TEST BANK
BURNS' PEDIATRIC PRIMARY CARE SEVENTH EDITION BY
DAWN LEE GARZON MAAKS, NANCY BARBER STARR, AND
MARGARET A. BRADY
TEST BANK
,0|Page
,Chapter 01: Health Status of Children: Global and National Perspectives
Garzon Maaks: Burns' Pediatric Primary Care, 7th Edition
MULTIPLE CHOICE:
1. Which region globally has the highest infant mortality rate?
a. Indonesia
b. Southern Asia
c. Sub-Saharan Africa
d. Syria
ANS: B
Although Sub-Saharan Africa and Southern Asia together account for 77% of the infant mortality rate
globally, Southern Asia has the highest infant mortality rate (39%) in the world followed closely by Sub-
Saharan Africa (38%).
2. The primary care pediatric nurse practitioner understands that, to achieve the greatest world-wide
reduction in child mortality from pneumonia and diarrhea, which intervention is most effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification
ANS: C
Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading cause of
pneumonia, and together these are the leading infectious causes of childhood morbidity and mortality
globally. Both are vaccine-preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and
clean water all help to reduce morbidity and mortality, but vaccination prevents the diseases from
occurring.
3. Which statement correctly reflects the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
b. Obesity rates among 2- to 5-year-olds have stabilized below Health People 2020 goal of 9.4%.
c. The rate of household poverty is lower than in other economically developed nations.
d. Young children who attend preschool or day care have higher food insecurity.
ANS: B
Obesity rates are a major concern for child health in the U.S. but recently have stabilized at 8.9%.
Globalism has an increasing effect on child health in the U.S. The rate of household poverty in the U.S. is
higher than in other economically developed nations. Young children who attend preschool or day care
have lower food insecurity.
4. The primary care pediatric nurse practitioner understands that what major child health outcome is
dramatically associated with worldwide climate change?
a. Housing
b. Education
c. Nutrition
d. Pollution
ANS: C
1|Page
, There is growing evidence that climate change is having a dramatic effect on food crops that leads to food
distribution issues and food insecurity among families.
5. When providing well child care for an infant in the first year of life, the primary care pediatric nurse
practitioner demonstrates an understanding of current guidelines when taking what action?
a. Focusing less on development and more on illness prevention and nutrition.
b. Following guidelines established by the Bright Futures publication.
c. Scheduling well-baby visits to coincide with key developmental milestones.
d. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
ANS: C
In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a greater
emphasis on behavioral and developmental issues and a recommendation that well child care be based on
child and family development rather than the periodicity of immunization schedules.
2|Page
BURNS' PEDIATRIC PRIMARY CARE SEVENTH EDITION BY
DAWN LEE GARZON MAAKS, NANCY BARBER STARR, AND
MARGARET A. BRADY
TEST BANK
,0|Page
,Chapter 01: Health Status of Children: Global and National Perspectives
Garzon Maaks: Burns' Pediatric Primary Care, 7th Edition
MULTIPLE CHOICE:
1. Which region globally has the highest infant mortality rate?
a. Indonesia
b. Southern Asia
c. Sub-Saharan Africa
d. Syria
ANS: B
Although Sub-Saharan Africa and Southern Asia together account for 77% of the infant mortality rate
globally, Southern Asia has the highest infant mortality rate (39%) in the world followed closely by Sub-
Saharan Africa (38%).
2. The primary care pediatric nurse practitioner understands that, to achieve the greatest world-wide
reduction in child mortality from pneumonia and diarrhea, which intervention is most effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification
ANS: C
Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading cause of
pneumonia, and together these are the leading infectious causes of childhood morbidity and mortality
globally. Both are vaccine-preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and
clean water all help to reduce morbidity and mortality, but vaccination prevents the diseases from
occurring.
3. Which statement correctly reflects the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
b. Obesity rates among 2- to 5-year-olds have stabilized below Health People 2020 goal of 9.4%.
c. The rate of household poverty is lower than in other economically developed nations.
d. Young children who attend preschool or day care have higher food insecurity.
ANS: B
Obesity rates are a major concern for child health in the U.S. but recently have stabilized at 8.9%.
Globalism has an increasing effect on child health in the U.S. The rate of household poverty in the U.S. is
higher than in other economically developed nations. Young children who attend preschool or day care
have lower food insecurity.
4. The primary care pediatric nurse practitioner understands that what major child health outcome is
dramatically associated with worldwide climate change?
a. Housing
b. Education
c. Nutrition
d. Pollution
ANS: C
1|Page
, There is growing evidence that climate change is having a dramatic effect on food crops that leads to food
distribution issues and food insecurity among families.
5. When providing well child care for an infant in the first year of life, the primary care pediatric nurse
practitioner demonstrates an understanding of current guidelines when taking what action?
a. Focusing less on development and more on illness prevention and nutrition.
b. Following guidelines established by the Bright Futures publication.
c. Scheduling well-baby visits to coincide with key developmental milestones.
d. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
ANS: C
In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a greater
emphasis on behavioral and developmental issues and a recommendation that well child care be based on
child and family development rather than the periodicity of immunization schedules.
2|Page
