Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Ch 1 – Perspectives of Pediatric Nursing |
Infant Mortality
Question Stem: A 6-day-old, 38-week-gestation infant dies at
home after being placed prone on a sofa for sleep. Which factor
is the single greatest contributor to overall U.S. infant
mortality?
A. Congenital malformations
B. Disorders of short gestation & low birth weight
C. Sudden unexpected infant death (SUID)
D. Maternal pregnancy complications
Correct Answer: B
Rationales
Correct: Wong (Ch 1, Infant Mortality) lists preterm-related
conditions as the leading cause of infant death <1 yr, accounting
for ≈36 % of all deaths; SUID ranks third.
Incorrect: A – Malformations are #2; C – SUID is #3; D –
Maternal complications are captured under perinatal
conditions, not the top single cause.
Teaching Point: Preterm birth is the primary driver of infant
mortality—prioritize prenatal & NICU interventions.
2.
Chapter & Subtopic: Ch 1 – Health Promotion | Injury
Prevention
Question Stem: A nurse teaches parents of a toddler to prevent
,the most common cause of death in children 1–4 yr. Which
topic should the nurse emphasize first?
A. Car-seat & roadway safety
B. Safe water temperature
C. Window blind-cord shortening
D. Poison-control lock boxes
Correct Answer: A
Rationales
Correct: Wong (Ch 1, Childhood Mortality) identifies
unintentional injury as the #1 cause; among injuries, motor-
vehicle crashes predominate in 1- to 4-year-olds.
Incorrect: B – Scalds occur but rarely fatal; C – Strangulation is
low incidence; D – Poisoning is common but death rate lower
than MVA.
Teaching Point: Motor-vehicle injury is the top killer of
toddlers—car-seat education saves lives.
3.
Chapter & Subtopic: Ch 1 – Health Promotion | Nutrition &
Obesity
Question Stem: A school nurse evaluates a 9-year-old BMI
≥95th percentile. Which immediate screening best determines
risk for comorbid type 2 diabetes?
A. Fasting plasma glucose
B. Hemoglobin A1c
C. 2-h oral glucose tolerance test
D. Random capillary glucose
,Correct Answer: A
Rationales
Correct: CDC & Wong (Ch 1, Obesity & Type 2 Diabetes)
recommend fasting glucose every 3 yr for obese youth; it is
sensitive, inexpensive, and non-random.
Incorrect: B – A1c is less sensitive in children; C – OGTT used
only if fasting equivocal; D – Random glucose lacks specificity.
Teaching Point: Start with fasting glucose to catch early diabetes
in obese children.
4.
Chapter & Subtopic: Ch 1 – Mental Health | Adolescent Vaping
Question Stem: A 15-year-old admits to vaping 2–3 times
weekly. Which component of e-cigarettes is most strongly linked
to adolescent nicotine addiction?
A. Propylene glycol
B. Vegetable glycerin
C. Nicotine salts
D. Diacetyl
Correct Answer: C
Rationales
Correct: Wong (Ch 1, Adolescent Vaping Epidemic) notes
nicotine salts allow high-concentration delivery with smooth
throat hit, rapidly activating reward pathways.
Incorrect: A & B – Solvents carry flavor but are not addictive; D
– Diacetyl linked to bronchiolitis, not addiction.
, Teaching Point: Nicotine salts in pods drive teen dependence—
screen & counsel early.
5.
Chapter & Subtopic: Ch 1 – Communicable Disease | COVID-19
Question Stem: The nurse is preparing to immunize a healthy 5-
month-old. Which statement by the parent warrants the most
urgent follow-up before giving today’s routine vaccines?
A. “We gave acetaminophen an hour ago.”
B. “She had a low-grade fever after DTaP last time.”
C. “She is receiving prednisone 2 mg/kg daily for nephrotic
syndrome.”
D. “Her brother just got his MMR yesterday.”
Correct Answer: C
Rationales
Correct: Wong (Ch 1, COVID-19 & Immunocompromise) stresses
live vaccines are contraindicated with high-dose steroids (>2
mg/kg/day); inactivated vaccines safe but clinician must verify
immune status.
Incorrect: A – Prophylactic acetaminophen no longer
discouraged; B – Mild reaction not a contraindication; D –
Family MMR receipt irrelevant to infant vaccines.
Teaching Point: High-dose steroids = assess immune safety
before live vaccines.
6.
