CHAPTER
WORKSHEET
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MULTIPLE CHOICE QUESTIONS
1. What is the number one cause for mortality among
children?
a. Human immunodeficiency virus
b. Congenital anomalies
c. Motor vehicle accidents
d. Low birthweight
2. The nurse is assessing the vital signs of a child who is
being evaluated in an urgent care center. The child is
to be seen by the pediatric nurse practitioner (PNP).
The mother asks, “Why is my child seeing the PNP
and not the doctor?” What is the best response by the
nurse?
a. “The PNP functions similar to the physician’s assis-
tant, so you should be perfectly at ease.”
b. “The child may be seen by the physician instead if
you’d like.”
c. “Seeing the PNP is just one more step in having
your child evaluated in this setting.”
d. “The PNP is an experienced RN with advanced
education in the diagnosis and treatment of chil-
dren.”
3. When caring for an adolescent, in which case must
the nurse share information with the parents no matter
which state the care is provided in?
a. Pregnancy counseling
b. Depression
c. Contraception
d. Tuberculosis
4. The school nurse is planning a screening program.
What items should be included to address issues
related to the “new morbidity”?
a. Academic difficulties, violence, and other mental
health issues
b. The number of children with chronic illness at the
school
c. Statistics related to health insurance coverage of
the children
d. HIV infection, asthma, and respiratory allergy testing
CRITICAL THINKING EXERCISES
1. Detail how the nursing process fits into the framework
of pediatric nursing.
2. Discuss how the role of the pediatric nurse differs
from the role of the advanced practice pediatric nurse.
3. At your next staff meeting, you have been asked to
present material to your nursing unit discussing spe-
cial situations to informed consent related to children.
Describe the topics that you should address.
STUDY ACTIVITIES
1. Research the IRB at the local hospital and become
informed about which studies have been approved in
your clinical setting.
2. Research a current policy, bill, or issue being debated
on the community, state, or national level pertaining
to child health or welfare. Summarize the major facts
and supporting or opposing issues and present them
in a class presentation or paper.
3. Obtain a standardized care plan from the hospital unit.
Evaluate whether it is based on evidence-based prac-
tice. Develop an individualized care plan for a child
you are caring for. Compare and contrast the two
types of care plans.
4. The following events were milestones in the support of
children’s health. Place them in the correct sequence,
from oldest to most recent:
_____ a. Declaration of the Rights of the Child
approved
_____ b. WIC program established
_____ c. U.S. Children’s Bureau established
_____ d. Sheppard-Towner Act passed
_____ e. Family and Medical Leave Act passed
_____ f. Education for all Handicapped Children
Act passed.
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