PEDIATRIC PHYSICAL EXAMINATION: AN
ILLUSTRATED HANDBOOK BY KAREN G. DUDERSTADT
, VICTORIA F. KEETON (AUTHORS)
TEST BANK 4TH EDITION
,TABLE OF CONTENTS
UNIT I PEDIATRIC GENERAL ASSESSMENT
1. APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND ADOLESCENTS
2. ASSESSMENT OF GROWTH AND VITAL SIGNS
3. DEVELOPMENTAL, EMOTIONAL, AND BEHAVIORAL SURVEILLANCE AND
SCREENING
4. COMPREHENSIVE INFORMATION GATHERING
5. ENVIRONMENTAL HEALTH HISTORY
6. NEWBORN ASSESSMENT
UNIT II SYSTEM-SPECIFIC ASSESSMENT
7. SKIN ASSESSMENT
8. HEART AND VASCULAR ASSESSMENT
9. CHEST AND RESPIRATORY ASSESSMENT
10. EYES
11. EARS
12. NOSE, MOUTH, AND THROAT
13. NECK AND LYMPHATIC SYSTEM ASSESSMENT
14. ABDOMEN AND RECTUM
15. PENIS, TESTICLES, AND SCROTUM
16. BREAST
17. VULVA, VAGINA, AND INTERNAL PELVIC ASSESSMENT
18. MUSCULOSKELETAL ASSESSMENT
19. HEAD AND NEUROLOGICAL SYSTEM
,CHAPTER 1: APPROACH TO CARE AND ASSESSMENT OF
CHILDREN AND ADOLESCENTS
MULTIPLE CHOICE
1. A NURSE IS REVIEWING DEVELOPMENTAL CONCEPTS FOR INFANTS AND CHILDREN. WHICH STATEMENT BEST
DESCRIBES DEVELOPMENT IN INFANTS AND CHILDREN?
A. DEVELOPMENT, A PREDICTABLE AND ORDERLY PROCESS, OCCURS AT VARYING RATES WITHIN NORMAL LIMITS.
B. DEVELOPMENT IS PRIMARILY RELATED TO THE GROWTH IN THE NUMBER AND SIZE OF CELLS.
C. DEVELOPMENT OCCURS IN A PROXIMODISTAL DIRECTION WITH FINE MUSCLE DEVELOPMENT OCCURRING FIRST.
D. DEVELOPMENT IS MORE EASILY AND ACCURATELY MEASURED THAN GROWTH.
ANSWER;;A
DEVELOPMENT, A CONTINUOUS ORDERLY PROCESS, PROVIDES THE BASIS FOR INCREASES IN THE CHILDS FUNCTION AND
COMPLEXITY OF BEHAVIOR. THE INCREASES IN RATE OF FUNCTION AND COMPLEXITY CAN VARY NORMALLY WITHIN LIMITS
FOR EACH CHILD. AN INCREASE IN THE NUMBER AND SIZE OF CELLS IS A DEFINITION FOR GROWTH. DEVELOPMENT PROCEEDS
IN A PROXIMODISTAL DIRECTION WITH FINE MUSCLE ORGANIZATION OCCURRING AS A RESULT OF LARGE MUSCLE
ORGANIZATION. DEVELOPMENT IS A MORE COMPLEX PROCESS THAT IS AFFECTED BY MANY FACTORS; THEREFORE, IT IS LESS
EASILY AND ACCURATELY MEASURED. GROWTH IS A PREDICTABLE PROCESS WITH STANDARD MEASUREMENT METHODS.
2. FREQUENT DEVELOPMENTAL ASSESSMENTS ARE IMPORTANT FOR WHICH REASON?
A. STABLE DEVELOPMENTAL PERIODS DURING INFANCY PROVIDE AN OPPORTUNITY TO IDENTIFY ANY DELAYS OR
DEFICITS.
B. INFANTS NEED STIMULATION SPECIFIC TO THE STAGE OF DEVELOPMENT.
C. CRITICAL PERIODS OF DEVELOPMENT OCCUR DURING CHILDHOOD.
D. CHILD DEVELOPMENT IS UNPREDICTABLE AND NEEDS MONITORING.
STUVIA.COM - THE MARKETPLACE TO BUY AND SELL YOUR STUDY MATERIAL
, ANSWER;;C
CRITICAL PERIODS ARE BLOCKS OF TIME DURING WHICH CHILDREN ARE READY TO MASTER SPECIFIC DEVELOPMENTAL TASKS.
