Nursing Care of Infants and Children Final Questions with
Solved Answers
1.Because Injuries are the most common cause of death and disability in
children in the US, which stage of development correctly determines the
type of injury that may occur? SATA
A. A newborn may roll over and fall off an elevated surface.
B. The need to conform and gain acceptance from his peers may make a
child accept a dare.
C. Toddlers who can run and climb may be susceptible to burns, falls,
and collisions with objects.
D. A preschooler may ride her two-wheel bike in a reckless manner.
E. A crawling infant may aspirate due to the tendency to place objects in
the mouth.
Chapter 1: B. The need to conform and gain acceptance from his peers
may make a child accept a dare.
C. Toddlers who can run and climb may be susceptible to burns, falls,
and collisions with objects.
E. A crawling infant may aspirate due to the tendency to place objects in
the mouth.
2.One of the concerns of the preschool period is adequate nutrition. What
can the nurse say to give anticipatory guidance to parents?
A. Preschoolers are growing during this period and need to increase
their caloric intake to 110kcal/kg, for an average daily intake of 2200
calories.
B. There is some evidence that children self-regulate their caloric intake.
If they eat less at one meal, they compensate at another meal or snack.
C. To monitor fat intake, dairy and meat should be limited to twice a day.
D. For children who do not like milk, consumption of fruit juices is a
healthy alternative.
Chapter 13: B. There is some evidence that children self-regulate
their caloric intake. If they eat less at one meal, they compensate at
another meal or snack.
3.The National Children's Study is the largest prospective, long-term study
of children's health and development in the US. Which of these options are
the goals of this study? SATA
,A. Ensure that every child is immunized at the appropriate age.
B. Provide information for families to eradicate unhealthy diets, dental
caries, and childhood obesity.
C. Enlist the help of school lunch programs to reach the goal of vegetables
and fruits as 30% of each lunch.
D. Significantly reduce violence, substance abuse, and mental health
disor- ders among the nation's children.
E. Decrease tardiness and truancy and increase the high school
graduation rate in each state over the next 5 years.
Chapter 1: B. Provide information for families to eradicate unhealthy
diets, dental caries, and childhood obesity.
D. Significantly reduce violence, substance abuse, and mental health
disorders among the nation's children.
4.The newest nurse on the pediatric unit is concerned about maintaining
a professional distance in her relationship with a patient and the patient's
family. Which comment indicates that she needs more mentoring regarding
her patient-nurse relationships?
A. "I realize that caring for the child means I can visit them on my days off
if they as me."
B. "When the mother asks if I will care for her daughter every day, I explain
that the assignments change based on the needs of the unit."
C. When the mother asks me questions about my family, I answer politely,
but I offer only pertinent information."
D. "I engage in multidisciplinary rounds and listen to the family's concerns."
Chapter 1: A. "I realize that caring for the child means I can visit them on
my days off if they as me."
5.What is the overriding goal of atraumatic care?
A. Prevent or minimize the child's separation from the family.
B. Do no harm.
C. Promote a sense of control.
D. Prevent or minimize bodily injury and pain.
Chapter 1: B. Do no harm.
6.A family you are caring for on the pediatric unit asks you about nutrition
for their baby. What facts will you want to include in this nutritional
information? SATA
,A. Breastfeeding provides micronutrients and immunologic properties.
B. Eating preferences and attitudes related to food are established by family
influences and culture.
C. Most children establish lifelong eating habits by 18 months old.
D. During adolescence, the parental influence diminishes and
adolescents make food choices related to peer acceptability and
sociability.
E. Because of the stress of returning to work, most mothers use this time
as a time to stop breastfeeding.
Chapter 1: A. Breastfeeding provides micronutrients and immunologic
properties.
B. Eating preferences and attitudes related to food are established by
family influ- ences and culture.
D. During adolescence, the parental influence diminishes and
adolescents make food choices related to peer acceptability and
sociability.
7.Duvall's Developmental Stages of the Family include which of the
following? SATA
A. Stages an individual progresses through in his or her moral and
spiritual development.
B. Stages families progress through in adulthood.
C. Stages that designate how parenting progresses as a child develops.
D. Stages that designate appropriate discipline related to
developmental stages.
