Advanced Health Assessment Test 1- UTA NURS 5220 Test with Answers

Advanced Health Assessment Test 1- UTA NURS 5220 Test with Answers 1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which of the following statements is true about sexual maturation? A. Breast and pubic hair development are not related to a growth spurt. B. Sexual maturation occurs later in girls than boys. C. Mexican American girls enter puberty later than blacks and earlier than whites. D. Sexual maturation occurs later in taller girls. - ️️ - C. Mexican American girls enter puberty later than blacks and earlier than whites. Sexual maturation begins earlier in girls with a higher body mass index. On average, black girls enter puberty first, followed by Mexican American girls, and then white girls. 1. Mrs. Jones has brought her 4-month-old female infant in for her routine physical. Which statement is true about the baby's expected weight? A. Weight doubles during the first 3 months, then triples by 1 year. B. Weight doubles during the first 4 to 5 months, then triples by 1 year. C. Weight doubles during the first 6 months, and doubles again by 1 year. D. Weight doubles during the first 6 months, and then triples by 18 months. - ️️ - B. Weight doubles during the first 4 to 5 months, then triples by 1 year. In general, infants double their birth weight by 4 to 5 months of age and triple their birth weight by 12 months of age. The remaining answers are not true. 1. The appearance of secondary sexual characteristics in an 8-year-old boy followed by progressive sexual maturation can be indicative of which problem? A. Cushing syndrome B. Klinefelter syndrome C. Testicular tumor D. Brain tumor - ️️ - D. Brain tumor A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate the hypothalamic- pituitary-gonadal axis, with gonadotropins triggering the growth of the gonads, secretion of the sex hormones, and progressive sexual maturation. Answers a, b, and c result in different characteristics. Which of the following inhibits the pituitary from releasing growth hormone? A. Growth hormone-releasing hormone B. Insulin-like growth factor C. Somatostatin D. Sex steroids - ️️ - C. Somatostatin Somatostatin inhibits the secretion of both growth hormone-releasing hormone (GHRH) and thyroid-stimulating hormone. Growth hormone is secreted in pulses, with 70% of secretion occurring during deep sleep. Growth of which body region predominates during infancy? A. Head B. Arms C. Trunk D. Legs - ️️ - C. Trunk During infancy, the growth of the trunk predominates. Weight gain is initially rapid, but the speed with which weight is gained decreases over the first year of life. Growth of the head predominates during the fetal period. Growth of legs predominates during childhood. In the older adult patient, stature begins to decline at: A. 40 years of age. B. 50 years of age. C. 60 years of age. D. 70 years of age. - ️️ - B. 50 years of age. Physical stature declines in older adults beginning at approximately 50 years of age. The intervertebral disks thin, and kyphosis develops with osteoporotic vertebral compression. Which factor accounts for the majority of weight gained by a pregnant woman during the third trimester? A. Placental growth B. Increase in amniotic fluid C. Growth of maternal tissues Fetal growth - ️️ - D. Fetal growth Maternal tissue growth accounts for most of the weight gained in the first and second trimesters. Fetal growth accounts for most weight gained during the third trimester. Placental and increase in amniotic fluid growth are part of the maternal tissue growth that accounts for weight gained in the first and second trimesters. Which is the most rapid and critical period of brain growth? A. Birth to 1 year of age B. Conception to 3 years of age C. Birth to 4 years of age D. One to 2 years of age - ️️ - B. Conception to 3 years of age The brain, along with the skull, eyes, and ears, completes physical development more quickly than any other body part. The most rapid and critical period of brain growth occurs between conception and 3 years of age. A neonate was 18½ inches long at birth. What would you expect his length to be at age 1 year? A. 24 to 25 inches B. 27¾ inches C. 30 to 31 inches D. 37 inches - ️️ - B. 27¾ inches At birth, healthy term newborns have length variations between 45 and 55 cm (18 and 22 inches). Length increases by 50% in the first year of life (18.5/2 + 9.25 = 27.75). The prevalence of obesity among adults is increasing. In 2010 in the United States, what was the percentage of obese adults? A. 15.5% B. 35.7% C. 49% D. 65.2% - ️️ - B. 35.7%