Chapter & Subtopic: Ch 1 – Role of Pediatric Nurse | Family
Advocacy
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Ch 1 – Perspectives of Pediatric Nursing |
Infant Mortality
Question Stem: A 6-day-old, 38-week-gestation infant dies at
home after being placed prone on a sofa for sleep. Which factor
is the single greatest contributor to overall U.S. infant
mortality?
A. Congenital malformations
B. Disorders of short gestation & low birth weight
C. Sudden unexpected infant death (SUID)
D. Maternal pregnancy complications
Correct Answer: B
Rationales
Correct: Wong (Ch 1, Infant Mortality) lists preterm-related
conditions as the leading cause of infant death <1 yr, accounting
for ≈36 % of all deaths; SUID ranks third.
Incorrect: A – Malformations are #2; C – SUID is #3; D –
Maternal complications are captured under perinatal
conditions, not the top single cause.
Teaching Point: Preterm birth is the primary driver of infant
mortality—prioritize prenatal & NICU interventions.
2.
Chapter & Subtopic: Ch 1 – Health Promotion | Injury
Prevention
Question Stem: A nurse teaches parents of a toddler to prevent
,the most common cause of death in children 1–4 yr. Which
topic should the nurse emphasize first?
A. Car-seat & roadway safety
B. Safe water temperature
C. Window blind-cord shortening
D. Poison-control lock boxes
Correct Answer: A
Rationales
Correct: Wong (Ch 1, Childhood Mortality) identifies
unintentional injury as the #1 cause; among injuries, motor-
vehicle crashes predominate in 1- to 4-year-olds.
Incorrect: B – Scalds occur but rarely fatal; C – Strangulation is
low incidence; D – Poisoning is common but death rate lower
than MVA.
Teaching Point: Motor-vehicle injury is the top killer of
toddlers—car-seat education saves lives.
3.
Chapter & Subtopic: Ch 1 – Health Promotion | Nutrition &
Obesity
Question Stem: A school nurse evaluates a 9-year-old BMI
≥95th percentile. Which immediate screening best determines
risk for comorbid type 2 diabetes?
A. Fasting plasma glucose
B. Hemoglobin A1c
C. 2-h oral glucose tolerance test
D. Random capillary glucose
,Correct Answer: A
Rationales
Correct: CDC & Wong (Ch 1, Obesity & Type 2 Diabetes)
recommend fasting glucose every 3 yr for obese youth; it is
sensitive, inexpensive, and non-random.
Incorrect: B – A1c is less sensitive in children; C – OGTT used
only if fasting equivocal; D – Random glucose lacks specificity.
Teaching Point: Start with fasting glucose to catch early diabetes
in obese children.
4.
Chapter & Subtopic: Ch 1 – Mental Health | Adolescent Vaping
Question Stem: A 15-year-old admits to vaping 2–3 times
weekly. Which component of e-cigarettes is most strongly linked
to adolescent nicotine addiction?
A. Propylene glycol
B. Vegetable glycerin
C. Nicotine salts
D. Diacetyl
Correct Answer: C
Rationales
Correct: Wong (Ch 1, Adolescent Vaping Epidemic) notes
nicotine salts allow high-concentration delivery with smooth
throat hit, rapidly activating reward pathways.
Incorrect: A & B – Solvents carry flavor but are not addictive; D
– Diacetyl linked to bronchiolitis, not addiction.
, Teaching Point: Nicotine salts in pods drive teen dependence—
screen & counsel early.
5.
Chapter & Subtopic: Ch 1 – Communicable Disease | COVID-19
Question Stem: The nurse is preparing to immunize a healthy 5-
month-old. Which statement by the parent warrants the most
urgent follow-up before giving today’s routine vaccines?
A. “We gave acetaminophen an hour ago.”
B. “She had a low-grade fever after DTaP last time.”
C. “She is receiving prednisone 2 mg/kg daily for nephrotic
syndrome.”
D. “Her brother just got his MMR yesterday.”
Correct Answer: C
Rationales
Correct: Wong (Ch 1, COVID-19 & Immunocompromise) stresses
live vaccines are contraindicated with high-dose steroids (>2
mg/kg/day); inactivated vaccines safe but clinician must verify
immune status.
Incorrect: A – Prophylactic acetaminophen no longer
discouraged; B – Mild reaction not a contraindication; D –
Family MMR receipt irrelevant to infant vaccines.
Teaching Point: High-dose steroids = assess immune safety
before live vaccines.
6.
Chapter & Subtopic: Ch 1 – Role of Pediatric Nurse | Family
Advocacy
