Chapter 1: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. Information about morbidity and mortality
gives the nurse data to identify which of the following?
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a.
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Life-span statistics
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b.
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Effectiveness of treatment
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c.
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Cost-effective treatment for general population
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d.
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High-risk age-groups for certain disorders or hazards
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ANS: D
d. Analysis of these data provides the nurse with
information about which groups of individuals are at risk for which health
problems.
a. This is a part of the mortality data.
b and c. Treatment modalities and cost are not included in
these data.
DIF: Cognitive Level: Knowledge REF: Page 8
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
2. From a worldwide perspective, infant
mortality in the United States:
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a.
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is the highest of the other developed nations.
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b.
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lags behind five other developed nations.
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c.
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is the lowest infant death rate of developed nations.
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d.
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lags behind 20 other developed nations.
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ANS: A
a. Although the death rate has decreased, the United States
still ranks last among nations with the lowest infant death rates.
b, c, and d. The United States has the highest infant death
rate of developed nations.
DIF: Cognitive Level: Knowledge REF: Page 9
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
3. Which of the following is the leading cause
of death in infants younger than 1 year?
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a.
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Congenital anomalies
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b.
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Sudden infant death syndrome
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c.
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Respiratory distress syndrome
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d.
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Infections specific to the perinatal period
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ANS: A
a. Congenital anomalies account for 20.6% of deaths in
infants younger than 1 year.
b. Sudden infant death syndrome accounts for 7.7% of deaths
in this age-group.
c. Respiratory distress syndrome accounts for 3.6% of
deaths in this age-group.
d. Infections specific to the perinatal period account for
2.9% of deaths in this age-group.
DIF: Cognitive Level: Knowledge REF: Page 9
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
4. Which of the following is the leading cause
of death among African-American boys ages 15 to 19 years?
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a.
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Suicide
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b.
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Human immunodeficiency virus (HIV) infection
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c.
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Firearm homicide
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d.
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Occupational injuries
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ANS: C
c. This is the second overall cause of death in this
age-group, but the leading cause of death in African-American males.
a. This is the third leading cause of death in this
population.
b. Although a major health problem, this does not
contribute to a significant death rate in this population.
d. This type of injury does not contribute to a significant
death rate.
DIF: Cognitive Level: Comprehension REF: Page 9
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
5. Which of the following is the major cause of
death for children older than 1 year?
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a.
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Cancer
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b.
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Infection
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c.
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Unintentional injuries
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d.
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Congenital abnormalities
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ANS: C
c. Unintentional injuries (accidents) are the leading cause
of death after age 1 year through adolescence.
a. This is the leading cause of death in those younger than
1 year and is less significant in this age-group.
b and d. There have been major declines in deaths
attributed to these disorders because of improved therapies.
DIF: Cognitive Level: Comprehension REF: Page 9
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
6. In addition to injuries, which of the
following are the leading causes of death in adolescents ages 15 to 19 years?
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a.
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Suicide, cancer
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b.
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Suicide, homicide
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c.
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Homicide, heart disease
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d.
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Drowning, cancer
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ANS: B
b. Homicide and suicide account for 22.6% of deaths in this
age-group.
a. Suicide and cancer account for 14.4% of deaths in this
age-group.
c. Homicide and heart disease account for 14.5% of deaths
in this age-group.
d. Drowning and cancer account for 2.8% of deaths in this
age-group.
DIF: Cognitive Level: Knowledge REF: Page 9 | Page 10
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
7. Which of the following is the leading cause
of death from unintentional injuries in children?
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a.
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Poisoning
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b.
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Drowning
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c.
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Motor vehicle–related fatalities
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d.
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Fire- and burn-related fatalities
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ANS: C
c. This is the leading cause of death in children, either
as passengers or as pedestrians.
a. Poisoning is the ninth leading cause of death.
b. Drowning is the second leading cause of death.
d. Fire- and burn-related fatalities are the third leading
cause of death.
DIF: Cognitive Level: Knowledge REF: Page 10
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance: Health and
Wellness
