(Answers at the end of each chapter)
1. What two major practices in pediatric health care greatly decreased the death rate in
children in the 1900s in the United States?
A) Technologic advances and society's view of children and their needs
B) Development of anesthesia and the need for health teaching
C) Boiling milk and isolating children with septic conditions
D) Development of pediatrics as a specialty and preventing illness
2. Which physician first suspected that children who suffered from a lack of stimulation
were at greater risk of dying than those who were appropriately stimulated?
A) Arthur Jacobi
B) Joseph Brennaman
C) John Bowley
D) Marshall Klaus
3. Today it is possible to know many things about a child before the child is born. What
test would you administer to reveal the gender of the fetus and certain abnormalities
early in pregnancy?
A) Ultrasound
B) Amniocentesis
C) Chorionic villus sampling
D) HGP
4. Which physician is recognized as the father of pediatrics?
A) Arthur Jacobi
B) Ren Spitz
C) Joseph Brennaman
D) John Bowlby
5. In an attempt to control Medicare costs, the government developed a system that
predetermines rates to be paid to the health care provider. The rates are paid regardless
of the costs that the health care provider actually incurs. What is this system called?
A) Ambulatory payment classifications (APCs).
B) Cost sharing
C) Diagnosis-related groups (DRGs).
D) Prospective payment system
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,6. There is a new norm and broadened concept in the health care system of pediatric health
care in the United States. This new practice in health care recognizes that the child
belongs to a community and has a particular way of life or culture and that health is
affected by these factors. What is this new practice called?
A) Regionalized care
B) Maternal-child care
C) Hospitalism
D) Family-centered care
7. Many experts suggest that parents read to their unborn children and play music to
provide early stimulation. If a pregnant patient questions you about the likely effect such
activities would have on the fetus, what could you accurately tell her?
A) Reading and playing music will develop the infant's musical skill.
B) The sound of her voice will comfort the infant.
C) The music and language will increase the child's creativity.
D) Reading to an unborn child has been shown to improve future language skills.
8. The nurse is working with a 1-year-old girl from a low-income family who comes to the
clinic with a vitamin D deficiency and anemia. What assistance program can the nurse
recommend to the child's young mother?
A) WIC (Women, Infants, and Children)
B) SCHIP (State Child Health Insurance Program)
C) ECI (Early Childhood Intervention)
D) CHIP (Child Health Insurance Program)
9. Statistics show that more than 44 million people in the United States do not have health
insurance. What percentage are children?
A) 4%
B) 10%
C) 25%
D) 50%
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,Answer Key
1. C
2. B
3. A
4. A
5. D
6. D
7. B
8. A
9. C
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, 1. When discussing the role or function of the family, the nurse recognizes that the process
by which the child learns the rules of the society and culture is called:
A) intellectual stimulation
B) spirituality
C) socialization
D) emotional support
2. The family structure known as the communal family would best be described as a
family in which:
A) the adult members share in homemaking as well as in child rearing.
B) the partners in the marriage bring children from a previous marriage into the
household.
C) grandparents live in the same house with the grandchildren and their parents.
D) partners of the same sex share a household and raise children together.
3. Home health care is experiencing a rise in popularity because:
A) home visits have better health outcomes for low-risk newborns and their mothers.
B) home visits help contain costs and ensure prenatal care for women who have
inadequate access to health centers.
C) home visits lower the number of preterm births across all risk levels.
D) patients demanded it.
4. As part of your role as a school nurse, you are conducting a drug education program in a
4th-grade class. This is an example of what type of nursing intervention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Home health care
5. The nurse can play the most positive role in an adolescent's pregnancy by:
A) visiting the teen's school regularly.
B) intervening with the teen's parents.
C) making regular home visits during the teen's pregnancy.
D) signing the teen up for WIC.
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