1. Pediatrics as a medical specialty focuses on:
a. Preventive medicine
b. Parental education
c. Treatment and care of children
d. Inoculations against communicable diseases
ANS: C
Pediatrics is a branch of medicine that deals specifically with children, their development,
childhood diseases, and their treatment.
DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 1
TOP: Evolution of Child Health KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Disease
2. Abraham Jacobi promoted the establishment of “milk stations” to provide:
a. A source of sterile milk for children
b. Access to disease-free milk cows
c. Vitamin-rich supplements to be added to milk
d. A solution to add to milk to make it disease free
ANS: A
Abraham Jacobi is considered the “father of pediatrics.” He established milk stations
where mothers could bring their children for treatment. The mothers were also taught the
importance of pure milk and its preparation.
DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 3
TOP: Evolution of Child Health KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. The major outcome of the White House Conference of 1909 was the:
a. Formulation of guidelines for child labor
b. Formation of the Children’s Bureau
c. Founding of the free lunch program for needy schoolchildren
d. Recommendation of an inoculation schedule for children
ANS: B
The White House Conference of 1909 recommended the formation of the Children’s
Bureau.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 2
TOP: Children’s Bureau KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Disease
4. The school nurse is aware that the program that provides meals to schoolchildren is:
a. The Supplemental Food Program for Women, Infants, and Children (WIC)
b. The Children and Youth Project from Medicaid
c. The Child Nutrition Act of 1966
d. Social Security
ANS: C
The Child Nutrition Act of 1966 provides meals free or at a reduced rate for low-income
children.
DIF: Cognitive Level: Analysis REF: p. 2 OBJ: 2
TOP: The Child Nutrition Act of 1966 KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The home health nurse instructs a young single mother that the Supplemental Food
Program for Women, Infants, and Children (WIC) provides nutritious foods for children
up to:
a. 5 years of age
b. 7 years of age
c. 8 years of age
d. 9 years of age
ANS: A
WIC offers supplemental nutritious foods to qualified clients for children up to 5 years of
age.
DIF: Cognitive Level: Application REF: p. 2 OBJ: 2
TOP: Supplemental Food Program KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. The nurse explains that the statistics of infant mortality are expressed in number of infant
deaths per:
a. 100 live births
b. 1000 live births
c. 10,000 live births
d. 100,000 live births
ANS: B
Infant mortality statistics are expressed in number of infant deaths per 1000 live births.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 3
TOP: Infant Mortality KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. A frustrated mother tells the school nurse that her income is too high to qualify for
Medicaid and too low to afford private health insurance. The nurse suggests that she may
be eligible for:
a. An HMO
b. The Health Insurance Portability and Accountability Act (HIPAA)
c. WIC
d. The State Children’s Health Insurance Program
ANS: D
The State Children’s Health Insurance Program has expanded coverage to many
uninsured children who are ineligible for Medicaid. The Division of Maternal and Child
Health does not provide insurance. HIPAA protects privacy. WIC is a supplemental food
program.
DIF: Cognitive Level: Application REF: p. 2 OBJ: 2
TOP: State Children’s Health Insurance Program
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. The nurse is aware that the prevalence of chronic health conditions in children is:
a. Decreasing as a result of advances in health care and treatment
b. Increasing as a result of advances in health care and treatment
c. Increasing as a result of decreased incidence of childhood injury
d. Decreasing as a result of decreased incidence of childhood injury
ANS: B
The prevalence of chronic health conditions in children is increasing as a result of
advanced health care and treatment. The increased number of surviving premature infants
has increased the number of children with chronic conditions. The number of children
who survive childhood injury has increased, leading to increased numbers of disabled
children.
DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: 3
TOP: Changes in Mortality and Morbidity
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of
Disease
9. Infant mortality in the United States is highest among:
a. Eastern European-American mothers
b. Asian mothers
c. African-American mothers
d. Italian-American mothers
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