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Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic 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.
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.
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.
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.
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.
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.
7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading
cause of death?
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be late
school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or middle
school-aged children.
8. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse should
respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic 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.
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.
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.
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.
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.
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.
7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading
cause of death?
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be late
school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or middle
school-aged children.
8. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse should
respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
