TEST BANK FOR CURRENT Diagnosis & Treatment Pediatrics
CurrenthDiagnosishandhTreatmenthPediatrics,h27thhEditionhTesthBank
TablehofhContents:
27th Edition by Maya Bunik; William W. Hay, Chapterh1.hThehNewbornhInfant
Chapterh2.hChildhDevelopmenthandhBehavior
Chapterh3.hAdolescence
Chapter 1 - 46 Complete Chapterh4.hAdolescenthSubstancehAbuse
Chapterh5.hEatinghDisorders
Chapterh6.hChildhandhAdolescenthPsychiatrichDisorders
Chapterh7.hChildhAbusehandhNeglect
Chapterh8.hAmbulatoryh/hOfficehPediatrics
Chapterh9.hImmunization
Chapterh10.hTravelhMedicine
Chapterh11.hNormalhChildhoodhNutritionhandhItshDisorders
Chapterh12.hEmergencieshandhInjuries
Chapterh13.hPoisoning
Chapterh14.hCriticalhCare
Chapterh15.hSkin
Chapterh16.hEye
Chapterh17.hOralhMedicinehandhDentistry
Chapterh18.hEar,hNose,handhThroat
Chapterh19.hRespiratoryhTracthandhMediastinum
Chapterh20.hSleephMedicine
Chapterh21.hCardiovascularhDiseases
Chapterh22.hGastrointestinalhTract
Chapterh23.hLiverhandhPancreas
Chapterh24.hKidneyhandhUrinaryhTract
Chapterh25.hNeurologichandhMuscularhDisorders
Chapterh26.hOrthopedics
Chapterh27.hSportshMedicine
Chapterh28.hRehabilitationhMedicine
Chapterh29.hRheumatichDiseases
Chapterh30.hHematologichDisorders
Chapterh31.hNeoplastichDisease
Chapterh32.hPainhManagementhandhPalliativehCare
Chapterh33.hImmunodeficiency
Chapterh34.hEndocrinehDisorders
Chapterh35.hDiabeteshMellitus
Chapterh36.hInbornhErrorshofhMetabolism
Chapterh37.hGeneticshandhDysmorphology
Chapterh38.hAllergichDisorders
Chapterh39.hAntimicrobialhTherapy
Chapterh40.hInfections:hViralhandhRickettsial
Chapterh41.hHumanhImmunodeficiencyhVirushInfection
Chapterh42.hInfections:hBacterialhandhSpirochetal
Chapterh43.hInfections:hParasitichandhMycotic
Chapterh44.hSexuallyhTransmittedhInfections
Chapterh45.hFluid,hElectrolyte,handhAcid-BasehDisordershandhTherapy
Chapterh46.hPediatrichLaboratoryhMedicinehandhReferencehRanges
, 3. Whichhstatementhmadehbyhahparenthwouldhbehconsistenthwithhahdevelopmentalhdelay?
Chapterh1:hThehNewbornhInfant
CurrenthDiagnosishandhTreatmenthPediatrics,h27thhEditionhTesthBankhMulti
a. Ihhavehnoticedhthathmyh9-month-
oldhinfanthrespondshconsistentlyhtohthehsoundhofhhishname.
plehChoice
b. Ihhavehnoticedhthathmyh12-month-
1. Whichhmilestonehishdevelopmentallyhappropriatehforhah2-month- oldhchildhdoeshnothgethherselfhtohahsittinghpositionhorhpullhtohstand.
oldhinfanthwhenhthehnursehpullshthehinfanthtohahsittinghposition? c. Ihamhsohhappyhwhenhmyh1h1/2-month-oldhinfanthsmileshathme.
d. Myh5-month-oldhinfanthishnothrollinghoverhinhbothhdirectionshyet.
a. Headhlaghishpresenthwhenhthehinfantshtrunkhishlifted.
b. Thehinfanthishablehtohsupporththehheadhwhenhthehtrunkhishlifted.
ANSWER:hB
c. Thehinfanthishbrieflyhablehtohholdhthehheadherect.
d. Thehinfanthishfullyhablehtohsupporthandhholdhthehheadhinhahstraighthline. Criticalhdevelopmentalhmilestoneshforhgrosshmotorhdevelopmenthinhah12hmonthholdhincludehstan
dinghbrieflyhwithouthsupport,hgettinghtohahsittinghposition,handhpullinghtohstand.hIfhah12-month-
ANSWER:hC oldhchildhdoeshnothperformhthesehactivities,hithmayhbehindicativehofhahdevelopmentalhdelay.hAnhi
h
nfanthwhohrespondshtohhishnamehath9hmonthshofhagehishdemonstratinghabilitieshtohbothhhearhandh
Ah2-month-
interprethsound.hAhsocialhsmilehishpresenthbyh2hmonthshofhage.hRollinghoverhinhbothhdirectionshishn
oldhinfanthishablehtohholdhthehheadherecthonlyhbrieflyhandhcontinueshtohhavehsomehheadhlag.hIthishn
othahcriticalhmilestonehforhgrosshmotorhdevelopmenthuntilhthehchildhreachesh6hmonthshofhage.
othuntilh4hmonthshofhagehthaththehinfanthcanhkeephhishorhherhheadhinhahstraighthlinehwhenhpulledht
ohahsittinghposition. 4. Athahhealthyh2-month-oldhinfantshwell-
childhclinichvisit,hthehnursehshouldhgivehwhichhimmunizations?
