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An Overview of Children's Health in the United States

Introduction

1. The health of the child population is reflective of the overall health of a nation, and policy makers and program planners must develop effective policies and programs that will establish healthy habits and maximize the health of children for now and for the future.

A. True

B. False


2. Recent studies summarizing family characteristics and their role in the health and well-being of children indicate that _____ percent of women with children under 18 years of age were in the labor force, and _____ percent of children from birth through age 5 were in child care for 10 or more hours per week.

A. 62.3; 60.5

B. 65.6; 58.1

C. 68.2: 56.7

D. 71.4: 54.2


Population Characteristics-Population of Children

3. The age distribution of the United States population has shifted significantly in the past several decades, with the percentage of the population that is under 18 increasing slightly since the 1980s.

A. True

B. False


Children in Poverty

4. Poverty affects many aspects of childrens' lives in the United States, and 2009 statistics indicate that:

A. 31.4 percent of non-Hispanic Black children, 29.0 percent of non-Hispanic American Indian/Alaska Native children, and 27.8 percent of Hispanic children lived in poverty compared to 11.9 percent of non-Hispanic white children

B. 47.6 percent of children under 5 years of age living in female-headed households lived in poverty

C. Single-parent families are particularly vulnerable to poverty, with 44.3 percent of children living in a female-headed household and 26.5 percent of children living in a male-headed household experiencing poverty

D. 58.5 percent of all lunches served in participating National School Lunch Program schools are free or reduced-priced meals


Adopted Children

5. Adopted children in the United States often have special health care issues, and those adopted internationally have the greatest needs when compared to foster care and private adoptions.

A. True

B. False


Education

6. Historically, ______________ students have had the highest dropout rates among youth of all racial/ethnic groups.

A. American Indian/Alaska Native

B. Hispanic

C. Non-Hispanic black

D. Native Hawaiian/Other Pacific Islander


Child-Family Connectedness

7. Sharing meals is a bonding activity that encourages child-family connectedness, and those families with the higher incomes tend to share meals more frequently with than those who fall below the poverty level.

A. True

B. False


Maternal Age

8. Since 1991, birth rates for teenagers aged 15-19 years have:

A. Increased slightly

B. Generally decreased

C. Stayed about the same

D. Increased significantly


Health Status

9. Monitoring the health status of young people allows health professionals, program planners, and policymakers to assess the impact of past and current health intervention and prevention programs and identify _______________ within the child population.

A. Social trends

B. Environmental influences

C. Physical and psychological stressors

D. Areas of needs


Low Birth Weight

10. Low birth weight is a leading cause of neonatal mortality, and recent data showed that the rate of low birth weight was highest among babies born to women younger than 15 years of age, followed by babies born to women aged 40-54 years.

A. True

B. False


Very Low Birth Weight

11. Infants born at a very low birth weight (less than 1,500 grams, or 3 pounds 4 ounces) are _____ times more likely to die in the first year of life than are infants of normal birth weight.

A. 100

B. 90

C. 80

D. 70


Breastfeeding

12. In addition to promoting the health and development of infants, including their immunity to disease, breastfeeding also provides a number of maternal benefits, such as a decreased risk of breast and ovarian cancers.

A. True

B. False


Infant Morality

13. In 2009, the leading cause of infant morality was:

A. Disorders related to short gestation and low birth weight

B. Sudden Infant Death Syndrome

C. Congenital malformations

D. None of the above


Vaccine-Preventable Diseases

14. In 2005, The Centers for Disease Control and Prevention (CDC) instituted the recommendation that all children be immunized for hepatitis A starting at 1 year of age, because prior to this time two-thirds of cases were occurring in states where the vaccine was not currently recommended.

A. True

B. False


Pediatric HIV and Aids

15. Racial and ethnic minorities are disproportionately affected by HIV and in 2009, non-Hispanic Black children accounted for over _____ of diagnosed HIV cases, but represented only 15 percent of the total U.S. population in this age group.

A. 90%

B. 75%

C. 60%

D. 45%


Hospitalization

16. While injuries are the leading cause of death among people aged 10-14, the leading cause for hospitalization for this age group is:

A. Mental disorders

B. Injury and poisoning

C. Diseases of the respiratory system

D. Diseases of the digestive system


Chronic Health Problems

17. Which of the following is NOT one of the most chronic health conditions found among children aged 0-17 years?

A. Asthma

B. Learning Disabilities

C. Mood disorders

D. ADHD/ADD


Abuse and Neglect

18. Children aged 8-11 accounted for the greatest percentage of state child protective services (CPS) agency referrals for abuse and neglect in 2009.

