, Origin: Chapter 1,1
CHAPTER:n INTRODUCTIONn TOn CHILDn HEALTHnANDn PEDIATRICn NURSING
Origin:n Chaptern1,n1
1. Thennursenprovidingnfamily-
centeredncareninnanhospitalnsettingnreflectsnonnthenfocusnofnthenhealthncarenprovidedninntod
ay'snsociety.nWhichnstatementnbestndescribesnthencurrentndefinitionnofnhealth?
A) Healthnisndescribednasn'annabsencenofndisease.'
B) Healthnisnmeasurednbynmonitoringnmortalitynandn morbiditynofnangroup.
C) Healthnisnanstatenofncompletenphysical,nmental,nandnsocialnwell-being.
D) Technologicalngainsnmadeninnhealthncarenarensharednequallynamongnallnchildren.n
Ans:nC
Feedback:
Innthenpast,nhealthnwasndefinednsimplynasnthenabsencenofndisease;nhealthnwasnmeasurednbyn
monitoringnthenmortalitynandnmorbiditynofnangroup.nOvernthenpastncentury,nhowever,nthenfo
cusnofnhealthnhasnshiftedntondiseasenprevention,nhealthnpromotion,nandnwellness.nThenWorl
dnHealthnOrganizationn(2013)ndefinesnhealthnasn"anstatenofncompletenphysical,nmental,nandn
socialnwell-
being,nandnnotnmerelynthenabsencenofndiseasenorninfirmity."nThengainsninnchildnhealthnhaven
beennhuge,nbut,nunfortunately,nthesengainsnarennotnsharednequallynamongnallnchildren.
2. Thenstudentnnursenisnlearningnaboutnthenpastnhistorynofnchildnhealthnandnhealthncareninnthen
UnitednStates.nWhichnstatementnaccuratelynreflectsnthenconditionnofnhealthncareninnthenpas
tnandncurrentncenturies?
A) InnpastncenturiesninnthenUnitednStates,nthenhealthnofnthencountrynwasnbetternthannitnisnt
odaynduentonthensimplernstylenofnliving.
B) Innthencurrentncentury,nmortalitynratesnarenhigh,nbutnlifenexpectancynhasnincreasedn
duentontechnologicalnadvances.
C) Innthenlateneighteenthnandnearlynnineteenthncenturiesnurbannpublicnhealthni
mprovementsnmadencitiesnhealthiernplacesnforngrowingnchildren.
D) Bynthenlatentwentiethncenturynunintentionalninjuriesnrathernthanninfectiousndiseasesn
hadnbecomenthenleadingncausenofndeathnfornchildrennoldernthann1nyearnold.
Ans:n D
Feedback:
InnpastncenturiesninnthenUnitednStates,nthenhealthnofnthencountrynwasnpoorernthannitnisntoday;
nmortalitynratesnwerenhighnandnlifenexpectancynwasnshort.nOvernthen yearsnthenhealthnofnchild
rennreceivednmorenandnmorenattention,nleadingntonanbetternunderstandingnofnsourcesnofnillne
ssnandnimprovementsninnsanitation,nwater,nandnnutrition.nAsnanresult,nbynthenlatentwentiethn
centurynunintentionalninjuriesnrathernthanninfectiousndiseasesnhadnbecomenthenleadingncaus
enofndeathnfornchildrennoldernthann1nyearnold.
Origin:n Chaptern1,n3
3. Thennursenisnadministeringnannumbernofntherapeuticninterventionsnfornneonates,ninfants,n
andnchildrennonnthenpediatricnunit.nWhichninterventionncontributesntonannincreaseninnchro
nicnillnessnseenninnearlynchildhood?
A) Administeringnantibioticsntonpreventnlethalninfections
B) Vaccinatingnchildrenntonpreventnchildhoodndiseases
C) Usingnmechanicalnventilationnfornprematureninfants
Pagen2
, D) Usingncorticosteroidsnasnantreatmentnfornasthman
Ans:nC
Feedback:
Usingnmechanicalnventilationnandnmedicationsntonfosternlungndevelopmentninnprematureninf
antsnincreasesntheirnsurvivalnrate.nYetntheninfantsnwhonsurvivenarenoftennfacednwithnmyriadn
chronicnillnesses.nAdministeringnantibioticsntonpreventnlethalninfections,nvaccinatingnchildr
enntonpreventnchildhoodndiseases,nandnusingncorticosteroidsnasnantreatmentnfornasthmanmayn
causensideneffects,nbutndonnotncontributentonchronicnillnessninnchildren.
4. ThennursenisnreviewingnancopynofnthenU.S.nSurgeonn General'snReport,n HealthynPeople.
Whichnnursingnactionnbestnreflectsnthennursenfosteringnthisnhealthncarenagenda?
