Pediatric Primary Care, 7th
Edition – Dawn Lee Garzon,
Nancy Barber Starr,
Margaret A. Brady – ISBN
9780323581967 latest
Update with All Chapters
1–46
,UNIT I: Influences on Child Health and Child Health
Assessment
Chapter 01: Health Status of Children: Global and National
Perspectives
MULTIPLE CHOICE QUESTIONS
Question 1
Which region globally has the highest infant mortality rate?
A) Indonesia
B) Southern Asia
C) Sub-Saharan Africa
D) Syria
Answer: B) Southern Asia
Client Needs: Health Promotion and Maintenance | Cognitive Level: Knowledge
| Integrated Process: Nursing Process (Assessment) | Page Reference: Ch. 1, p. 2
Rationale: Although Sub-Saharan Africa and Southern Asia together account for 77% of
the infant mortality rate globally, Southern Asia has the highest infant mortality rate
(39%) in the world followed closely by Sub-Saharan Africa (38%).
,Clinical Pearl: The global infant mortality rate has declined significantly over the past
decades, but disparities persist between regions. Understanding global health statistics
helps pediatric providers advocate for resources where they are most needed.
Question 2
The primary care pediatric nurse practitioner understands that, to achieve the greatest
worldwide reduction in child mortality from pneumonia and diarrhea, which intervention
is most effective?
A) Antibiotics
B) Optimal nutrition
C) Vaccinations
D) Water purification
Answer: C) Vaccinations
Client Needs: Health Promotion and Maintenance | Cognitive Level: Analysis
| Integrated Process: Nursing Process (Planning) | Page Reference: Ch. 1, p. 3
Rationale: Rotavirus is the most common cause of diarrhea globally and Streptococcus
pneumoniae is the leading cause of pneumonia. Together, these are the leading
infectious causes of childhood morbidity and mortality globally. Both are vaccine-
preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and clean water
all help to reduce morbidity and mortality, but vaccination prevents the diseases from
occurring.
Clinical Pearl: Immunization programs are among the most cost-effective public health
interventions. The expanded program on immunization (EPI) has saved millions of lives
worldwide.
, Question 3
Which statement correctly reflects the health status of children in the United States?
A) Globalism has relatively little impact on child health measures in the U.S.
B) Obesity rates among 2- to 5-year-olds have stabilized below the Healthy People 2020
goal of 9.4%
C) The rate of household poverty is lower than in other economically developed nations
D) Young children who attend preschool or day care have higher food insecurity
Answer: B) Obesity rates among 2- to 5-year-olds have stabilized below the Healthy
People 2020 goal of 9.4%
Client Needs: Health Promotion and Maintenance | Cognitive Level: Comprehension
| Integrated Process: Nursing Process (Evaluation) | Page Reference: Ch. 1, p. 5
Rationale: Obesity rates are a major concern for child health in the U.S. but recently
have stabilized at 8.9%. Globalism has an increasing effect on child health in the U.S. The
rate of household poverty in the U.S. is higher than in other economically developed
nations. Young children who attend preschool or day care have lower food insecurity.
Clinical Pearl: Early childhood obesity prevention should focus on healthy feeding
practices, physical activity, and limiting screen time starting in infancy.
Question 4
The primary care pediatric nurse practitioner understands that a major child health
outcome associated with worldwide climate change is: