Chapterg01:gPerspectivesgofgPediatricgNursin
ggMULTIPLEgCHOICE
1. ThegclinicgnursegisgreviewinggstatisticsgonginfantgmortalitygforgthegUnitedgStatesgversusgothergcountries.gComp
aredgwithgothergcountriesgthatghavegagpopulationgofgatgleastg25gmillion,gthegnursegmakesgwhichgdetermination?
a. ThegUnitedgStatesgisgrankedglastgamongg27gcountries.
b. ThegUnitedgStatesgisgrankedgsimilargtog20gothergdevelopedgcountries.
c. ThegUnitedgStatesgisgrankedgingthegmiddlegofg20gothergdevelopedgcountries.
d. ThegUnitedgStatesgisgrankedghighestgamongg27gothergindustrializedgcountries.
ANS:gA
Althoughgthegdeathgrateghasgdecreased,gthegUnitedgStatesgstillgranksglastginginfantgmortalitygamonggnationsgwithgag
populationgofgatgleastg25gmillion.gThegUnitedgStatesghasgtheghighestginfantgdeathgrategofgdevelopedgnations.
2. Whichgisgthegleadinggcausegofgdeathginginfantsgyoungergthang1gyeargingthegUnitedgStates?
a. Congenitalganomalies
b. Suddenginfantgdeathgsyndrome
c. Disordersgrelatedgtogshortggestationgandglowgbirthgweight
d. Maternalgcomplicationsgspecificgtogthegperinatalgperiod
,ANS:gA
Congenitalganomaliesgaccountgforg20.1%gofgdeathsginginfantsgyoungergthang1gyeargcomparedgwithgsuddenginfantgd
eathgsyndrome,gwhichgaccountsgforg8.2%;gdisordersgrelatedgtogshortggestationgandgunspecifiedglowgbirthgweight,g
whichgaccountgforg16.5%;gandgmaternalgcomplicationsgsuchgasginfectionsgspecificgtogthegperinatalgperiod,gwhichga
ccountgforg6.1%gofgdeathsginginfantsgyoungergthang1gyeargofgage.
3. Whatgisgthegmajorgcausegofgdeathgforgchildrengoldergthang1gyeargingthegUnitedgStates?
a. Heartgdisease
b. Childhoodgcancer
c. Unintentionalginjuries
d. Congenitalganomalies
ANS:gC
Unintentionalginjuriesg(accidents)garegthegleadinggcausegofgdeathgaftergageg1gyeargthroughgadolescence.gThegleadi
nggcausegofgdeathgforgthosegyoungergthang1gyeargisgcongenitalganomalies,gandgchildhoodgcancersgandgheartgdiseas
egcausegagsignificantlyglowergpercentagegofgdeathsgingchildrengoldergthang1gyeargofgage.
4. Ingadditiongtoginjuries,gwhatgaregthegleadinggcausesgofgdeathgingadolescentsgagesg15gtog19gyears?
a. Suicidegandgcancer
b. Suicidegandghomicide
c. Drowninggandgcancer
d. Homicidegandgheartgdisease
,ANS:gB
Suicidegandghomicidegaccountgforg16.7%gofgdeathsgingthisgageggroup.gSuicidegandgcancergaccountgforg10.9%gofgd
eaths,gheartgdiseasegandgcancergaccountgforgapproximatelyg5.5%,gandghomicidegandgheartgdiseasegaccountgforg10.9
%gofgthegdeathsgingthisgageggroup.
5. Thegnursegisgplanninggagteachinggsessiongtogadolescentsgaboutgdeathsgbygunintentionalginjuries.gWhichgshould
gthegnursegincludegingthegsessiongwithgregardgtogdeathsgcausedgbyginjuries?
a. Moregdeathsgoccurgingmales.
b. Moregdeathsgoccurgingfemales.
c. Thegpatterngofgdeathsgdoesgnotgvarygaccordinggtogagegandgsex.
d. Thegpatterngofgdeathsgdoesgnotgvarygwidelygamonggdifferentgethnicggroups.
ANS:gA
Thegmajoritygofgdeathsgfromgunintentionalginjuriesgoccurgingmales.gThegpatterngofgdeathgdoesgvaryggreatlygamongg
differentgethnicggroups,gandgthegcausesgofgunintentionalgdeathsgvarygwithgagegandggender.
6. Whatgdogmortalitygstatisticsgdescribe?
a. Diseasegoccurringgregularlygwithingaggeographicglocation
b. Thegnumbergofgindividualsgwhoghavegdiedgovergagspecificgperiod
c. Thegprevalencegofgspecificgillnessgingthegpopulationgatgagparticulargtime
, d. Diseasegoccurringgingmoregthangthegnumbergofgexpectedgcasesgingagcommunity
ANS:gB
Mortalitygstatisticsgrefergtogthegnumbergofgindividualsgwhoghavegdiedgovergagspecificgperiod.
Morbiditygstatisticsgshowgthegprevalencegofgspecificgillnessgingthegpopulationgatgagparticulargtime.gDatagregardingg
diseasegwithingaggeographicgregion,gorginggreatergthangexpectedgnumbersgingagcommunity,gmaygbegextrapolatedgfro
mganalyzinggthegmorbiditygstatistics.
7. Thegnursegshouldgassessgwhichgageggroupgforgsuicidegideationgsincegsuicidegingwhichgageggroupgisgthegthirdglea
dinggcausegofgdeath?
a. Preschoolers
b. Younggschoolgage
c. Middlegschoolgage
d. Lategschoolgagegandgadolescents
ANS:gD
Suicidegisgthegthirdgleadinggcausegofgdeathgingchildrengagesg10gtog19gyears;gtherefore,gthegageggroupgshouldgb
eglategschoolgagegandgadolescents.gSuicidegisgnotgonegofgthegleadinggcausesgofgdeathgforgpreschoolgandgyoung
gorgmiddlegschool-agedgchildren.
8. Parentsgofgaghospitalizedgtoddlergaskgthegnurse,g“Whatgisgmeantgbygfamily-
centeredgcare?”gThegnursegshouldgrespondgwithgwhichgstatement?
a. Family-centeredgcaregreducesgthegeffectgofgculturalgdiversitygongthegfamily.
ggMULTIPLEgCHOICE
1. ThegclinicgnursegisgreviewinggstatisticsgonginfantgmortalitygforgthegUnitedgStatesgversusgothergcountries.gComp
aredgwithgothergcountriesgthatghavegagpopulationgofgatgleastg25gmillion,gthegnursegmakesgwhichgdetermination?
a. ThegUnitedgStatesgisgrankedglastgamongg27gcountries.
b. ThegUnitedgStatesgisgrankedgsimilargtog20gothergdevelopedgcountries.
c. ThegUnitedgStatesgisgrankedgingthegmiddlegofg20gothergdevelopedgcountries.
d. ThegUnitedgStatesgisgrankedghighestgamongg27gothergindustrializedgcountries.
ANS:gA
Althoughgthegdeathgrateghasgdecreased,gthegUnitedgStatesgstillgranksglastginginfantgmortalitygamonggnationsgwithgag
populationgofgatgleastg25gmillion.gThegUnitedgStatesghasgtheghighestginfantgdeathgrategofgdevelopedgnations.
2. Whichgisgthegleadinggcausegofgdeathginginfantsgyoungergthang1gyeargingthegUnitedgStates?
a. Congenitalganomalies
b. Suddenginfantgdeathgsyndrome
c. Disordersgrelatedgtogshortggestationgandglowgbirthgweight
d. Maternalgcomplicationsgspecificgtogthegperinatalgperiod
,ANS:gA
Congenitalganomaliesgaccountgforg20.1%gofgdeathsginginfantsgyoungergthang1gyeargcomparedgwithgsuddenginfantgd
eathgsyndrome,gwhichgaccountsgforg8.2%;gdisordersgrelatedgtogshortggestationgandgunspecifiedglowgbirthgweight,g
whichgaccountgforg16.5%;gandgmaternalgcomplicationsgsuchgasginfectionsgspecificgtogthegperinatalgperiod,gwhichga
ccountgforg6.1%gofgdeathsginginfantsgyoungergthang1gyeargofgage.
