Chapter 03 Principles of Pediatric Nursing 6th Ed By Ball

Chapter 03 Principles of Pediatric Nursing 6th Ed By Ball

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

Personalized health care for health promotion and maintenance can be based on environmental factors and which other item?

1. The genes a person inherited
2. Common conditions with known treatment strategies
3. Teaching strategies
4. The health of the person

Correct Answer: 1

Rationale 1: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.

Rationale 2: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.

Rationale 3: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.

Rationale 4: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.

Global Rationale: Personalized health care is based on environmental factors and the genes the person inherited. Common conditions and the current health of the person are not part of personalized health care. Teaching strategies are not part of personalized health care.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 3.1 Explain the role of genetic and genomic concepts in health promotion, disease prevention, screening, diagnostics, selection of treatment, and monitoring of treatment effectiveness.

 

Question 2

Type: MCSA

A three-generation pedigree is constructed around the designated “index” patient. Based on this knowledge which explanation of the term proband is the most accurate?

1. The “index” patient has the disorder of interest
2. One parent of the “index” patient has the disorder of interest
3. The “index” patient does not have the disorder of interest
4. Siblings of the “index” patient do not have the disorder of interest

Correct Answer: 1

Rationale 1: The proband indicates that the “index” patient has the disorder of interest. A consultand is an “index” patient seeking genetic counseling for a disorder she is not affected by at present.

Rationale 2: The proband indicates that the “index” patient has the disorder of interest. A consultand is an “index” patient seeking genetic counseling for a disorder she is not affected by at present.

Rationale 3: The proband indicates that the “index” patient has the disorder of interest. A consultand is an “index” patient seeking genetic counseling for a disorder she is not affected by at present.

Rationale 4: The proband indicates that the “index” patient has the disorder of interest. A consultand is an “index” patient seeking genetic counseling for a disorder she is not affected by at present.

Global Rationale: The proband indicates that the “index” patient has the disorder of interest. A consultand is an “index” patient seeking genetic counseling for a disorder she is not affected by at present.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 3.2 Elicit a family health history and construct a genetic pedigree.

 

Question 3

Type: MCSA

When discussing inheritance with parents of a child with a genetic disorder, which statement by the parents indicates they understand inheritance risk?

1. “This child has a genetic disorder, so future children will not have it.”
2. “Each pregnancy carries the same percent risk of inheritance.”
3. “I cannot have any more children, because they will all have the disorder.”
4. “There is a good chance future children will be normal.”

Correct Answer: 2

Rationale 1: Each pregnancy carries the same percent risk of having a child with the disorder in question. The other statements indicate the need for further education regarding inheritance risk.

Rationale 2: Each pregnancy carries the same percent risk of having a child with the disorder in question. The other statements indicate the need for further education regarding inheritance risk.

Rationale 3: Each pregnancy carries the same percent risk of having a child with the disorder in question. The other statements indicate the need for further education regarding inheritance risk.

Rationale 4: Each pregnancy carries the same percent risk of having a child with the disorder in question. The other statements indicate the need for further education regarding inheritance risk.

Global Rationale: Each pregnancy carries the same percent risk of having a child with the disorder in question. The other statements indicate the need for further education regarding inheritance risk.

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 3.3 Incorporate knowledge of genetic and genomic influences and risk factors into assessment, planning, and implementation of nursing care.

 

Question 4

Type: MCSA

Parents of a child with a congenital heart defect ask what the chances are of recurrence in future pregnancies. Which response by the nurse is the most appropriate?

1. “There is a 50% chance of recurrence in a future pregnancy.”
2. “There is a very low chance of recurrence.”
3. “It should not happen again with a future pregnancy.”
4. “There is a strong chance of recurrence.”

Correct Answer: 2

Rationale 1: There is a very low rate of recurrence with congenital heart defects. The other statements are not appropriate for the nurse to make in this situation.

Rationale 2: There is a very low rate of recurrence with congenital heart defects. The other statements are not appropriate for the nurse to make in this situation.

Rationale 3: There is a very low rate of recurrence with congenital heart defects. The other statements are not appropriate for the nurse to make in this situation.

Rationale 4: There is a very low rate of recurrence with congenital heart defects. The other statements are not appropriate for the nurse to make in this situation.

Global Rationale: There is a very low rate of recurrence with congenital heart defects. The other statements are not appropriate for the nurse to make in this situation.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 3.4 Integrate basic genetic and genomic concepts into child and family education.

 

Question 5

Type: MCSA

A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?

1. A genetic family history
2. A family pedigree
3. A genetic physical assessment
4. A maternal health history

Correct Answer: 1

Rationale 1: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

Rationale 2: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

Rationale 3: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

Rationale 4: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

Global Rationale: A genetic family history is recommended when there is history of a congenital anomaly, such as cleft lip and palate. A pedigree is a more comprehensive family history, and could follow a genetic family history if needed. The previous anomaly is already known, so a genetic history would be recommended over a genetic physical assessment. A maternal health history is not comprehensive enough for this case.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 3.