WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference: Section I — Perspectives of Pediatric Nursing —
Health Care for Children
Stem (2–4 sentences): A 4-year-old boy in the preschool
developmental stage is brought to the clinic by his mother for
routine well-child care. The mother reports the child has had
two emergency department visits for minor injuries in the past
year and she expresses concern about safety at home. On
assessment the child is active, speaks in sentences, and shows
normal growth for age; the mother is tearful and requests
guidance. As the pediatric nurse, which action best addresses
the family-centered concern while meeting health-promotion
goals?
A. Provide a standardized injury-prevention brochure and
discharge the family after a brief explanation.
B. Conduct a focused home-safety assessment with the mother,
discuss developmental risks, and collaborate to create a tailored
safety plan.
,C. Refer the family to child protective services based on the
history of multiple injuries.
D. Recommend limiting the child’s outdoor play and advise
constant adult supervision without further assessment.
Correct answer: B
Rationales:
• Correct (B): Conducting a focused home-safety assessment
and collaborating on a tailored plan applies family-
centered care and health-promotion principles. It matches
preschool developmental risk factors (high activity, limited
hazard awareness) and uses assessment to target
interventions per Wong’s guidance on injury prevention
and partnership with families. Safety planning empowers
caregivers and reduces injury risk.
• Incorrect (A): A brochure alone is passive and unlikely to
change behavior; it fails to individualize interventions or
address maternal concern. Students may mistake
information provision for sufficient teaching.
• Incorrect (C): Referral to child protective services is
premature without signs of neglect or abuse. Multiple
minor injuries do not automatically indicate maltreatment;
clinical judgment and assessment are required first.
• Incorrect (D): Advising restriction of normal play is
developmentally inappropriate and may harm psychosocial
, growth; supervision advice must be specific and balanced
with safety strategies.
Teaching Point: Collaborate with families to create tailored,
developmentally appropriate safety plans.
Cognitive level: Application / Analysis
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Section I.
Item 2
Reference: Section I — Health Promotion — Growth &
Development Surveillance
Stem: A 9-month-old female infant is brought for a well visit;
parents report she began sitting independently at 6 months and
is now pulling to stand but not yet cruising. Feedings include
solids and formula; weight has been following the 25th
percentile. The parents ask whether their child’s development is
"on track." Which nursing response best applies clinical
judgment and evidence-based health promotion?
A. Reassure the parents that all infants develop at their own
pace and schedule a routine follow-up in 6 months.
B. Explain that pulling to stand by 9 months is appropriate,
perform developmental screening (ASQ or similar), provide
anticipatory guidance, and plan a 1-month follow-up if concerns
persist.
, C. Refer immediately for comprehensive developmental
evaluation because the infant is not cruising by 9 months.
D. Suggest switching to whole milk now to promote faster
weight gain and improved motor milestones.
Correct answer: B
Rationales:
• Correct (B): This option integrates surveillance, screening
tools, anticipatory guidance, and follow-up—core
components of health promotion in Wong. Pulling to stand
by 9 months is within expected range; using a validated
screening tool identifies subtle delays and supports family-
centered care.
• Incorrect (A): Blanket reassurance without screening
misses the opportunity for early identification and
education; it is passive and not evidence-based.
• Incorrect (C): Immediate referral for comprehensive
evaluation is premature; screening first is recommended to
determine need for further assessment.
• Incorrect (D): Recommending whole milk at 9 months
contradicts nutrition guidelines; nutritional changes should
be based on weight trajectory and pediatrician guidance.
Teaching Point: Use developmental screening and anticipatory
guidance before escalating referrals.
Cognitive level: Analysis / Application
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference: Section I — Perspectives of Pediatric Nursing —
Health Care for Children
Stem (2–4 sentences): A 4-year-old boy in the preschool
developmental stage is brought to the clinic by his mother for
routine well-child care. The mother reports the child has had
two emergency department visits for minor injuries in the past
year and she expresses concern about safety at home. On
assessment the child is active, speaks in sentences, and shows
normal growth for age; the mother is tearful and requests
guidance. As the pediatric nurse, which action best addresses
the family-centered concern while meeting health-promotion
goals?
A. Provide a standardized injury-prevention brochure and
discharge the family after a brief explanation.
B. Conduct a focused home-safety assessment with the mother,
discuss developmental risks, and collaborate to create a tailored
safety plan.
,C. Refer the family to child protective services based on the
history of multiple injuries.
D. Recommend limiting the child’s outdoor play and advise
constant adult supervision without further assessment.
Correct answer: B
Rationales:
• Correct (B): Conducting a focused home-safety assessment
and collaborating on a tailored plan applies family-
centered care and health-promotion principles. It matches
preschool developmental risk factors (high activity, limited
hazard awareness) and uses assessment to target
interventions per Wong’s guidance on injury prevention
and partnership with families. Safety planning empowers
caregivers and reduces injury risk.
• Incorrect (A): A brochure alone is passive and unlikely to
change behavior; it fails to individualize interventions or
address maternal concern. Students may mistake
information provision for sufficient teaching.
• Incorrect (C): Referral to child protective services is
premature without signs of neglect or abuse. Multiple
minor injuries do not automatically indicate maltreatment;
clinical judgment and assessment are required first.
• Incorrect (D): Advising restriction of normal play is
developmentally inappropriate and may harm psychosocial
, growth; supervision advice must be specific and balanced
with safety strategies.
Teaching Point: Collaborate with families to create tailored,
developmentally appropriate safety plans.
Cognitive level: Application / Analysis
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Section I.
Item 2
Reference: Section I — Health Promotion — Growth &
Development Surveillance
Stem: A 9-month-old female infant is brought for a well visit;
parents report she began sitting independently at 6 months and
is now pulling to stand but not yet cruising. Feedings include
solids and formula; weight has been following the 25th
percentile. The parents ask whether their child’s development is
"on track." Which nursing response best applies clinical
judgment and evidence-based health promotion?
A. Reassure the parents that all infants develop at their own
pace and schedule a routine follow-up in 6 months.
B. Explain that pulling to stand by 9 months is appropriate,
perform developmental screening (ASQ or similar), provide
anticipatory guidance, and plan a 1-month follow-up if concerns
persist.
, C. Refer immediately for comprehensive developmental
evaluation because the infant is not cruising by 9 months.
D. Suggest switching to whole milk now to promote faster
weight gain and improved motor milestones.
Correct answer: B
Rationales:
• Correct (B): This option integrates surveillance, screening
tools, anticipatory guidance, and follow-up—core
components of health promotion in Wong. Pulling to stand
by 9 months is within expected range; using a validated
screening tool identifies subtle delays and supports family-
centered care.
• Incorrect (A): Blanket reassurance without screening
misses the opportunity for early identification and
education; it is passive and not evidence-based.
• Incorrect (C): Immediate referral for comprehensive
evaluation is premature; screening first is recommended to
determine need for further assessment.
• Incorrect (D): Recommending whole milk at 9 months
contradicts nutrition guidelines; nutritional changes should
be based on weight trajectory and pediatrician guidance.
Teaching Point: Use developmental screening and anticipatory
guidance before escalating referrals.
Cognitive level: Analysis / Application