E. Stages that describe the journey a couple will take as their children mature
Chapter 2: B. Stages families progress through in adulthood.
C. Stages that designate how parenting progresses as a child develops.
E. Stages that describe the journey a couple will take as their children
mature.
8.Family systems theory includes:
A. Direct causality, meaning each change affects the whole family.
B. Family systems react to changes as they take place, not initiate it.
C. A balance between morphogenesis and morphostasis is necessary.
D. Theory is used primarily for family dysfunction and pathology.
, Chapter 2: C. A balance between morphogenesis and morphostasis is
necessary.
9.The nurse is explaining the strategy of consequences to a parent he is
working with. Which response by the parent indicates that more teaching
is needed when he describes the types of consequences?
A. Natural: those that occur without any intervention.
B. Logical: those that are directly related to the rule.
C. Transforming: allowing the child to come to the conclusion on his or
her own.
D. Unrelated: those that are imposed deliberately.
Chapter 2: C. Transforming: allowing the child to come to the conclusion
on his or her own.
10.Culture includes which of the following? SATA
A. Cultural competence, which includes building skills in the health care
provider, such as offering lists of common foods, health care beliefs,
and important rituals.
B. Cultural humility, which requires that health care providers participate in
a continual process of self-reflection and self-critique.
C. Recognizing the power of the health care provider role that views the
patient and and family as full members of the health care team.
D. A particular group with its values, beliefs, norms, patterns, and
practices that are learned, shared, and transmitted from one generation to
another.
E. A complex whole in which each part is interrelated, including
beliefs, tradition, lifeways, and heritage.
Chapter 2: B. Cultural humility, which requires that health care providers
participate in a continual process of self-reflection and self-critique.
C. Recognizing the power of the health care provider role that views the
patient and and family as full members of the health care team.
D. A particular group with its values, beliefs, norms, patterns, and
practices that are learned, shared, and transmitted from one generation
to another.
E. A complex whole in which each part is interrelated, including beliefs,
tradition, lifeways, and heritage.
11.Ways to integrate spiritual practices into nursing care include:
Solved Answers
1.Because Injuries are the most common cause of death and disability in
children in the US, which stage of development correctly determines the
type of injury that may occur? SATA
A. A newborn may roll over and fall off an elevated surface.
B. The need to conform and gain acceptance from his peers may make a
child accept a dare.
C. Toddlers who can run and climb may be susceptible to burns, falls,
and collisions with objects.
D. A preschooler may ride her two-wheel bike in a reckless manner.
E. A crawling infant may aspirate due to the tendency to place objects in
the mouth.
Chapter 1: B. The need to conform and gain acceptance from his peers
may make a child accept a dare.
C. Toddlers who can run and climb may be susceptible to burns, falls,
and collisions with objects.
E. A crawling infant may aspirate due to the tendency to place objects in
the mouth.
2.One of the concerns of the preschool period is adequate nutrition. What
can the nurse say to give anticipatory guidance to parents?
A. Preschoolers are growing during this period and need to increase
their caloric intake to 110kcal/kg, for an average daily intake of 2200
calories.
B. There is some evidence that children self-regulate their caloric intake.
If they eat less at one meal, they compensate at another meal or snack.
C. To monitor fat intake, dairy and meat should be limited to twice a day.
D. For children who do not like milk, consumption of fruit juices is a
healthy alternative.
Chapter 13: B. There is some evidence that children self-regulate
their caloric intake. If they eat less at one meal, they compensate at
another meal or snack.
3.The National Children's Study is the largest prospective, long-term study
of children's health and development in the US. Which of these options are
the goals of this study? SATA
,A. Ensure that every child is immunized at the appropriate age.
B. Provide information for families to eradicate unhealthy diets, dental
caries, and childhood obesity.
C. Enlist the help of school lunch programs to reach the goal of vegetables
and fruits as 30% of each lunch.
D. Significantly reduce violence, substance abuse, and mental health
disor- ders among the nation's children.
E. Decrease tardiness and truancy and increase the high school
graduation rate in each state over the next 5 years.
Chapter 1: B. Provide information for families to eradicate unhealthy
diets, dental caries, and childhood obesity.
