,Table of Contents
Chapter 1- Introduction to Child Health and Pediatric Nursing ......................................................................................... 4
Answer Key........................................................................................................................................................................ 7
Chapter 2- Factors Influencing Child Health ..................................................................................................................... 9
Answer Key...................................................................................................................................................................... 13
Chapter 3- Growth and Development of the Newborn and Infant.................................................................................... 14
Answer Key...................................................................................................................................................................... 19
Chapter 4- Growth and Development of the Toddler ....................................................................................................... 20
Answer Key...................................................................................................................................................................... 25
Chapter 5- Growth and Development of the Preschooler ................................................................................................. 26
Answer Key...................................................................................................................................................................... 32
Chapter 6- Growth and Development of the School-Age Child ....................................................................................... 33
Answer Key...................................................................................................................................................................... 39
Chapter 7- Growth and Development of the Adolescent .................................................................................................. 40
Answer Key...................................................................................................................................................................... 46
Chapter 8- Atraumatic Care of Children and Families...................................................................................................... 47
Answer Key...................................................................................................................................................................... 51
Chapter 9- Health Supervision ......................................................................................................................................... 52
Answer Key...................................................................................................................................................................... 58
Chapter 10- Health Assessment of Children ..................................................................................................................... 59
Answer Key...................................................................................................................................................................... 65
Chapter 11- Caring for Children in Diverse Settings ........................................................................................................ 66
Answer Key...................................................................................................................................................................... 72
Chapter 12- Caring for the Special Needs Child .............................................................................................................. 73
Answer Key...................................................................................................................................................................... 78
Chapter 13- Key Pediatric Nursing Interventions ............................................................................................................. 79
Answer Key...................................................................................................................................................................... 85
Chapter 14- Nursing Care of the Child With an Alteration in Comfort–Pain Assessment and Management .................. 86
Answer Key...................................................................................................................................................................... 92
Chapter 15- Nursing Care of the Child With an Infection ................................................................................................ 93
Answer Key...................................................................................................................................................................... 99
Chapter 16- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder .............. 100
Answer Key.................................................................................................................................................................... 106
Chapter 17- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ........ 107
Answer Key.................................................................................................................................................................... 113
Chapter 18- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder............................ 114
Answer Key.................................................................................................................................................................... 119
Chapter 19- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder.............................. 120
Answer Key.................................................................................................................................................................... 125
Chapter 20- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .............. 126
Answer Key.................................................................................................................................................................... 132
,Chapter 21- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder............... 133
Answer Key.................................................................................................................................................................... 139
Chapter 22- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder 140
Answer Key.................................................................................................................................................................... 145
Chapter 23- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ..................... 153
Answer Key.................................................................................................................................................................... 158
Chapter 24- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder ......................................................................................................................................................................... 159
Answer Key.................................................................................................................................................................... 165
Chapter 25- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder.............................. 172
Answer Key.................................................................................................................................................................... 178
Chapter 26- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder.................................. 179
Answer Key.................................................................................................................................................................... 185
Chapter 27- Nursing Care of the Child With an Alteration in Genetics ......................................................................... 186
Answer Key.................................................................................................................................................................... 192
Chapter 28- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ........................... 193
Answer Key.................................................................................................................................................................... 199
Chapter 29- Nursing Care During a Pediatric Emergency .............................................................................................. 200
Answer Key.................................................................................................................................................................... 205
, Chapter 1- Introduction to Child Health and Pediatric Nursing
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in decreasing
these rates, which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers’ attitudes
C) Transportation
Chapter 1- Introduction to Child Health and Pediatric Nursing ......................................................................................... 4
Answer Key........................................................................................................................................................................ 7
Chapter 2- Factors Influencing Child Health ..................................................................................................................... 9
Answer Key...................................................................................................................................................................... 13
Chapter 3- Growth and Development of the Newborn and Infant.................................................................................... 14
Answer Key...................................................................................................................................................................... 19
Chapter 4- Growth and Development of the Toddler ....................................................................................................... 20
Answer Key...................................................................................................................................................................... 25
Chapter 5- Growth and Development of the Preschooler ................................................................................................. 26
Answer Key...................................................................................................................................................................... 32
Chapter 6- Growth and Development of the School-Age Child ....................................................................................... 33
Answer Key...................................................................................................................................................................... 39
Chapter 7- Growth and Development of the Adolescent .................................................................................................. 40
Answer Key...................................................................................................................................................................... 46
Chapter 8- Atraumatic Care of Children and Families...................................................................................................... 47
Answer Key...................................................................................................................................................................... 51
Chapter 9- Health Supervision ......................................................................................................................................... 52
Answer Key...................................................................................................................................................................... 58
Chapter 10- Health Assessment of Children ..................................................................................................................... 59
Answer Key...................................................................................................................................................................... 65
Chapter 11- Caring for Children in Diverse Settings ........................................................................................................ 66
Answer Key...................................................................................................................................................................... 72
Chapter 12- Caring for the Special Needs Child .............................................................................................................. 73
Answer Key...................................................................................................................................................................... 78
Chapter 13- Key Pediatric Nursing Interventions ............................................................................................................. 79
Answer Key...................................................................................................................................................................... 85
Chapter 14- Nursing Care of the Child With an Alteration in Comfort–Pain Assessment and Management .................. 86
Answer Key...................................................................................................................................................................... 92
Chapter 15- Nursing Care of the Child With an Infection ................................................................................................ 93
Answer Key...................................................................................................................................................................... 99
Chapter 16- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder .............. 100
Answer Key.................................................................................................................................................................... 106
Chapter 17- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ........ 107
Answer Key.................................................................................................................................................................... 113
Chapter 18- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder............................ 114
Answer Key.................................................................................................................................................................... 119
Chapter 19- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder.............................. 120
Answer Key.................................................................................................................................................................... 125
Chapter 20- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .............. 126
Answer Key.................................................................................................................................................................... 132
,Chapter 21- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder............... 133
Answer Key.................................................................................................................................................................... 139
Chapter 22- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder 140
Answer Key.................................................................................................................................................................... 145
Chapter 23- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder ..................... 153
Answer Key.................................................................................................................................................................... 158
Chapter 24- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder ......................................................................................................................................................................... 159
Answer Key.................................................................................................................................................................... 165
Chapter 25- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder.............................. 172
Answer Key.................................................................................................................................................................... 178
Chapter 26- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder.................................. 179
Answer Key.................................................................................................................................................................... 185
Chapter 27- Nursing Care of the Child With an Alteration in Genetics ......................................................................... 186
Answer Key.................................................................................................................................................................... 192
Chapter 28- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ........................... 193
Answer Key.................................................................................................................................................................... 199
Chapter 29- Nursing Care During a Pediatric Emergency .............................................................................................. 200
Answer Key.................................................................................................................................................................... 205
, Chapter 1- Introduction to Child Health and Pediatric Nursing
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in decreasing
these rates, which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers’ attitudes
C) Transportation
