Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of
Pediatric Nursing — Family-Centered Care
Question Stem: A 6-year-old admitted for a
fractured arm cries when parents leave the
room. The nurse’s best action to support
atraumatic, family-centered care is to:
A. Ask parents to wait outside while procedures
are done.
B. Provide an age-appropriate explanation and
encourage parental presence during
procedures.
C. Give the child a sedative to reduce anxiety
before the parents return.
,D. Tell the parents their presence will only
increase the child's anxiety.
Correct Answer: B
Rationale (correct): Encouraging parental
presence and giving age-appropriate
explanations supports atraumatic, family-
centered care and reduces distress for child and
family. (Wong: importance of family partnership
and atraumatic care.)
Rationale (incorrect):
A. Removing parents can increase separation
anxiety and is not family-centered.
C. Sedation without indication is inappropriate
and ignores nonpharmacologic calming
strategies.
D. Telling parents their presence is harmful
misinforms and undermines family advocacy.
Teaching Point: Promote parental presence and
clear, age-appropriate explanations.
Citation: Hockenberry, M. J. (2024). Wong’s
,Nursing Care of Infants and Children (12th ed.),
Ch. 1: Perspectives of Pediatric Nursing.
2
Reference: Ch. 10, Section: Health Promotion of
the Infant and Family — Developmental
Surveillance
Question Stem: During a 9-month well-visit, the
parent reports the infant doesn’t sit
unsupported. The nurse should first:
A. Refer immediately for early intervention
services.
B. Document and schedule a routine follow-up
at 12 months.
C. Perform a focused developmental
assessment and observe the infant’s motor
skills.
D. Advise the parent that this is within normal
variation and offer reassurance.
, Correct Answer: C
Rationale (correct): The nurse’s first step is to
assess and observe to determine the extent of
delay and rule out modifiable causes before
referral. (Wong: developmental surveillance
and screening.)
Rationale (incorrect):
A. Immediate referral may be premature
without assessment.
B. Waiting until 12 months risks missed early
intervention opportunity.
D. Dismissing parental concern may delay care if
a true delay exists.
Teaching Point: Assess before referring; early
identification requires observation and
screening.
Citation: Hockenberry, M. J. (2024). Wong’s
Nursing Care of Infants and Children, Ch. 10:
Health Promotion of the Infant and Family.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of
Pediatric Nursing — Family-Centered Care
Question Stem: A 6-year-old admitted for a
fractured arm cries when parents leave the
room. The nurse’s best action to support
atraumatic, family-centered care is to:
A. Ask parents to wait outside while procedures
are done.
B. Provide an age-appropriate explanation and
encourage parental presence during
procedures.
C. Give the child a sedative to reduce anxiety
before the parents return.
,D. Tell the parents their presence will only
increase the child's anxiety.
Correct Answer: B
Rationale (correct): Encouraging parental
presence and giving age-appropriate
explanations supports atraumatic, family-
centered care and reduces distress for child and
family. (Wong: importance of family partnership
and atraumatic care.)
Rationale (incorrect):
A. Removing parents can increase separation
anxiety and is not family-centered.
C. Sedation without indication is inappropriate
and ignores nonpharmacologic calming
strategies.
D. Telling parents their presence is harmful
misinforms and undermines family advocacy.
Teaching Point: Promote parental presence and
clear, age-appropriate explanations.
Citation: Hockenberry, M. J. (2024). Wong’s
,Nursing Care of Infants and Children (12th ed.),
Ch. 1: Perspectives of Pediatric Nursing.
2
Reference: Ch. 10, Section: Health Promotion of
the Infant and Family — Developmental
Surveillance
Question Stem: During a 9-month well-visit, the
parent reports the infant doesn’t sit
unsupported. The nurse should first:
A. Refer immediately for early intervention
services.
B. Document and schedule a routine follow-up
at 12 months.
C. Perform a focused developmental
assessment and observe the infant’s motor
skills.
D. Advise the parent that this is within normal
variation and offer reassurance.
, Correct Answer: C
Rationale (correct): The nurse’s first step is to
assess and observe to determine the extent of
delay and rule out modifiable causes before
referral. (Wong: developmental surveillance
and screening.)
Rationale (incorrect):
A. Immediate referral may be premature
without assessment.
B. Waiting until 12 months risks missed early
intervention opportunity.
D. Dismissing parental concern may delay care if
a true delay exists.
Teaching Point: Assess before referring; early
identification requires observation and
screening.
Citation: Hockenberry, M. J. (2024). Wong’s
Nursing Care of Infants and Children, Ch. 10:
Health Promotion of the Infant and Family.