CHILDREN CAN MASTER THESE TASKS MORE EASILY DURING PARTICULAR PERIODS OF TIME IN THEIR GROWTH AND
DEVELOPMENTAL PROCESS. INFANCY IS A DYNAMIC TIME OF DEVELOPMENT THAT REQUIRES FREQUENT EVALUATIONS TO
ASSESS APPROPRIATE DEVELOPMENTAL PROGRESS. INFANTS IN A NURTURING ENVIRONMENT WILL DEVELOP APPROPRIATELY
AND WILL NOT NECESSARILY NEED STIMULATION SPECIFIC TO THEIR DEVELOPMENTAL STAGE. NORMAL GROWTH AND
DEVELOPMENT ARE ORDERLY AND PROCEED IN A PREDICTABLE PATTERN ON THE BASIS OF EACH INDIVIDUALS ABILITIES AND
POTENTIALS.
3. WHICH FACTOR HAS THE GREATEST INFLUENCE ON CHILD GROWTH AND DEVELOPMENT?
A. CULTURE
B. ENVIRONMENT
C. GENETICS
D. NUTRITION
ANSWER;;C
GENETIC FACTORS (HEREDITY) DETERMINE EACH INDIVIDUALS GROWTH AND DEVELOPMENTAL RATE. ALTHOUGH FACTORS
SUCH AS ENVIRONMENT, CULTURE, NUTRITION, AND FAMILY CAN INFLUENCE GENETIC TRAITS, THEY DO NOT ELIMINATE THE
EFFECT OF THE GENETIC ENDOWMENT, WHICH IS PERMANENT. CULTURE IS A SIGNIFICANT FACTOR THAT INFLUENCES HOW
CHILDREN GROW TOWARD ADULTHOOD. CULTURE INFLUENCES BOTH GROWTH AND DEVELOPMENT BUT DOES NOT
ELIMINATE INBORN GENETIC INFLUENCES. ENVIRONMENT HAS A SIGNIFICANT ROLE IN DETERMINING GROWTH AND
DEVELOPMENT BOTH BEFORE AND AFTER BIRTH. THE ENVIRONMENT CAN INFLUENCE HOW AND TO WHICH EXTENT GENETIC
TRAITS ARE MANIFESTED, BUT ENVIRONMENTAL FACTORS CANNOT ELIMINATE THE EFFECT OF GENETICS. NUTRITION IS
CRITICAL FOR GROWTH AND PLAYS A SIGNIFICANT ROLE THROUGHOUT CHILDHOOD.
4. A NURSE IS PLANNING A TEACHING SESSION WITH A CHILD. ACCORDING TO PIAGETIAN THEORY, THE PERIOD OF
COGNITIVE DEVELOPMENT IN WHICH THE CHILD IS ABLE TO DISTINGUISH FACT FROM FANTASY IS THE PERIOD OF COGNITIVE
DEVELOPMENT.
A. SENSORIMOTOR
ILLUSTRATED HANDBOOK BY KAREN G. DUDERSTADT
, VICTORIA F. KEETON (AUTHORS)
TEST BANK 4TH EDITION
,TABLE OF CONTENTS
UNIT I PEDIATRIC GENERAL ASSESSMENT
1. APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND ADOLESCENTS
2. ASSESSMENT OF GROWTH AND VITAL SIGNS
3. DEVELOPMENTAL, EMOTIONAL, AND BEHAVIORAL SURVEILLANCE AND
SCREENING
4. COMPREHENSIVE INFORMATION GATHERING
5. ENVIRONMENTAL HEALTH HISTORY
6. NEWBORN ASSESSMENT
UNIT II SYSTEM-SPECIFIC ASSESSMENT
7. SKIN ASSESSMENT
8. HEART AND VASCULAR ASSESSMENT
9. CHEST AND RESPIRATORY ASSESSMENT
10. EYES
11. EARS
12. NOSE, MOUTH, AND THROAT
13. NECK AND LYMPHATIC SYSTEM ASSESSMENT
14. ABDOMEN AND RECTUM
15. PENIS, TESTICLES, AND SCROTUM
16. BREAST
17. VULVA, VAGINA, AND INTERNAL PELVIC ASSESSMENT
18. MUSCULOSKELETAL ASSESSMENT
19. HEAD AND NEUROLOGICAL SYSTEM
,CHAPTER 1: APPROACH TO CARE AND ASSESSMENT OF
CHILDREN AND ADOLESCENTS
MULTIPLE CHOICE
1. A NURSE IS REVIEWING DEVELOPMENTAL CONCEPTS FOR INFANTS AND CHILDREN. WHICH STATEMENT BEST
DESCRIBES DEVELOPMENT IN INFANTS AND CHILDREN?
