Chapter 22 Child Health Nursing Partnering With Children & Families, 3rd Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 22

Question 1

Type: MCSA

A nurse is providing information to a group of new mothers. The nurse would explain that newborns and young infants are more susceptible to infection because they have:

1. Low levels of antibodies.
2. High levels of maternal antibodies to diseases to which the mother has been exposed.
3. Passive transplacental immunity from maternal immunoglobulin G.
4. Been exposed to microorganisms during the birth process.

Correct Answer: 1

Rationale 1: The infant’s immune system is not fully developed at birth, and the infant has low levels of antibodies due to lack of exposure to antigens.

Rationale 2: Newborns and young infants do have high levels of maternal antibodies, but this answer is incorrect because it does not explain the susceptibility of newborns and young infants to infection.

Rationale 3: Newborns and young infants do have passive transplacental immunity, but this answer is incorrect because it does not explain the susceptibility of newborns and young infants to infection.

Rationale 4: Newborns and young infants do have exposure to microorganisms during the birth process, but this answer is incorrect because it does not explain the susceptibility of newborns and young infants to infection.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 22-1

Question 2

Type: MCSA

A nurse is providing education to a group of young mothers. The nurse would explain that as children grow, they develop immunity through:

1. Immunization or exposure to the natural disease.
2. Acquiring diseases from family members who had the disease.
3. Acquiring diseases from other children.
4. Being born with diseases already in their systems.

Correct Answer: 1

Rationale 1: As children grow, they develop immunity through immunization or exposure to the natural disease. As children mature and become more active, they interact more frequently with other children and adults and increase their exposure to infectious agents.

Rationale 2: Children cannot acquire diseases from family members who had the disease

Rationale 3: Acquiring disease from other children would not give children immunity.

Rationale 4: Newborns cannot be born with childhood disease.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 22-1

Question 3

Type: MCSA

The nurse explains to new parents that as healthy children are exposed to more infections, they:

1. Naturally develop antibodies.
2. Are found to be healthier.
3. Will acquire terminal illnesses.
4. Will weaken their immune systems.

Correct Answer: 1

Rationale 1: As healthy children are exposed to more infections, they naturally develop antibodies.

Rationale 2: Being exposed to infections will not lead to healthy children.

Rationale 3: Exposure to infections will not lead children to acquire terminal illnesses.

Rationale 4: Exposure to infectious disease will not weaken children’s immune systems.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 22-1

Question 4

Type: MCSA

The nurse is teaching a child care class for mothers of young children. The nurse tells the parent that the most common mode of transmission of infectious disease is:

1. Children who are playing with the same toy.
2. Children who are coughing.
3. Children who are sitting together eating meals.
4. Children who are playing board games.

Correct Answer: 2

Rationale 1: Microorganisms might be left on toys that children share, but this is not the most common mode of transmission of infectious diseases.

Rationale 2: The fecal-oral and respiratory routes are the most common sources of transmission in children.

Rationale 3: Eating together will not transmit infectious disease.

Rationale 4: Playing with board games will not transmit infectious disease.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 22-2