Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 – Perspectives of Pediatric Nursing — Health
Promotion (Healthy People 2030)
Question Stem: A pediatric nurse is planning community
teaching to reduce preventable childhood illnesses. Which
Healthy People 2030 strategy best frames the nurse’s
program?
A. Targeting treatment only for children already diagnosed
with chronic disease
B. Focusing on upstream prevention (immunizations,
safety, nutrition) and social determinants
C. Prioritizing expensive tertiary care resources for rare
disorders
D. Limiting interventions to hospital-based services only
Correct Answer: B
Rationales:
Correct: Healthy People 2030 emphasizes prevention and
addressing social determinants to improve child health (Wong
Ch.1 — Perspectives; Health Promotion). This upstream
approach reduces morbidity and long-term risk. Health.gov
A: Incorrect — treatment-only neglects prevention and misses
opportunities to reduce incidence.
C: Incorrect — focusing on rare disorders ignores population-
level prevention impact.
,D: Incorrect — restricting to hospital settings ignores
community and primary prevention strategies.
Teaching Point: Prevention and social determinants are central
to pediatric health promotion.
2. Chapter 1 – Perspectives of Pediatric Nursing — Role of
the Pediatric Nurse (Family Advocacy and Caring)
Question Stem: A mother is anxious about her school-age
child’s upcoming surgery. Which nursing action best
reflects family-centered care?
A. Provide only written postop instructions and leave the
room
B. Exclude family from rounds to preserve privacy
C. Involve the mother in preop teaching and shared
decision-making
D. Tell the mother surgery details aren’t appropriate for
non-clinical family members
Correct Answer: C
Rationales:
Correct: Wong stresses family-centered care: involving
caregivers in teaching and decision-making supports coping and
outcomes (Ch.1 — Role & Family Advocacy).
A: Incorrect — written materials alone do not address anxiety
or individualized education.
B: Incorrect — excluding family conflicts with family-centered
,principles.
D: Incorrect — withholding appropriate information
undermines trust and advocacy.
Teaching Point: Engage families in education and decisions to
support child-centered care.
3. Chapter 1 – Perspectives of Pediatric Nursing — Infant
Mortality
Question Stem: Which community-level intervention
would a pediatric nurse prioritize to reduce infant
mortality rates most effectively?
A. Exclusive focus on newborn NICU technology purchases
B. Prenatal care access, safe sleep education, and maternal
support programs
C. Advertising luxury infant products in clinics
D. Encouraging early discharge from postnatal care to
lower cost
Correct Answer: B
Rationales:
Correct: Evidence links improved prenatal care, safe sleep
education, and maternal support to lower infant mortality
(Wong Ch.1 — Perspectives; Infant Safety). CDC data support
targeted prenatal and safe sleep interventions. CDC+1
A: Incorrect — NICU tech helps high-risk infants but doesn’t
prevent population-level mortality.
, C: Incorrect — Advertising luxury items does not address risk
factors.
D: Incorrect — Early discharge without supports may increase
risk of adverse outcomes.
Teaching Point: Strengthen prenatal care and safe-sleep
education to reduce infant deaths.
4. Chapter 1 – Perspectives of Pediatric Nursing — Obesity &
Type 2 Diabetes (Disease Prevention)
Question Stem: A school nurse sees several adolescents
with BMI ≥95th percentile. Which initial plan best aligns
with evidence-based prevention for type 2 diabetes?
A. Begin immediate pharmacologic weight-loss agents for
all affected teens
B. Provide family-centered lifestyle intervention: diet,
activity, behavioral support
C. Label adolescents and refer them for cosmetic surgery
evaluation
D. Advise adolescents that BMI cannot be changed and do
nothing
Correct Answer: B
Rationales:
Correct: Wong emphasizes prevention and family involvement
in modifying diet and activity; CDC guidance supports lifestyle
interventions to reduce pediatric obesity and diabetes risk.