A. DEVELOPMENT, A PREDICTABLE AND ORDERLY PROCESS, OCCURS AT VARYING RATES WITHIN NORMAL LIMITS.
B. DEVELOPMENT IS PRIMARILY RELATED TO THE GROWTH IN THE NUMBER AND SIZE OF CELLS.
C. DEVELOPMENT OCCURS IN A PROXIMODISTAL DIRECTION WITH FINE MUSCLE DEVELOPMENT OCCURRING FIRST.
D. DEVELOPMENT IS MORE EASILY AND ACCURATELY MEASURED THAN GROWTH.
ANSWER;;A
DEVELOPMENT, A CONTINUOUS ORDERLY PROCESS, PROVIDES THE BASIS FOR INCREASES IN THE CHILDS FUNCTION AND
COMPLEXITY OF BEHAVIOR. THE INCREASES IN RATE OF FUNCTION AND COMPLEXITY CAN VARY NORMALLY WITHIN LIMITS
FOR EACH CHILD. AN INCREASE IN THE NUMBER AND SIZE OF CELLS IS A DEFINITION FOR GROWTH. DEVELOPMENT PROCEEDS
IN A PROXIMODISTAL DIRECTION WITH FINE MUSCLE ORGANIZATION OCCURRING AS A RESULT OF LARGE MUSCLE
ORGANIZATION. DEVELOPMENT IS A MORE COMPLEX PROCESS THAT IS AFFECTED BY MANY FACTORS; THEREFORE, IT IS LESS
EASILY AND ACCURATELY MEASURED. GROWTH IS A PREDICTABLE PROCESS WITH STANDARD MEASUREMENT METHODS.
2. FREQUENT DEVELOPMENTAL ASSESSMENTS ARE IMPORTANT FOR WHICH REASON?
A. STABLE DEVELOPMENTAL PERIODS DURING INFANCY PROVIDE AN OPPORTUNITY TO IDENTIFY ANY DELAYS OR
DEFICITS.
B. INFANTS NEED STIMULATION SPECIFIC TO THE STAGE OF DEVELOPMENT.
C. CRITICAL PERIODS OF DEVELOPMENT OCCUR DURING CHILDHOOD.
D. CHILD DEVELOPMENT IS UNPREDICTABLE AND NEEDS MONITORING.
STUVIA.COM - THE MARKETPLACE TO BUY AND SELL YOUR STUDY MATERIAL
, ANSWER;;C
CRITICAL PERIODS ARE BLOCKS OF TIME DURING WHICH CHILDREN ARE READY TO MASTER SPECIFIC DEVELOPMENTAL TASKS.
CHILDREN CAN MASTER THESE TASKS MORE EASILY DURING PARTICULAR PERIODS OF TIME IN THEIR GROWTH AND
DEVELOPMENTAL PROCESS. INFANCY IS A DYNAMIC TIME OF DEVELOPMENT THAT REQUIRES FREQUENT EVALUATIONS TO
ASSESS APPROPRIATE DEVELOPMENTAL PROGRESS. INFANTS IN A NURTURING ENVIRONMENT WILL DEVELOP APPROPRIATELY
AND WILL NOT NECESSARILY NEED STIMULATION SPECIFIC TO THEIR DEVELOPMENTAL STAGE. NORMAL GROWTH AND
DEVELOPMENT ARE ORDERLY AND PROCEED IN A PREDICTABLE PATTERN ON THE BASIS OF EACH INDIVIDUALS ABILITIES AND
POTENTIALS.
3. WHICH FACTOR HAS THE GREATEST INFLUENCE ON CHILD GROWTH AND DEVELOPMENT?
A. CULTURE
B. ENVIRONMENT
C. GENETICS
D. NUTRITION
ANSWER;;C
GENETIC FACTORS (HEREDITY) DETERMINE EACH INDIVIDUALS GROWTH AND DEVELOPMENTAL RATE. ALTHOUGH FACTORS
SUCH AS ENVIRONMENT, CULTURE, NUTRITION, AND FAMILY CAN INFLUENCE GENETIC TRAITS, THEY DO NOT ELIMINATE THE
EFFECT OF THE GENETIC ENDOWMENT, WHICH IS PERMANENT. CULTURE IS A SIGNIFICANT FACTOR THAT INFLUENCES HOW
CHILDREN GROW TOWARD ADULTHOOD. CULTURE INFLUENCES BOTH GROWTH AND DEVELOPMENT BUT DOES NOT
ELIMINATE INBORN GENETIC INFLUENCES. ENVIRONMENT HAS A SIGNIFICANT ROLE IN DETERMINING GROWTH AND
DEVELOPMENT BOTH BEFORE AND AFTER BIRTH. THE ENVIRONMENT CAN INFLUENCE HOW AND TO WHICH EXTENT GENETIC
TRAITS ARE MANIFESTED, BUT ENVIRONMENTAL FACTORS CANNOT ELIMINATE THE EFFECT OF GENETICS. NUTRITION IS
CRITICAL FOR GROWTH AND PLAYS A SIGNIFICANT ROLE THROUGHOUT CHILDHOOD.
4. A NURSE IS PLANNING A TEACHING SESSION WITH A CHILD. ACCORDING TO PIAGETIAN THEORY, THE PERIOD OF
COGNITIVE DEVELOPMENT IN WHICH THE CHILD IS ABLE TO DISTINGUISH FACT FROM FANTASY IS THE PERIOD OF COGNITIVE
DEVELOPMENT.
A. SENSORIMOTOR
