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Test Bank- Pediatric Physical Examination: An Illustrated Handbook 4th Edition (Karen G. Duderstadt,
2025) Latest Edition|| All Chapters
Chapter 1: Approach to Care and Assessment of Children and Adolescents
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MULTIPLE CHOICE h
1. A nurse is reviewing developmentalconcepts for infants and children. Which statement best
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hdescribes development in infants and children?
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a. Development, a predictable and orderly process, occurs at varying rates within h h h h h h h h h h
normal limits.
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b. Development is primarilyrelated to the growth in the number and size ofcells. h h h h h h h h h h h h h
c. Development occurs in a proximodistal direction with fine muscle development h h h h h h h h h
occurring first.
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d. Development is more easilyand accuratelymeasured than growth. h h h h h h h h
ANS: A h
Development, a continuous orderly process, provides the basis for increases in the childs function
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hand complexity of behavior. The increases in rate of function and complexity can vary normally
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within limits for each child. An increase in the number and size of cells is a definition for growth.
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hDevelopment proceeds in a proximodistal direction with fine muscle organization occurring as a
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result of large muscle organization. Development is a more complex process that is affected by many
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hfactors; therefore, it is less easily and accurately measured. Growth is a predictable process with
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hstandard measurement methods. h h
2. Frequent developmental assessments are important for which reason?
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a. Stable developmental periods during infancy provide an opportunity to identify
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any delays or deficits.
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b. Infants need stimulation specific to the stage of development.
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c. Critical periods ofdevelopment occur during childhood. h h h h h h
d. Child development is unpredictable and needs monitoring.
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ANS: C h
Critical periods are blocks of time during which children are ready to master specific developmental
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tasks. Children can master these tasks more easily during particular periods of time in their growth
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and developmental process. Infancy is a dynamic time of development that requires frequent
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evaluations to assess appropriate developmental progress. Infants in a nurturing environment will
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develop appropriately and will not necessarily need stimulation specific to their developmental stage.
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Normal growth and development are orderly and proceed in a predictable pattern on the basis of each
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individuals abilities and potentials.
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3. Which factor has the greatest influence on child growth and development?
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a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS: C h
Genetic factors (heredity) determine each individuals growth and developmental rate. Although
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factors such as environment, culture, nutrition, and family can influence genetic traits, they do not
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eliminate the effect of the genetic endowment, which is permanent. Culture is a significant factor that
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influences how children grow toward adulthood. Culture influences both growth and development
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but does not eliminate inborn genetic influences. Environment has a significant role in determining
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growth and development both before and after birth. The environment can influence how and to
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which extent genetic traits are manifested, but environmental factors cannot eliminate the effect of
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genetics. Nutrition is critical for growth and plays a significant role throughout childhood.
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4. A nurse is planning a teaching session with a child. According to Piagetian theory, the period of
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cognitive development in which the child is able to distinguish fact from fantasy is the period
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of cognitive development.
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a. sensorimotor
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