “Family Advocacy and
Caring”).
A: Passive, one-way communication.
C: False reassurance blocks dialogue.
D: Premature teaching before assessment.
Teaching Point
Ask first, teach second—family-centered mantra.
