1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries.
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Compared with other countries that have a population of at least 25 million, the nurse makes which
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determination?
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a. The United States is ranked last among 27 countries.
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b. The United States is ranked similar to 20 other developed countries.
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c. The United States is ranked in the middle of 20 other developed countries.
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d. The United States is ranked highest among 27 other industrialized countries.
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ANS: A ll
Although the death rate has decreased, the United States still ranks last in infant mortality among nations with a
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population of at least 25 million. The United States has the highest infant death rate of developed nations.
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2. Which is the leading cause of death in infants younger than 1 year in the United States?
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a. Congenital anomalies ll
b. Sudden infant death syndrome ll ll ll
c. Disorders related to short gestation and low birth weight ll ll ll ll ll ll ll ll
d. Maternal complications specific to the perinatal period ll ll ll ll l ll
ll ANS: A ll
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant
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death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight,
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which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which
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account for 6.1% of deaths in infants younger than 1 year of age.
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DIF: Cognitive Level: Remembering
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MSC: Client Needs: Health Promotion and Maintenance
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3. What is the major cause of death for children older than 1 year in the United States?
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a. Heart disease ll
, 3
b. Childhood cancer ll
c. Unintentional injuries ll
d. Congenitalanomalies l
ll ANS: C ll
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The
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leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart
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disease cause a significantly lower percentage of deaths in children older than 1 year of age.
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DIF: Cognitive Level: Understanding
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MSC: Client Needs: Health Promotion and Maintenance
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4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
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a. Suicide and cancer ll ll
b. Suicide and homicide ll ll
c. Drowning and cancer ll ll
d. Homicide and heart disease l l l
ANS: B
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Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of
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deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for
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10.9% of the deaths in this age group.
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DIF: Cognitive Level: Remembering
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MSC: Client Needs: Health Promotion and Maintenance
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5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should
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the nurse include in the session with regard to deaths caused by injuries?
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a. More deaths occur in males. ll ll ll ll
b. More deaths occur in females. ll ll ll ll
c. The pattern of deaths does not vary according to age and sex.
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d. The pattern of deaths does not vary widely among different ethnic groups.
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ANS: A ll
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly
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