1
NURS 642: Exam 1 Questions with Answers (100%
Correct Answers)
3 leading causes of death globally in children younger than 5? Answer:
pneumonia (mainly from strep), diarrhea (mainly from rotavirus), and
malaria
What 3 things contribute to childhood mortality rates globally? Answer:
Undernutrition, low rates of breastfeeding, and zinc deficiency
What are 3 things that are affecting the overall health status of children
the United States? Answer: Greater number of children in poverty,
obesity, and food insecurity
5 facts about the greater number of children in poverty Answer:
Chronic physical/mental health conditions, exposure to intimate partner
violence, and abuse. 1 in 5 children is below FPL, rates are higher in
latino and african-american families
What percentage of 2-19 year old are obese and what does this cause
them to be at risk for? Answer: 17% of children between 2-19. At risk for
heart disease, type 2 diabetes, stroke, osteoarthritis
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,2
How many children live in food insecurity and what are 3 ways to
combat this? Answer: 1 in 5 children live in food insecure households.
SNAP, WIC, SBP help to combat this
What is dual-patient care? Answer: In a way, you have two pts, the child
& the family member
§ Children's voices tend to get overridden in pediatric care, the child's
voice still needs to be heard and they should participate in care while
the parent is ultimately the main decision maker. These things need to
be balanced
What is family-centered care? Answer: § acknowledge the patient's
ultimate control over health-related decisions, while at the same time
acknowledging that these decisions are contextualized within each
patient's broader life experiences and family
§ Challenge of using a pure PFCC model in pediatric primary care is
that there is not one patient, but two, and while the child is the focus,
the parent is considered the authority in terms of decisions
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,3
What is the strongest impact on health for pediatric patients? Answer: o
Lack of health insurance is single strongest predictor of quality of care
for U.S children
3 tools available for child and family assessment? Answer: Family
ecomap, family APGAR, SCREEM
Family ecomap Answer: A graphic portrayal of the type, number, and
quality of relationships or connections individuals have within their
family and their community
Family APGAR Answer: Used to assess a family's Adaption, Partnership,
Growth, Affection, and Resolve. It consist of 5 questions
SCREEM tool Answer: Used to identify a families Social, Cultural,
Religious, Economic, Education, and Medical resources, as well as their
absence.
Health supervision schedule Answer: Newborn, 3-5 days, 1 month, 2
month, 4 month, 6 month, 9 month, 12 month, 15 month, 18 month, 24
month, 30 month, 3 yrs then yearly
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, 4
Bright futures Answer: § Prevention-based, developmentally oriented
care
§ Parent tools to empower families to be active partners
§ national health promotion and prevention initiative
§ built around the understanding that children and families are affected
by a variety of biological (nature) and ecological (nurture) exposures
§ Goal: support a child's life course in which strengths and protective
factors outweigh risk factors
Things that need to be done at every well visit Answer: Hx,
length/height & weight, developmental surveillance,
behavior/social/emotional screening, PE, immunizations, & anticipatory
guidance
Surveillance Answer: Systematic collection, analysis, and interpretation
of data for the purpose of prevention, because findings from health
surveillance guide primary prevention measures.
Screenings Answer: Are targeted systematic actions at a single point in
time that are designed to identify a preclinical condition or disease in
© 2025 All rights reserved
NURS 642: Exam 1 Questions with Answers (100%
Correct Answers)
3 leading causes of death globally in children younger than 5? Answer:
pneumonia (mainly from strep), diarrhea (mainly from rotavirus), and
malaria
What 3 things contribute to childhood mortality rates globally? Answer:
Undernutrition, low rates of breastfeeding, and zinc deficiency
What are 3 things that are affecting the overall health status of children
the United States? Answer: Greater number of children in poverty,
obesity, and food insecurity
5 facts about the greater number of children in poverty Answer:
Chronic physical/mental health conditions, exposure to intimate partner
violence, and abuse. 1 in 5 children is below FPL, rates are higher in
latino and african-american families
What percentage of 2-19 year old are obese and what does this cause
them to be at risk for? Answer: 17% of children between 2-19. At risk for
heart disease, type 2 diabetes, stroke, osteoarthritis
© 2025 All rights reserved
,2
How many children live in food insecurity and what are 3 ways to
combat this? Answer: 1 in 5 children live in food insecure households.
SNAP, WIC, SBP help to combat this
What is dual-patient care? Answer: In a way, you have two pts, the child
& the family member
§ Children's voices tend to get overridden in pediatric care, the child's
voice still needs to be heard and they should participate in care while
the parent is ultimately the main decision maker. These things need to
be balanced
What is family-centered care? Answer: § acknowledge the patient's
ultimate control over health-related decisions, while at the same time
acknowledging that these decisions are contextualized within each
patient's broader life experiences and family
§ Challenge of using a pure PFCC model in pediatric primary care is
that there is not one patient, but two, and while the child is the focus,
the parent is considered the authority in terms of decisions
© 2025 All rights reserved
,3
What is the strongest impact on health for pediatric patients? Answer: o
Lack of health insurance is single strongest predictor of quality of care
for U.S children
3 tools available for child and family assessment? Answer: Family
ecomap, family APGAR, SCREEM
Family ecomap Answer: A graphic portrayal of the type, number, and
quality of relationships or connections individuals have within their
family and their community
Family APGAR Answer: Used to assess a family's Adaption, Partnership,
Growth, Affection, and Resolve. It consist of 5 questions
SCREEM tool Answer: Used to identify a families Social, Cultural,
Religious, Economic, Education, and Medical resources, as well as their
absence.
Health supervision schedule Answer: Newborn, 3-5 days, 1 month, 2
month, 4 month, 6 month, 9 month, 12 month, 15 month, 18 month, 24
month, 30 month, 3 yrs then yearly
© 2025 All rights reserved
, 4
Bright futures Answer: § Prevention-based, developmentally oriented
care
§ Parent tools to empower families to be active partners
§ national health promotion and prevention initiative
§ built around the understanding that children and families are affected
by a variety of biological (nature) and ecological (nurture) exposures
§ Goal: support a child's life course in which strengths and protective
factors outweigh risk factors
Things that need to be done at every well visit Answer: Hx,
length/height & weight, developmental surveillance,
behavior/social/emotional screening, PE, immunizations, & anticipatory
guidance
Surveillance Answer: Systematic collection, analysis, and interpretation
of data for the purpose of prevention, because findings from health
surveillance guide primary prevention measures.
Screenings Answer: Are targeted systematic actions at a single point in
time that are designed to identify a preclinical condition or disease in
© 2025 All rights reserved