A) Thennursensignsnupnfornclassesntonobtainnannadvancedndegreeninnnursing
B) Thennursenvolunteersnatnanlocalnhealthncarenclinicnprovidingnfreenvaccinationsnfornl
ow-incomenpopulations
C) Thennursenperformsnannin-servicenonnbasicnhospitalnequipmentnfornstudentnnurses
D) Thennursencompilesnnursingnarticlesnonnevidence-
basednpracticesninnnursingntonpresentnatnanhospitalntrainingnseminar
Ans:n B
Feedback:
HealthynPeoplenisnancomprehensivenhealthnpromotionnandndiseasenpreventionnagendanthatni
snworkingntowardnimprovingnthenquantitynandnqualitynofnlifenfornallnAmericansn(U.S.nDepa
rtmentnofnHealthnandnHumannServices,n2010).nOverarchingngoalsnarentoneliminatenprevent
ablendisease,ndisability,ninjury,nandnprematurendeath;nachievenhealthnequity,neliminatendisp
arities,nandnimproventhenhealthnofnallngroups;ncreatenphysicalnandnsocialnenvironmentsnthatn
promotengoodnhealth;nandnpromotenhealthyndevelopmentnandnbehaviorsnacrossneverynstage
nofnlife.nVolunteeringnatnanlocalnhealthncarenclinicndirectlynreflectsnthengoalnofnimprovingnth
enhealthnofnallngroupsnofnpeople.nSigningnupnfornclasses,nperformingnin-
servicesnonnequipment,nandncompilingnnursingnarticlesnonnevidence-
basednpracticesninnnursingnarenallnworthwhilenactivitiesnthatnfosternhealthncarendelivery,nbu
tnarennotnasndirectlynlinkedntonthenagendanofnpromotingnhealthninnthencommunity.
5. ThenneonatalnnursenresearchesnthenneonatalnandnmortalitynratesninnthenUnitednStates.n
Whichnstatementsnaccuratelyndescribenthesenmeasurementsnofnchildnhealth?nSelectnallnt
hatnapply.
A) Neonatalnmortalitynisnthennumbernofninfantndeathsnoccurringninnthenfirstn28ndaysnofnli
fenpern1,000nlivenbirths.
B) Theninfantnmortalitynratenrefersntonthennumbernofndeathsnoccurringninnthenfirstn6n
monthsnofnlife.
C) Neonatalnmortalitynisndocumentednasnthennumbernofndeathsninnrelationnton1,000nlivenb
irths.
D) Theninfantnmortalitynratenisnusednasnannindexnofnthengeneralnhealthnofnancountry.
E) Inn2007,ntheninfantnmortalitynrateninnthenUnitednStatesnwasn6.8npern1,000nlivenbirths.
F) Theninfantnmortalitynratenisnconsistentnfromnstatentonstatenasnwellnasnbetweennethnicng
roups.
Ans:n A,nC,nD,nE
Feedback:
Neonatalnmortalitynisnthennumbernofninfantndeathsnoccurringninnthenfirstn28ndaysnofnlifenpern
1,000nlivenbirths.nTheninfantnmortalitynratenrefersntonthennumbernofndeathsnoccurringninnthen
firstn12nmonthsnofnlifenandnisndocumentednasnthennumbernofndeathsninnrelationnton1,000nlive
Pagen3
, nbirths.nTheninfantnmortalitynratenisnusednasnannindexnofnthengeneralnhealthnofnancountry;ngen
erally,nthisnstatisticnisnonenofnthenmostnsignificantnmeasuresnofnchildren'snhealth.nInn2007,nt
heninfantnmortalitynrateninnthenUnitednStatesnwasn6.8npern1,000nlivenbirths.nTheninfantnmort
alitynratenvariesngreatlynfromnstatentonstatenasnwellnasnbetweennethnicngroups.
6. ThennursenresearcherninvestigatesnthenmorbiditynrateninnthenUnitednStates.nWhichns
tatementnaccuratelynreflectsnthisnconcept?
A) Morbiditynmeasuresnthenprevalencenofnanspecificnillnessninnanpopulationnatnan
particularntime.
B) Morbiditynisnpresentedninnratesnpern100,000npopulation.
C) Morbiditynstatisticsnarenrevisednmorenfrequentlynbecausenofntheneaseninndefiningnorn
obtainingntheninformation.
D) Inngeneral,n76%nofnchildrenninnthenUnitednStatesnenjoyednexcellentnhealthnandn27%nh
adnveryngoodnhealthninnan2007nreport.
Ans:n A
Feedback:
Morbiditynisnthenmeasurenofnprevalencenofnanspecificnillnessninnanpopulationnatnanparticularn
time.nItnisnpresentedninnratesnpern1,000npopulation.nMorbiditynisnoftenndifficultntondefinenan
dnrecordnbecausenthendefinitionsnusednvarynwidely.nFornexample,nmorbiditynmaynbendefine
dnasnvisitsntonthenphysiciannorndiagnosisnfornhospitalnadmission.nAlso,ndatanmaynbendifficult
ntonobtain.nMorbiditynstatisticsnarenrevisednlessnfrequentlynbecausenofnthendifficultyninndefi
ningnornobtainingntheninformation.nInngeneral,n56%nofnchildrenninnthenUnitednStatesnenjoy
ednexcellentnhealthnandn27%nhadnveryngoodnhealthnasnreportedninnansummarynofnhealthnstat
isticsnfornchildrenninn2007.
Origin:n Chaptern1,n7
7. Whennassessingnanfamilynfornbarriersntonhealthncare,nthennursendocumentsnchecksnfornp
sychosocialnbarriers.nWhatnisnannexamplenofnthisntypenofnhealthncarendeficit?
A) Academicndifficulties
B) Respiratorynillness
C) Poornsanitation
D) Inheritedndiseases
nAns:nA
Feedback:
Environmentalnandnpsychosocialnfactorsnarennownannidentifiednareanofnconcernninnchildren
.nTheynincludenacademicndifferences,ncomplexnpsychiatricndisorders,nself-
harmnandnharmntonothers,nusenofnfirearms,nhostilitynatnschool,nsubstancenabuse,nHIV/AIDS,n
andnadverseneffectsnofnthenmedia.nRespiratorynillnessnandninheritedndiseasesnarenhealthnpro
blems,nandnpoornsanitationnisnannenvironmentalnfactor.
Pagen4