Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Health Promotion
Key Concept: Bright Futures / anticipatory guidance
Question Stem: A 2-year-old’s caregiver asks when to begin
routine anticipatory guidance about injury prevention. The best
response is to:
A. Begin at age 2 when the child is ambulatory and curious.
B. Begin during infancy and continue at each well visit.
C. Wait until preschool because parents won’t remember
earlier.
D. Only provide written materials at 2 years.
Correct Answer: B
Rationales:
Correct: Anticipatory guidance is initiated in infancy and
reinforced at each well-child visit to match developmental
stages and prevent injury; it’s a continuous component of
health promotion (Wong Ch.1: Health Promotion). Evolve
A: Partial — injury prevention begins before 2 years (infancy)
because risks change as mobility increases.
C: Incorrect — delaying guidance misses critical developmental
windows where behavior and environment are modified.
,D: Incorrect — written materials alone are insufficient; verbal,
tailored teaching is needed.
Teaching Point: Start anticipatory guidance in infancy and
reinforce at every visit.
2.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Development
Key Concept: Developmental screening and normal red flags
Question Stem: During a 9-month well visit, which finding
should prompt further developmental evaluation?
A. Pulls to stand and cruises along furniture.
B. Says “mama” and “dada” indiscriminately.
C. Uses a pincer grasp to pick up small objects.
D. Has no babbling or social vocalizations.
Correct Answer: D
Rationales:
Correct: Lack of babbling or social vocalizations at 9 months is a
red flag for communication delay and warrants further
evaluation (Wong Ch.1: Development). Evolve
A: Expected — pulling to stand and cruising are appropriate
gross motor milestones.
B: Expected — early use of “mama/dada” is common.
,C: Expected — pincer grasp generally appears around 9–12
months.
Teaching Point: Absence of age-appropriate vocalizations at 9
months requires evaluation.
3.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Nutrition / Oral Health
Key Concept: Early childhood caries prevention
Question Stem: A nurse advising parents about infant oral
health should recommend:
A. Avoiding fluoride until age 3 to prevent staining.
B. Cleaning the gums with a soft cloth and avoiding bedtime
bottles with juice.
C. Waiting to see a dentist until permanent teeth erupt.
D. Using honey on pacifiers to soothe teething.
Correct Answer: B
Rationales:
Correct: Cleaning infant gums and avoiding bedtime bottles
with sugary liquids prevents early childhood caries; fluoride
guidance should follow local recommendations (Wong Ch.1:
Nutrition/Oral Health). Evolve
A: Incorrect — inappropriate blanket avoidance of fluoride may
increase caries risk; follow provider guidance.
, C: Incorrect — first dental visit should occur by first tooth
eruption or first birthday.
D: Incorrect — honey risks infection (botulism in infants) and
increases caries risk.
Teaching Point: Clean gums/teeth early and avoid sugary
bedtime bottles.
4.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Childhood Health Problems / Obesity & Type 2
Diabetes
Key Concept: BMI percentiles and risk
Question Stem: Which BMI result in a 12-year-old indicates
obesity and increased Type 2 diabetes risk?
A. BMI at the 50th percentile.
B. BMI at the 85th percentile.
C. BMI at the 95th percentile.
D. BMI at the 10th percentile.
Correct Answer: C
Rationales:
Correct: In children, obesity is defined as BMI ≥95th percentile
for age/sex and is associated with higher risk for type 2 diabetes
and cardiometabolic disease (Wong Ch.1: Obesity & Type 2
Diabetes; CDC obesity facts). EvolveCDC
Chapter 1: Perspectives of Pediatric Nursing.
1.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Health Promotion
Key Concept: Bright Futures / anticipatory guidance
Question Stem: A 2-year-old’s caregiver asks when to begin
routine anticipatory guidance about injury prevention. The best
response is to:
A. Begin at age 2 when the child is ambulatory and curious.
B. Begin during infancy and continue at each well visit.
C. Wait until preschool because parents won’t remember
earlier.
D. Only provide written materials at 2 years.
Correct Answer: B
Rationales:
Correct: Anticipatory guidance is initiated in infancy and
reinforced at each well-child visit to match developmental
stages and prevent injury; it’s a continuous component of
health promotion (Wong Ch.1: Health Promotion). Evolve
A: Partial — injury prevention begins before 2 years (infancy)
because risks change as mobility increases.
C: Incorrect — delaying guidance misses critical developmental
windows where behavior and environment are modified.
,D: Incorrect — written materials alone are insufficient; verbal,
tailored teaching is needed.
Teaching Point: Start anticipatory guidance in infancy and
reinforce at every visit.
2.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Development
Key Concept: Developmental screening and normal red flags
Question Stem: During a 9-month well visit, which finding
should prompt further developmental evaluation?
A. Pulls to stand and cruises along furniture.
B. Says “mama” and “dada” indiscriminately.
C. Uses a pincer grasp to pick up small objects.
D. Has no babbling or social vocalizations.
Correct Answer: D
Rationales:
Correct: Lack of babbling or social vocalizations at 9 months is a
red flag for communication delay and warrants further
evaluation (Wong Ch.1: Development). Evolve
A: Expected — pulling to stand and cruising are appropriate
gross motor milestones.
B: Expected — early use of “mama/dada” is common.
,C: Expected — pincer grasp generally appears around 9–12
months.
Teaching Point: Absence of age-appropriate vocalizations at 9
months requires evaluation.
3.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Nutrition / Oral Health
Key Concept: Early childhood caries prevention
Question Stem: A nurse advising parents about infant oral
health should recommend:
A. Avoiding fluoride until age 3 to prevent staining.
B. Cleaning the gums with a soft cloth and avoiding bedtime
bottles with juice.
C. Waiting to see a dentist until permanent teeth erupt.
D. Using honey on pacifiers to soothe teething.
Correct Answer: B
Rationales:
Correct: Cleaning infant gums and avoiding bedtime bottles
with sugary liquids prevents early childhood caries; fluoride
guidance should follow local recommendations (Wong Ch.1:
Nutrition/Oral Health). Evolve
A: Incorrect — inappropriate blanket avoidance of fluoride may
increase caries risk; follow provider guidance.
, C: Incorrect — first dental visit should occur by first tooth
eruption or first birthday.
D: Incorrect — honey risks infection (botulism in infants) and
increases caries risk.
Teaching Point: Clean gums/teeth early and avoid sugary
bedtime bottles.
4.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing — Childhood Health Problems / Obesity & Type 2
Diabetes
Key Concept: BMI percentiles and risk
Question Stem: Which BMI result in a 12-year-old indicates
obesity and increased Type 2 diabetes risk?
A. BMI at the 50th percentile.
B. BMI at the 85th percentile.
C. BMI at the 95th percentile.
D. BMI at the 10th percentile.
Correct Answer: C
Rationales:
Correct: In children, obesity is defined as BMI ≥95th percentile
for age/sex and is associated with higher risk for type 2 diabetes
and cardiometabolic disease (Wong Ch.1: Obesity & Type 2
Diabetes; CDC obesity facts). EvolveCDC
