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 — Health Care for Children /
Health Promotion
Stem: A 2-year-old is brought for a well-child
visit. The parent reports the child eats only
snacks and refuses meals. Which nursing
question best assesses nutritional risk related to
growth and development?
A. “How many hours a day does your child
nap?”
B. “What kinds of snacks does your child usually
eat?”
,C. “Does your child have regular dental visits?”
D. “How many minutes per day does the child
watch TV?”
Correct answer: B
Rationale (correct): Asking about the types of
snacks targets specific nutritional intake and
caloric quality, directly linked to growth and
development concerns (Wong: emphasis on
nutritional assessment in health promotion).
Rationale (A): Nap frequency is relevant to
sleep patterns but less directly tied to
nutritional adequacy or growth.
Rationale (C): Dental visits relate to oral health
but not immediate nutritional content.
Rationale (D): Screen time is a risk factor for
obesity but does not assess current dietary
intake.
Teaching point: Ask specific dietary-intake
questions to identify nutrition risks.
,Citation: Hockenberry, M. J. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.),
Ch.1: Perspectives of Pediatric Nursing.
2
Reference: Ch. 1, Section: Perspectives of
Pediatric Nursing — Development
Stem: During a 15-month well visit, a toddler is
unable to stack two blocks and cannot point to
a familiar object on request. The parent is
concerned. What is the nurse’s best next
action?
A. Reassure the parent that this is normal for 15
months.
B. Schedule a referral for developmental
screening and hearing/vision check.
C. Teach the parent additional toys to
encourage stacking.
, D. Advise the parent to wait six months and
return if concerns persist.
Correct answer: B
Rationale (correct): At 15 months, delays in fine
motor and communication milestones warrant
prompt developmental screening and sensory
evaluation (Wong: early identification and
referral for developmental concerns).
Rationale (A): Dismissing parental concern
without assessment risks missing early
intervention opportunities.
Rationale (C): Teaching stimulation is useful but
should follow screening and rule out
hearing/vision problems.
Rationale (D): Delaying evaluation may impair
timely intervention.
Teaching point: Early screening and sensory
checks are essential when milestones are
delayed.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of
Pediatric Nursing — Health Care for Children /
Health Promotion
Stem: A 2-year-old is brought for a well-child
visit. The parent reports the child eats only
snacks and refuses meals. Which nursing
question best assesses nutritional risk related to
growth and development?
A. “How many hours a day does your child
nap?”
B. “What kinds of snacks does your child usually
eat?”
,C. “Does your child have regular dental visits?”
D. “How many minutes per day does the child
watch TV?”
Correct answer: B
Rationale (correct): Asking about the types of
snacks targets specific nutritional intake and
caloric quality, directly linked to growth and
development concerns (Wong: emphasis on
nutritional assessment in health promotion).
Rationale (A): Nap frequency is relevant to
sleep patterns but less directly tied to
nutritional adequacy or growth.
Rationale (C): Dental visits relate to oral health
but not immediate nutritional content.
Rationale (D): Screen time is a risk factor for
obesity but does not assess current dietary
intake.
Teaching point: Ask specific dietary-intake
questions to identify nutrition risks.
,Citation: Hockenberry, M. J. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.),
Ch.1: Perspectives of Pediatric Nursing.
2
Reference: Ch. 1, Section: Perspectives of
Pediatric Nursing — Development
Stem: During a 15-month well visit, a toddler is
unable to stack two blocks and cannot point to
a familiar object on request. The parent is
concerned. What is the nurse’s best next
action?
A. Reassure the parent that this is normal for 15
months.
B. Schedule a referral for developmental
screening and hearing/vision check.
C. Teach the parent additional toys to
encourage stacking.
, D. Advise the parent to wait six months and
return if concerns persist.
Correct answer: B
Rationale (correct): At 15 months, delays in fine
motor and communication milestones warrant
prompt developmental screening and sensory
evaluation (Wong: early identification and
referral for developmental concerns).
Rationale (A): Dismissing parental concern
without assessment risks missing early
intervention opportunities.
Rationale (C): Teaching stimulation is useful but
should follow screening and rule out
hearing/vision problems.
Rationale (D): Delaying evaluation may impair
timely intervention.
Teaching point: Early screening and sensory
checks are essential when milestones are
delayed.