3. Whatgisgthegmajorgcausegofgdeathgforgchildrengoldergthang1gyeargingthegUnitedgStates?
a. Heartgdisease
b. Childhoodgcancer
c. Unintentionalginjuries
d. Congenitalganomalies
ANS:gC
Unintentionalginjuriesg(accidents)garegthegleadinggcausegofgdeathgaftergageg1gyeargthroughgadolescence.gThegleadi
nggcausegofgdeathgforgthosegyoungergthang1gyeargisgcongenitalganomalies,gandgchildhoodgcancersgandgheartgdiseas
egcausegagsignificantlyglowergpercentagegofgdeathsgingchildrengoldergthang1gyeargofgage.
4. Ingadditiongtoginjuries,gwhatgaregthegleadinggcausesgofgdeathgingadolescentsgagesg15gtog19gyears?
a. Suicidegandgcancer
b. Suicidegandghomicide
c. Drowninggandgcancer
d. Homicidegandgheartgdisease
,ANS:gB
Suicidegandghomicidegaccountgforg16.7%gofgdeathsgingthisgageggroup.gSuicidegandgcancergaccountgforg10.9%gofgd
eaths,gheartgdiseasegandgcancergaccountgforgapproximatelyg5.5%,gandghomicidegandgheartgdiseasegaccountgforg10.9
%gofgthegdeathsgingthisgageggroup.
5. Thegnursegisgplanninggagteachinggsessiongtogadolescentsgaboutgdeathsgbygunintentionalginjuries.gWhichgshould
gthegnursegincludegingthegsessiongwithgregardgtogdeathsgcausedgbyginjuries?
a. Moregdeathsgoccurgingmales.
b. Moregdeathsgoccurgingfemales.
c. Thegpatterngofgdeathsgdoesgnotgvarygaccordinggtogagegandgsex.
d. Thegpatterngofgdeathsgdoesgnotgvarygwidelygamonggdifferentgethnicggroups.
ANS:gA
Thegmajoritygofgdeathsgfromgunintentionalginjuriesgoccurgingmales.gThegpatterngofgdeathgdoesgvaryggreatlygamongg
differentgethnicggroups,gandgthegcausesgofgunintentionalgdeathsgvarygwithgagegandggender.
6. Whatgdogmortalitygstatisticsgdescribe?
a. Diseasegoccurringgregularlygwithingaggeographicglocation
b. Thegnumbergofgindividualsgwhoghavegdiedgovergagspecificgperiod
c. Thegprevalencegofgspecificgillnessgingthegpopulationgatgagparticulargtime
, d. Diseasegoccurringgingmoregthangthegnumbergofgexpectedgcasesgingagcommunity
ANS:gB
Mortalitygstatisticsgrefergtogthegnumbergofgindividualsgwhoghavegdiedgovergagspecificgperiod.
Morbiditygstatisticsgshowgthegprevalencegofgspecificgillnessgingthegpopulationgatgagparticulargtime.gDatagregardingg
diseasegwithingaggeographicgregion,gorginggreatergthangexpectedgnumbersgingagcommunity,gmaygbegextrapolatedgfro
mganalyzinggthegmorbiditygstatistics.
7. Thegnursegshouldgassessgwhichgageggroupgforgsuicidegideationgsincegsuicidegingwhichgageggroupgisgthegthirdglea
dinggcausegofgdeath?
a. Preschoolers
b. Younggschoolgage
c. Middlegschoolgage
d. Lategschoolgagegandgadolescents
ANS:gD
Suicidegisgthegthirdgleadinggcausegofgdeathgingchildrengagesg10gtog19gyears;gtherefore,gthegageggroupgshouldgb
eglategschoolgagegandgadolescents.gSuicidegisgnotgonegofgthegleadinggcausesgofgdeathgforgpreschoolgandgyoung
gorgmiddlegschool-agedgchildren.
8. Parentsgofgaghospitalizedgtoddlergaskgthegnurse,g“Whatgisgmeantgbygfamily-
centeredgcare?”gThegnursegshouldgrespondgwithgwhichgstatement?
a. Family-centeredgcaregreducesgthegeffectgofgculturalgdiversitygongthegfamily.