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 – Perspectives of Pediatric Nursing — Health
Promotion (Healthy People 2030)
Question Stem: A pediatric nurse is planning community
teaching to reduce preventable childhood illnesses. Which
Healthy People 2030 strategy best frames the nurse’s
program?
A. Targeting treatment only for children already diagnosed
with chronic disease
B. Focusing on upstream prevention (immunizations,
safety, nutrition) and social determinants
C. Prioritizing expensive tertiary care resources for rare
disorders
D. Limiting interventions to hospital-based services only
Correct Answer: B
Rationales:
Correct: Healthy People 2030 emphasizes prevention and
addressing social determinants to improve child health (Wong
Ch.1 — Perspectives; Health Promotion). This upstream
approach reduces morbidity and long-term risk. Health.gov
A: Incorrect — treatment-only neglects prevention and misses
opportunities to reduce incidence.
C: Incorrect — focusing on rare disorders ignores population-
level prevention impact.
,D: Incorrect — restricting to hospital settings ignores
community and primary prevention strategies.
Teaching Point: Prevention and social determinants are central
to pediatric health promotion.
2. Chapter 1 – Perspectives of Pediatric Nursing — Role of
the Pediatric Nurse (Family Advocacy and Caring)
Question Stem: A mother is anxious about her school-age
child’s upcoming surgery. Which nursing action best
reflects family-centered care?
A. Provide only written postop instructions and leave the
room
B. Exclude family from rounds to preserve privacy
C. Involve the mother in preop teaching and shared
decision-making
D. Tell the mother surgery details aren’t appropriate for
non-clinical family members
Correct Answer: C
Rationales:
Correct: Wong stresses family-centered care: involving
caregivers in teaching and decision-making supports coping and
outcomes (Ch.1 — Role & Family Advocacy).
A: Incorrect — written materials alone do not address anxiety
or individualized education.
B: Incorrect — excluding family conflicts with family-centered
,principles.
D: Incorrect — withholding appropriate information
undermines trust and advocacy.
Teaching Point: Engage families in education and decisions to
support child-centered care.
3. Chapter 1 – Perspectives of Pediatric Nursing — Infant
Mortality
Question Stem: Which community-level intervention
would a pediatric nurse prioritize to reduce infant
mortality rates most effectively?
A. Exclusive focus on newborn NICU technology purchases
B. Prenatal care access, safe sleep education, and maternal
support programs
C. Advertising luxury infant products in clinics
D. Encouraging early discharge from postnatal care to
lower cost
Correct Answer: B
Rationales:
Correct: Evidence links improved prenatal care, safe sleep
education, and maternal support to lower infant mortality
(Wong Ch.1 — Perspectives; Infant Safety). CDC data support
targeted prenatal and safe sleep interventions. CDC+1
A: Incorrect — NICU tech helps high-risk infants but doesn’t
prevent population-level mortality.
, C: Incorrect — Advertising luxury items does not address risk
factors.
D: Incorrect — Early discharge without supports may increase
risk of adverse outcomes.
Teaching Point: Strengthen prenatal care and safe-sleep
education to reduce infant deaths.
4. Chapter 1 – Perspectives of Pediatric Nursing — Obesity &
Type 2 Diabetes (Disease Prevention)
Question Stem: A school nurse sees several adolescents
with BMI ≥95th percentile. Which initial plan best aligns
with evidence-based prevention for type 2 diabetes?
A. Begin immediate pharmacologic weight-loss agents for
all affected teens
B. Provide family-centered lifestyle intervention: diet,
activity, behavioral support
C. Label adolescents and refer them for cosmetic surgery
evaluation
D. Advise adolescents that BMI cannot be changed and do
nothing
Correct Answer: B
Rationales:
Correct: Wong emphasizes prevention and family involvement
in modifying diet and activity; CDC guidance supports lifestyle
interventions to reduce pediatric obesity and diabetes risk.