D. Significantly reduce violence, substance abuse, and mental health
disorders among the nation's children.
4.The newest nurse on the pediatric unit is concerned about maintaining
a professional distance in her relationship with a patient and the patient's
family. Which comment indicates that she needs more mentoring regarding
her patient-nurse relationships?
A. "I realize that caring for the child means I can visit them on my days off
if they as me."
B. "When the mother asks if I will care for her daughter every day, I explain
that the assignments change based on the needs of the unit."
C. When the mother asks me questions about my family, I answer politely,
but I offer only pertinent information."
D. "I engage in multidisciplinary rounds and listen to the family's concerns."
Chapter 1: A. "I realize that caring for the child means I can visit them on
my days off if they as me."
5.What is the overriding goal of atraumatic care?
A. Prevent or minimize the child's separation from the family.
B. Do no harm.
C. Promote a sense of control.
D. Prevent or minimize bodily injury and pain.
Chapter 1: B. Do no harm.
6.A family you are caring for on the pediatric unit asks you about nutrition
for their baby. What facts will you want to include in this nutritional
information? SATA
,A. Breastfeeding provides micronutrients and immunologic properties.
B. Eating preferences and attitudes related to food are established by family
influences and culture.
C. Most children establish lifelong eating habits by 18 months old.
D. During adolescence, the parental influence diminishes and
adolescents make food choices related to peer acceptability and
sociability.
E. Because of the stress of returning to work, most mothers use this time
as a time to stop breastfeeding.
Chapter 1: A. Breastfeeding provides micronutrients and immunologic
properties.
B. Eating preferences and attitudes related to food are established by
family influ- ences and culture.
D. During adolescence, the parental influence diminishes and
adolescents make food choices related to peer acceptability and
sociability.
7.Duvall's Developmental Stages of the Family include which of the
following? SATA
A. Stages an individual progresses through in his or her moral and
spiritual development.
B. Stages families progress through in adulthood.
C. Stages that designate how parenting progresses as a child develops.
D. Stages that designate appropriate discipline related to
developmental stages.
E. Stages that describe the journey a couple will take as their children mature
Chapter 2: B. Stages families progress through in adulthood.
C. Stages that designate how parenting progresses as a child develops.
E. Stages that describe the journey a couple will take as their children
mature.
8.Family systems theory includes:
A. Direct causality, meaning each change affects the whole family.
B. Family systems react to changes as they take place, not initiate it.
C. A balance between morphogenesis and morphostasis is necessary.
D. Theory is used primarily for family dysfunction and pathology.
, Chapter 2: C. A balance between morphogenesis and morphostasis is
necessary.
9.The nurse is explaining the strategy of consequences to a parent he is
working with. Which response by the parent indicates that more teaching
is needed when he describes the types of consequences?
A. Natural: those that occur without any intervention.
B. Logical: those that are directly related to the rule.
C. Transforming: allowing the child to come to the conclusion on his or
her own.
D. Unrelated: those that are imposed deliberately.
Chapter 2: C. Transforming: allowing the child to come to the conclusion
on his or her own.
10.Culture includes which of the following? SATA
A. Cultural competence, which includes building skills in the health care
provider, such as offering lists of common foods, health care beliefs,
and important rituals.
B. Cultural humility, which requires that health care providers participate in
a continual process of self-reflection and self-critique.
C. Recognizing the power of the health care provider role that views the
patient and and family as full members of the health care team.
D. A particular group with its values, beliefs, norms, patterns, and
practices that are learned, shared, and transmitted from one generation to
another.
E. A complex whole in which each part is interrelated, including
beliefs, tradition, lifeways, and heritage.
Chapter 2: B. Cultural humility, which requires that health care providers
participate in a continual process of self-reflection and self-critique.
C. Recognizing the power of the health care provider role that views the
patient and and family as full members of the health care team.
D. A particular group with its values, beliefs, norms, patterns, and
practices that are learned, shared, and transmitted from one generation
to another.
E. A complex whole in which each part is interrelated, including beliefs,
tradition, lifeways, and heritage.
11.Ways to integrate spiritual practices into nursing care include: