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,CHAPTER 1 Introduction to Child Health and Pediatric Nursing
MULTIPLE CHOICE
1. A nurse is planning a teaching session for parents of preschool children. Which
statement explains why the nurse should include information about morbidity and
mortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are identified.
ANS: D
Analysis of morbidity and mortality data provides the parents with information about
which groups of individuals are at risk for which health problems. Life-span statistics is a
part of the mortality data. Treatment modalities and cost are not included in morbidity
and mortality data.
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity prevention for
parents of school-age children. The nurse should include which associated risk of obesity
in the teaching plan?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I
diabetes is not associated with obesity and has a genetic component. Respiratory disease
is not associated with obesity, and celiac disease is the inability to metabolize gluten in
foods and is not associated with obesity.
PTS: 1 DIF: Cognitive Level: Apply REF: 3
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the leading cause of death in infants younger than 1 year?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Respiratory distress syndrome
d. Bacterial sepsis of the newborn
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the
perinatal period account for % of deaths in this age group.
,PTS: 1 DIF: Cognitive Level: Remember REF: 7
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which leading cause of death topic should the nurse emphasize to a group of African-
American boys ranging in ages 15 to 19 years?
a. Suicide
b. Cancer
c. Firearm homicide
d. Occupational injuries
ANS: C
Firearm homicide is the second overall cause of death in this age group and the leading
cause of death in African-American males. Suicide is the third-leading cause of death in
this population. Cancer, although a major health problem, is the fourth-leading cause of
death in this age group. Occupational injuries do not contribute to a significant death rate
for this age group.
PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. Congenital anomalies are the leading cause of death in those younger than 1
year. Cancer ranks either second or fourth, depending on the age group, and heart disease
ranks fifth in the majority of the age groups.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
6. Which is the leading cause of death from unintentional injuries for females ranging in
age from 1 to 14?
a. Mechanical suffocation
b. Drowning
c. Motorvehicle-related fatalities
d. Fire- and burn-related fatalities
ANS: C
Motorvehicle-related fatalities are the leading cause of death for females ranging in age
from 1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or
fifth, depending on the age. Drowning is the second- or third-leading cause of death,
depending on the age. Fire- and burn-related fatalities are the second-leading cause of
death.
PTS: 1 DIF: Cognitive Level: Remember REF: 4
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
, 7. Which Bfactor Bmost Bimpacts Bthe Btype Bof Binjury Ba Bchild Bis Bsusceptible Bto, Baccording Bto
Bthe Bchilds Bage?
a. Physical Bhealth Bof Bthe Bchild
b. Developmental Blevel Bof Bthe Bchild
c. Educational Blevel Bof Bthe Bchild
d. Number Bof Bresponsible Badults Bin Bthe
Bhome BANS: BB
The Bchilds Bdevelopmental Bstage Bdetermines Bthe Btype Bof Binjury Bthat Bis Blikely Bto Boccur.
BThe Bchilds Bphysical Bhealth Bmay Bfacilitate Bthe Bchilds Brecovery Bfrom Ban Binjury Bbut Bdoes
Bnot Bimpact Bthe Btype Bof Binjury. BEducational Blevel Bis Brelated Bto Bdevelopmental Blevel,
Bbut Bit Bis Bnot Bas Bimportant Bas Bthe Bchilds Bdevelopmental Blevel Bin Bdetermining Bthe Btype
Bof Binjury. BThe Bnumber Bof Bresponsible Badults Bin Bthe Bhome Bmay Baffect Bthe Bnumber Bof
Bunintentional Binjuries, Bbut Bthe Btype Bof Binjury Bis Brelated Bto Bthe Bchilds Bdevelopmental
Bstage.
PTS: B1 BDIF: BCognitive BLevel: BUnderstand BREF:
B3-4 BTOP: BIntegrated BProcess: BNursing BProcess:
BPlanning
MSC: BArea Bof BClient BNeeds: BHealth BPromotion Band BMaintenance
8. Which Bis Bnow Breferred Bto Bas Bthe Bnew Bmorbidity?
a. Limitations Bin Bthe Bmajor Bactivities Bof Bdaily Bliving
b. Unintentional Binjuries Bthat Bcause Bchronic Bhealth Bproblems
c. Discoveries Bof Bnew Btherapies Bto Btreat Bhealth Bproblems
d. Behavioral, Bsocial, Band Beducational Bproblems Bthat Balter
Bhealth BANS: BD
The Bnew Bmorbidity Breflects Bthe Bbehavioral, Bsocial, Band Beducational Bproblems Bthat
Binterfere Bwith Bthe Bchilds Bsocial Band Bacademic Bdevelopment. BIt Bis Bcurrently Bestimated
Bthat Bthe Bincidence Bof Bthese Bissues Bis Bfrom B5% Bto B30%. BLimitations Bin Bmajor Bactivities
Bof Bdaily Bliving Band Bunintentional Binjuries Bthat Bresult Bin Bchronic Bhealth Bproblems Bare
Bincluded Bin Bmorbidity Bdata. BDiscovery Bof Bnew Btherapies Bwould Bbe Breflected Bin
Bchanges Bin Bmorbidity Bdata Bover Btime.
PTS: B1 BDIF: BCognitive BLevel: BRemember BREF: B3
B TOP: BIntegrated BProcess: BNursing BProcess:
BAssessment
MSC: BArea Bof BClient BNeeds: BHealth BPromotion Band BMaintenance
9. A Bnurse Bon Ba Bpediatric Bunit Bis Bpracticing Bfamily-centered Bcare. BWhich Bis
Bmost Bdescriptive Bof Bthe Bcare Bthe Bnurse Bis Bdelivering?
a. Taking Bover Btotal Bcare Bof Bthe Bchild Bto Breduce Bstress Bon Bthe Bfamily
b. Encouraging Bfamily Bdependence Bon Bhealth Bcare Bsystems
c. Recognizing Bthat Bthe Bfamily Bis Bthe Bconstant Bin Ba Bchilds Blife
d. Excluding Bfamilies Bfrom Bthe Bdecision-making
Bprocess BANS: BC
The Bthree Bkey Bcomponents Bof Bfamily-centered Bcare Bare Brespect, Bcollaboration, Band
Bsupport. BFamily-centered Bcare Brecognizes Bthe Bfamily Bas Bthe Bconstant Bin Bthe Bchilds Blife.
BTaking Bover Btotal Bcare Bdoes Bnot Binclude Bthe Bfamily Bin Bthe Bprocess Band Bmay Bincrease
Bstress Binstead Bof Breducing Bstress. BThe Bfamily Bshould Bbe Benabled Band Bempowered Bto
Bwork Bwith Bthe Bhealth Bcare Bsystem. BThe Bfamily Bis Bexpected Bto Bbe Bpart Bof Bthe Bdecision-
making Bprocess.
PTS: B1 BDIF: BCognitive BLevel: BRemember BREF: B8
TOP: BIntegrated BProcess: BNursing BProcess: BImplementation
BMSC: BArea Bof BClient BNeeds: BHealth BPromotion Band