A. True

B. False


Sexual Activity and Education

19. For those high school students who have reported having sexual intercourse at least once, no significant difference was observed between males and females with respect to the proportion who reported sexual activity within each grade level.

A. True

B. False


Sexually Transmitted Diseases

20. Although young people aged 15-24 years represent only one-quarter of the sexually experienced population, they acquire nearly ____ percent of all new sexually transmitted infections (STIs)

A. 70

B. 60

C. 50

D. 40


Sedentary Behaviors

21. Each of the following is an accurate statement about sedentary behaviors among children EXCEPT:

A. Preschool children living in poverty are most likely to engage in 4 or more hours of media use per day

B. The American Academy of Pediatrics recommends that parents limit children's media time to 1-2 hours per day, although children in the United States exceed these recommendations

C. Media use among school-aged children varies by age and sex, although rates of males and females engaging in each level of media use were similar among children aged 6-11 years

D. Males aged 12-17 were more likely to report lower levels of weekday media use than their female counterparts


Overweight and Obesity

22. Obesity is a serious health concern for children, and obese youth are more likely to have risk factors for cardiovascular disease, such as high cholesterol, ________________, and Type 2 diabetes

A. Gallbladder disease

B. High blood pressure

C. Respiratory problems

D. Sleep disturbances


Mental Health

23. Among adolescents experiencing a major depressive episode (MDE), approximately one-third also experienced severe impairment defined by the degree to which activities and roles, such as completing chores at home, going to school or work, or maintaining close family relationships are affected.

A. True

B. False


Violence

24. Results from the Youth Risk Behavior Surveillance System showed that, in 2009, approximately ______________ high school students reported that they were hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend at least once in the past 12 months.

A. 1 out of every 5

B. 1 out of every 10

C. 1 out of every 15

D. 1 out of every 20


Bullying

25. Bullying is defined as aggressive behavior that:

A. Is intentional

B. Is repeated over time

C. Involves an imbalance of power or strength

D. All of the above


Cigarette Smoking

26. Among adolescents, non-Hispanic American Indian/Alaska Native students are the most likely to smoke cigarettes, with non-Hispanic white students being the second largest group of smokers.

A. True

B. False


Substance Abuse

27. Marijuana is consistently the most commonly used illicit drug among adolescents, followed by:

A. Methamphetamine use

B. Non-medical use of prescription psychotherapeutics

C. Cocaine use

D. None of the above


Health Services Finacing and Utilization

28. Although progress has been made in the area of health care coverage for children, about _____________ children remain uninsured in the United States.

A. 6.6 million

B. 7.1 million

C. 7.5 million

D. 8.2 million


Mental Health Treatment

29. Research indicates that the most commonly reported reason that adolescents seek mental health treatment is problems with home life/family, followed closely by feelings of depression.

A. True

B. False


Well-Child Visits

30. Well-child visits are recommended by The American Academy of Pediatrics to offer an opportunity to monitor children's health and provide immunizations, to assess a child's behavior and development, to discuss nutrition, and to answer parents' questions.

A. True

B. False


Medical Home

31. Experts recommend that children's medical care be accessible, continuous, comprehensive, family centered, coordinated, compassionate, and:

A. Culturally effective

B. Individualized

C. Practical

D. Cost-effective


State Data

32. Geographic differences in health status and health care utilization are important considerations when tailoring health programs and interventions to specific populations.

A. True

B. False


Health Insurance Status of Child Under 18

33. In 2009, the greatest percentage of uninsured children in the United States lived in _____________, while the lowest percentage lived in _____________.

A. Arizona; Hawaii

B. Arkansas; Washington

C. Nevada; Wisconsin

D. Florida; Massachusetts


City Data

34. Comparisons between urban health care and national averages show that the health status of infants living in large U.S. cities is generally poorer than that of infants in the nation as a whole.

A. True

B. False


Infant Morality

35. The infant mortality rate in cities has consistently been higher than the rate nationwide, and this rate has been increasing steadily over the past decade, creating an even larger disparity between urban infant deaths and those in the nation as a whole.

A. True

B. False


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