Chapter 01: Perspectives of Pediatric Nursing pediatrics
MULTIPLE CHOICE
1. Theclinic nurse is reviewing statistics on infant mortality for the United States versus other
countries. Compared with other countries that have a population of at least 25 million, the nurse
makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among
nations with a population of at least 25 million. The United States has the highest infant death
rate of developed nations.
DIF: Cognitive Level: Remembering REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
,d. Maternal complications specific to the perinatal period
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and
unspecified low birth weight, which account for 16.5%; and maternal complications such as
infections specific to the perinatal period, which account for 6.1% of deaths in infants younger
than 1 year of age.
DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
and childhood cancers and heart disease cause a significantly lower percentage of deaths in
children older than 1 year of age.
DIF: Cognitive Level: Understanding REF: p. 7 TOP: Nursing Process: Planning
,MSC: Client Needs: Health Promotion and Maintenance
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and
heart disease account for 10.9% of the deaths in this age group.
DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
5. The
nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
Which should the nurse include in the session with regard to deaths caused by injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups.
, ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
greatly among different ethnic groups, and the causes of unintentional deaths vary with age and
gender.
DIF: Cognitive Level: Applying REF: pp. 7-8
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time.
Data regarding disease within a geographic region, or in greater than expected numbers in a
community, may be extrapolated from analyzing the morbidity statistics.
DIF: Cognitive Level: Remembering REF: p. 3 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE CHOICE
1. Theclinic nurse is reviewing statistics on infant mortality for the United States versus other
countries. Compared with other countries that have a population of at least 25 million, the nurse
makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among
nations with a population of at least 25 million. The United States has the highest infant death
rate of developed nations.
DIF: Cognitive Level: Remembering REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
,d. Maternal complications specific to the perinatal period
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and
unspecified low birth weight, which account for 16.5%; and maternal complications such as
infections specific to the perinatal period, which account for 6.1% of deaths in infants younger
than 1 year of age.
DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
and childhood cancers and heart disease cause a significantly lower percentage of deaths in
children older than 1 year of age.
DIF: Cognitive Level: Understanding REF: p. 7 TOP: Nursing Process: Planning
,MSC: Client Needs: Health Promotion and Maintenance
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and
heart disease account for 10.9% of the deaths in this age group.
DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
5. The
nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
Which should the nurse include in the session with regard to deaths caused by injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups.
, ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
greatly among different ethnic groups, and the causes of unintentional deaths vary with age and
gender.
DIF: Cognitive Level: Applying REF: pp. 7-8
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time.
Data regarding disease within a geographic region, or in greater than expected numbers in a
community, may be extrapolated from analyzing the morbidity statistics.
DIF: Cognitive Level: Remembering REF: p. 3 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
