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
A 4-year-old girl arrives at the clinic with her mother for a
routine well-child visit. The mother reports the child frequently
refuses to nap, has intermittent temper tantrums at home, and
shows cooperative play with peers at preschool. On
examination the child is playful, interactive, with normal growth
parameters. Which interpretation should the nurse prioritize
when planning anticipatory guidance?
A. The child’s tantrums indicate an emerging behavioral
disorder requiring referral to mental health.
B. The pattern of refusal to nap and temper tantrums is
consistent with normative preschool behavior; provide parental
strategies for setting limits and consistent routines.
C. Because the child is cooperative at preschool, the home
,tantrums are likely due to parental permissiveness; advise
immediate behavior modification classes for the mother.
D. Recommend a trial of daytime melatonin to reduce the
child’s nap refusal and tantrums.
Correct answer
B
Rationale — Correct
Wong emphasizes developmental expectations for
preschoolers, including limits testing and inconsistent naps. The
nurse’s role is to provide family-centered anticipatory guidance
that normalizes typical behaviors and offers practical strategies
(consistent routines, clear limits). This supports parental
confidence and safety without pathologizing normal
development.
Rationale — Incorrect
A. Premature labeling and referral is unnecessary when the
child functions appropriately in social settings; this may cause
undue stigma.
C. Assigning blame to parenting style without collaborative
assessment is biased and not family-centered.
D. Pharmacologic sleep aids are inappropriate for typical
preschool nap refusal and are not first-line nursing
recommendations.
Teaching point
Normalize preschool limit-testing; teach consistent routines and
calm limit setting.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
2
Reference
Section I — Health Promotion — Growth & Development
Stem
A 9-month-old infant is brought for a well visit. The mother
reports the infant sits unsupported, pulls to stand, has pincer
grasp emerging, and uses babbling but no real words. Weight
and length are at the 50th percentile. The mother asks whether
to enroll the infant in a “learning program” to accelerate
development. Which nursing response best reflects evidence-
based health promotion?
A. Encourage immediate enrollment in an intensive infant
learning program to promote language and fine motor skills.
B. Explain that development at 9 months is supported by
parent-child play, reading, and safe exploration rather than
commercial programs.
C. Suggest withholding solid foods to improve attentiveness and
accelerate speech.
D. Advise the mother to replace interactive play with
educational videos for consistent stimulation.
, Correct answer
B
Rationale — Correct
Wong promotes parent-mediated, developmentally appropriate
activities (reading, play, responsive interactions) as most
beneficial for infancy. Evidence does not support commercial
acceleration programs over responsive caregiving. The nurse
should coach on practical, safe, family-centered strategies.
Rationale — Incorrect
A. Intensive commercial programs lack evidence of superiority
and may reduce caregiver-infant interaction.
C. Withholding solids is unsafe and unrelated to language
development.
D. Passive screen time is not recommended for infants; active
caregiver interaction fosters language and social development.
Teaching point
Responsive parent-infant play and reading foster language and
motor development.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 4-year-old girl arrives at the clinic with her mother for a
routine well-child visit. The mother reports the child frequently
refuses to nap, has intermittent temper tantrums at home, and
shows cooperative play with peers at preschool. On
examination the child is playful, interactive, with normal growth
parameters. Which interpretation should the nurse prioritize
when planning anticipatory guidance?
A. The child’s tantrums indicate an emerging behavioral
disorder requiring referral to mental health.
B. The pattern of refusal to nap and temper tantrums is
consistent with normative preschool behavior; provide parental
strategies for setting limits and consistent routines.
C. Because the child is cooperative at preschool, the home
,tantrums are likely due to parental permissiveness; advise
immediate behavior modification classes for the mother.
D. Recommend a trial of daytime melatonin to reduce the
child’s nap refusal and tantrums.
Correct answer
B
Rationale — Correct
Wong emphasizes developmental expectations for
preschoolers, including limits testing and inconsistent naps. The
nurse’s role is to provide family-centered anticipatory guidance
that normalizes typical behaviors and offers practical strategies
(consistent routines, clear limits). This supports parental
confidence and safety without pathologizing normal
development.
Rationale — Incorrect
A. Premature labeling and referral is unnecessary when the
child functions appropriately in social settings; this may cause
undue stigma.
C. Assigning blame to parenting style without collaborative
assessment is biased and not family-centered.
D. Pharmacologic sleep aids are inappropriate for typical
preschool nap refusal and are not first-line nursing
recommendations.
Teaching point
Normalize preschool limit-testing; teach consistent routines and
calm limit setting.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
2
Reference
Section I — Health Promotion — Growth & Development
Stem
A 9-month-old infant is brought for a well visit. The mother
reports the infant sits unsupported, pulls to stand, has pincer
grasp emerging, and uses babbling but no real words. Weight
and length are at the 50th percentile. The mother asks whether
to enroll the infant in a “learning program” to accelerate
development. Which nursing response best reflects evidence-
based health promotion?
A. Encourage immediate enrollment in an intensive infant
learning program to promote language and fine motor skills.
B. Explain that development at 9 months is supported by
parent-child play, reading, and safe exploration rather than
commercial programs.
C. Suggest withholding solid foods to improve attentiveness and
accelerate speech.
D. Advise the mother to replace interactive play with
educational videos for consistent stimulation.
, Correct answer
B
Rationale — Correct
Wong promotes parent-mediated, developmentally appropriate
activities (reading, play, responsive interactions) as most
beneficial for infancy. Evidence does not support commercial
acceleration programs over responsive caregiving. The nurse
should coach on practical, safe, family-centered strategies.
Rationale — Incorrect
A. Intensive commercial programs lack evidence of superiority
and may reduce caregiver-infant interaction.
C. Withholding solids is unsafe and unrelated to language
development.
D. Passive screen time is not recommended for infants; active
caregiver interaction fosters language and social development.
Teaching point
Responsive parent-infant play and reading foster language and
motor development.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
