Burns: Pediatric Primary Care, 6 th Edition Chapter 1: Health Status of Children: Global and Local Perspectives Test Bank Multiple Choice 1. The primary care pediatric nurse practitioner understands that a major child health outcome associated with worldwide climate change is : 2. cost of living. 3. education. 4. nutrition. 5. pollution. ANS: C There is growing evidence that climate change is having a dramatic effect on food crops that leads to food distribution issues and food insecurity among families. 2. The primary care pediatric nurse practitioner understands that, to achieve the greatest world-wide reduction in child mortality from pneumonia and diarrhea, which intervention is most effective? 6. Antibiotics 7. Optimal nutrition 8. Vaccinations 9. Water purification ANS: C Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading cause of pneumonia, and together these are the leading infectious causes of childhood morbidity and mortality globally. Both are vaccine-preventable diseases.