Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A public-health nurse is designing an
educational campaign to reduce infant mortality in a low-
income neighborhood. Which nursing action best reflects a
population-level, evidence-based approach?
A. Provide one-on-one safe-sleep education during each
postpartum home visit.
B. Distribute free cribs and promote a community safe-sleep
policy with local clinics.
C. Teach maternal breastfeeding techniques during weekly clinic
lactation classes.
D. Recommend mothers schedule pediatric visits every other
month for the first year.
Correct Answer: B
Rationales:
• B (correct): Distributing cribs and promoting a community
safe-sleep policy addresses social determinants and targets
the population where risk is concentrated—an evidence-
, based public health strategy to reduce infant mortality.
This aligns with community-level interventions discussed in
perspectives on pediatric nursing. Nursing Hero
• A: One-on-one education is important but insufficient
alone for population impact; combining resources and
policy is more effective.
• C: Lactation support improves outcomes but does not
directly address the leading preventable causes of infant
mortality like unsafe sleep at a community level.
• D: Routine well visits are important—recommended
frequency is monthly in early infancy for some
populations—but this option is not the strongest
population-level strategy to reduce mortality.
Teaching Point: Target systems and resources to reduce risk
across the community.
Citation: Hockenberry, M. J. Wong’s Nursing Care of Infants and
Children, Ch. 1, Perspectives of Pediatric Nursing. Nursing Hero
2
Reference: Ch. 21, Section: Family-Centered Care of the Child
During Illness and Hospitalization
Question Stem: A toddler is admitted for dehydration. The
parents ask the nurse to stay with their child during procedures.
Which nursing response best supports family-centered care?
A. Explain hospital policy that limits parent presence during all
,procedures.
B. Offer to have one parent present and provide information
about the procedure.
C. Suggest parents wait in the family lounge to decrease the
child’s anxiety.
D. Refer parents to patient relations for permission to remain.
Correct Answer: B
Rationales:
• B (correct): Allowing a parent to stay and providing clear,
age-appropriate information fosters family-centered care,
decreases child distress, and supports parental advocacy—
core principles in family-centered hospitalization. Nursing
Hero
• A: Rigidly enforcing restrictive policy undermines family-
centered practice and increases distress.
• C: Separating parents from the child can increase anxiety
and is not aligned with best family-centered practices.
• D: Referring to patient relations delays a timely, supportive
response and is unnecessary if direct accommodation is
possible.
Teaching Point: Facilitate parental presence and information to
reduce child stress.
Citation: Hockenberry, Wong’s, Ch. 21, Family-Centered Care.
Nursing Hero
, 3
Reference: Ch. 4, Section: Communication and Physical
Assessment of the Child and Family
Question Stem: During a school-age child’s admission, the
nurse notices the child avoids eye contact and gives one-word
answers. Which is the best first nursing action to recognize and
analyze cues?
A. Conclude the child is noncompliant and proceed with routine
care.
B. Ask the parent whether the child has always behaved this
way.
C. Use open-ended questions and allow time for the child to
respond.
D. Document the behavior as “shy” and move on.
Correct Answer: C
Rationales:
• C (correct): Using open-ended questions and allowing
processing time is the best way to elicit cues, build rapport,
and accurately assess psychosocial status—key steps in
pediatric assessment. Nursing Hero
• A: Assuming noncompliance risks missing important cues
and is poor clinical judgment.
• B: Asking the parent can be helpful later, but first engage
the child directly to evaluate current behavior.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A public-health nurse is designing an
educational campaign to reduce infant mortality in a low-
income neighborhood. Which nursing action best reflects a
population-level, evidence-based approach?
A. Provide one-on-one safe-sleep education during each
postpartum home visit.
B. Distribute free cribs and promote a community safe-sleep
policy with local clinics.
C. Teach maternal breastfeeding techniques during weekly clinic
lactation classes.
D. Recommend mothers schedule pediatric visits every other
month for the first year.
Correct Answer: B
Rationales:
• B (correct): Distributing cribs and promoting a community
safe-sleep policy addresses social determinants and targets
the population where risk is concentrated—an evidence-
, based public health strategy to reduce infant mortality.
This aligns with community-level interventions discussed in
perspectives on pediatric nursing. Nursing Hero
• A: One-on-one education is important but insufficient
alone for population impact; combining resources and
policy is more effective.
• C: Lactation support improves outcomes but does not
directly address the leading preventable causes of infant
mortality like unsafe sleep at a community level.
• D: Routine well visits are important—recommended
frequency is monthly in early infancy for some
populations—but this option is not the strongest
population-level strategy to reduce mortality.
Teaching Point: Target systems and resources to reduce risk
across the community.
Citation: Hockenberry, M. J. Wong’s Nursing Care of Infants and
Children, Ch. 1, Perspectives of Pediatric Nursing. Nursing Hero
2
Reference: Ch. 21, Section: Family-Centered Care of the Child
During Illness and Hospitalization
Question Stem: A toddler is admitted for dehydration. The
parents ask the nurse to stay with their child during procedures.
Which nursing response best supports family-centered care?
A. Explain hospital policy that limits parent presence during all
,procedures.
B. Offer to have one parent present and provide information
about the procedure.
C. Suggest parents wait in the family lounge to decrease the
child’s anxiety.
D. Refer parents to patient relations for permission to remain.
Correct Answer: B
Rationales:
• B (correct): Allowing a parent to stay and providing clear,
age-appropriate information fosters family-centered care,
decreases child distress, and supports parental advocacy—
core principles in family-centered hospitalization. Nursing
Hero
• A: Rigidly enforcing restrictive policy undermines family-
centered practice and increases distress.
• C: Separating parents from the child can increase anxiety
and is not aligned with best family-centered practices.
• D: Referring to patient relations delays a timely, supportive
response and is unnecessary if direct accommodation is
possible.
Teaching Point: Facilitate parental presence and information to
reduce child stress.
Citation: Hockenberry, Wong’s, Ch. 21, Family-Centered Care.
Nursing Hero
, 3
Reference: Ch. 4, Section: Communication and Physical
Assessment of the Child and Family
Question Stem: During a school-age child’s admission, the
nurse notices the child avoids eye contact and gives one-word
answers. Which is the best first nursing action to recognize and
analyze cues?
A. Conclude the child is noncompliant and proceed with routine
care.
B. Ask the parent whether the child has always behaved this
way.
C. Use open-ended questions and allow time for the child to
respond.
D. Document the behavior as “shy” and move on.
Correct Answer: C
Rationales:
• C (correct): Using open-ended questions and allowing
processing time is the best way to elicit cues, build rapport,
and accurately assess psychosocial status—key steps in
pediatric assessment. Nursing Hero
• A: Assuming noncompliance risks missing important cues
and is poor clinical judgment.
• B: Asking the parent can be helpful later, but first engage
the child directly to evaluate current behavior.
