Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: Health Care for
Children — Family-Centered Care & Atraumatic
Care
Question Stem: A hospitalized 4-year-old is
anxious during a dressing change. The parent
wants to stay and hold the child. Which action
best reflects family-centered, atraumatic care?
A. Ask the parent to wait outside to reduce
distractions.
B. Provide an age-appropriate explanation,
allow the parent to hold the child, and offer
choices.
C. Perform the dressing change quickly while
the parent watches from the doorway.
,D. Sedate the child preemptively to avoid
distress.
Correct Answer: B
Rationale — Correct (B): Allowing the parent to
stay and hold the child while giving an age-
appropriate explanation and offering choices
reduces separation anxiety, promotes sense of
control, and minimizes trauma—core family-
centered, atraumatic principles.
Rationale — Incorrect (A): Asking the parent to
wait increases separation anxiety and
contradicts family involvement.
Rationale — Incorrect (C): Rushing the
procedure without engaging the child or parent
may worsen distress and misses
teaching/choice opportunities.
Rationale — Incorrect (D): Preemptive sedation
without trial of nonpharmacologic atraumatic
strategies is not first-line and carries
unnecessary risk.
,Teaching Point: Family presence and choice
reduce trauma and support coping.
Citation: Hockenberry, Wong’s Nursing Care of
Infants & Children, 12e — Ch. 1, Family-
Centered Care / Atraumatic Care. Evolve+1
2
Reference: Ch. 13, Section: Health Promotion of
the Preschooler — Developmental Milestones
Question Stem: At a 4-year well visit, which
finding most accurately indicates age-
appropriate gross motor development?
A. Sits unsupported for 30 minutes.
B. Hops on one foot several times.
C. Uses a pincer grasp to pick up a raisin.
D. Speaks in 2- to 3-word sentences.
Correct Answer: B
Rationale — Correct (B): Hopping on one foot is
an expected gross motor milestone for
, preschoolers (around age 4), reflecting balance
and coordination.
Rationale — Incorrect (A): Sitting unsupported
is an infant/toddler milestone, not specific to
age 4.
Rationale — Incorrect (C): Pincer grasp is an
infant/toddler fine motor milestone.
Rationale — Incorrect (D): Two- to three-word
sentences describe toddler speech rather than
typical preschool language complexity.
Teaching Point: Match expected milestones to
age stage—hopping ≈ 4 years.
Citation: Hockenberry, Wong’s Nursing Care of
Infants & Children, 12e — Ch. 13, Preschool
Health Promotion; Developmental milestones.
studylib.net+1
3
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: Health Care for
Children — Family-Centered Care & Atraumatic
Care
Question Stem: A hospitalized 4-year-old is
anxious during a dressing change. The parent
wants to stay and hold the child. Which action
best reflects family-centered, atraumatic care?
A. Ask the parent to wait outside to reduce
distractions.
B. Provide an age-appropriate explanation,
allow the parent to hold the child, and offer
choices.
C. Perform the dressing change quickly while
the parent watches from the doorway.
,D. Sedate the child preemptively to avoid
distress.
Correct Answer: B
Rationale — Correct (B): Allowing the parent to
stay and hold the child while giving an age-
appropriate explanation and offering choices
reduces separation anxiety, promotes sense of
control, and minimizes trauma—core family-
centered, atraumatic principles.
Rationale — Incorrect (A): Asking the parent to
wait increases separation anxiety and
contradicts family involvement.
Rationale — Incorrect (C): Rushing the
procedure without engaging the child or parent
may worsen distress and misses
teaching/choice opportunities.
Rationale — Incorrect (D): Preemptive sedation
without trial of nonpharmacologic atraumatic
strategies is not first-line and carries
unnecessary risk.
,Teaching Point: Family presence and choice
reduce trauma and support coping.
Citation: Hockenberry, Wong’s Nursing Care of
Infants & Children, 12e — Ch. 1, Family-
Centered Care / Atraumatic Care. Evolve+1
2
Reference: Ch. 13, Section: Health Promotion of
the Preschooler — Developmental Milestones
Question Stem: At a 4-year well visit, which
finding most accurately indicates age-
appropriate gross motor development?
A. Sits unsupported for 30 minutes.
B. Hops on one foot several times.
C. Uses a pincer grasp to pick up a raisin.
D. Speaks in 2- to 3-word sentences.
Correct Answer: B
Rationale — Correct (B): Hopping on one foot is
an expected gross motor milestone for
, preschoolers (around age 4), reflecting balance
and coordination.
Rationale — Incorrect (A): Sitting unsupported
is an infant/toddler milestone, not specific to
age 4.
Rationale — Incorrect (C): Pincer grasp is an
infant/toddler fine motor milestone.
Rationale — Incorrect (D): Two- to three-word
sentences describe toddler speech rather than
typical preschool language complexity.
Teaching Point: Match expected milestones to
age stage—hopping ≈ 4 years.
Citation: Hockenberry, Wong’s Nursing Care of
Infants & Children, 12e — Ch. 13, Preschool
Health Promotion; Developmental milestones.
studylib.net+1
3