2. Approximatelyhwhathshouldhahnewbornhweighhath1hyearhofhagehifhthehnewbornshbirthhweigh
thwash7hpoundsh6hounces? a. DTaP,hIPV,hHepB,hHib,hPCV,hrotavirus
b. MMR,hDTaP,hPVC,handhIPV
a. 14h3/4hpounds
c. Hib,hDTaP,hrotavirus,handhOPV
b. 22h1/8hpounds
d. HibhandhMMR,hIPV,handhrotavirus
c. 29h1/2hpounds
d. Unablehtohestimatehweighthath1hyear ANSWER:hA
ANSWER:hB DTaP,hIPV,hHepB,hHib,hPCV,handhrotavirusharehthehappropriatehsequencehofhimmunizationshforhahh
ealthyh2-month-
Anhinfanthtripleshthehbirthhweighthbyh1hyearhofhage.hAnhinfanthdoubleshthehbirthhweighthbyh6hmont oldhinfant.hMMRhishgivenhathorhafterh12hmonthshofhage.hOralhpoliohvaccineh(OPV)hishnohlongerhadm
hshofhage.hAnhinfanthquadrupleshthehbirthhweighthbyh2hyearshofhage.hWeighthath6hmonths,h1hyear,ha inisteredhinhthehU.S.
ndh2hyearshofhagehcanhbehestimatedhfromhthehbirthhweight.
5. Thehnursehadviseshthehmotherhofhah3-month-oldhinfant,hexclusivelyhbreast-fed,hto:
a. starthgivinghthehinfanthahvitaminhDhsupplement.
, b. starthusinghanhinfanthfeederhandhaddhricehcerealhtohthehformula. a. Ithishyourhdecision.
c. starthfeedinghthehinfanthricehcerealhwithhahspoonhaththeheveninghfeeding. b. Havehyouhtalkedhwithhyourhparentshabouththis?hTheyhcanhprobablyhhelphyouhthink
habouththishdecision.
d. continuehbreast-feedinghwithouthanyhsupplements.
c. Thehriskshofhnothimmunizinghyourhbabyharehgreaterhthanhthehriskshfromhth
ehimmunizations.
ANSWER:hA
d. Youharehmakinghahmistake.
BreasthmilkhdoeshnothprovidehanhadequatehamounthofhdietaryhvitaminhD.hInfantshwhoharehexclusi
velyhbreast- ANSWER:hC
fedhneedhvitaminhDhsupplementshtohpreventhrickets.hAnhinfanthfeederhishanhinappropriatehmetho
Althoughhimmunizationshhavehbeenhdocumentedhtohhavehahnegativeheffecthinhahsmallhnumberhof
dhofhprovidinghthehinfanthwithhcalorichintake.hSolidhfoodshandhricehcerealharehnothrecommendedhfo
cases,hanhunimmunizedhinfanthishathgreaterhriskhforhdevelopmenthofhcomplicationshfromhchildhoo
h
rhah3-month-
dhdiseaseshthanhfromhthehvaccines.hIthishthehparentshdecisionhnothtohimmunizehthehchild;hhoweve
oldhinfant.hSolidhfeedingshdohnothtypicallyhbeginhbeforeh4htoh6hmonthshofhage.hBecausehbreasthmil
r,hthehnursehhashahresponsibilityhtohinformhparentshabouththehriskshtohinfantshwhoharehnothimmuni
khishnothanhadequatehsourcehofhfluoride,hinfantshneedhtohbehgivenhahfluoridehsupplement.
zed.hGrandparentshcanhbehsupportivehbutharehnoththehprimaryhdecisionhmakershforhthehinfant.hTe
6. At llinghparentshthaththeyharehmakinghahmistakehishanhinappropriatehresponse.
monthshofhage,hanhinfanthshouldhfirsthbehexpectedhtohlocatehanhobjecthhiddenhfromhview.
8. Thehmotherhofhah9-month-
a. 4 oldhinfanthishconcernedhbecausehthehinfanthcrieshwhenhshehleaveshhim.hWhichhishthehbesthrespons
b. 6 ehforhthehnursehtohmakehtohthehmother?
c. 9
a. Youhcouldhconsiderhleavinghthehinfanthmorehoftenhsohhehcanhadjust.
d. 20
b. Youhmighthconsiderhtakinghhimhtohthehdoctorhbecausehhehmayhbehill.
c. Havehyouhnoticedhwhetherhthehbabyhishteething?
ANSWER:hC
d. Thishcanhbehahhealthyhsignhofhattachment.
Byh9hmonthshofhagehanhinfanthwillhactivelyhsearchhforhanhobjecththathishouthofhsight.hFour-month-
oldhinfantsharehnothcognitivelyhcapablehofhsearchinghouthobjectshhiddenhfromhtheirhview.hInfantsh
h
ANSWER:hD
aththishdevelopmentalhlevelhdohnothpursuehhiddenhobjects.hSix-month-
Healthyhattachmenthishmanifestedhbyhstrangerhanxietyhinhlatehinfancy.hAnhinfanthwhohmanifestshs
oldhinfantshhavehnothdevelopedhthehabilityhtohperceivehobjectshashpermanenthandhdohnothsearchho
trangerhanxietyhcanhbehsupportedhbyhthehmotherhleavinghthehinfanthforhonlyhshorthperiodshofhtime
uthobjectshhiddenhfromhtheirhview.hTwenty-month-
.hAssessinghdevelopmentalhneedshishappropriatehbeforehtakinghanhinfanthtohahphysician.hPainhfro
oldhinfantshactivelyhpursuehobjectshnothinhtheirhviewhandharehcapablehofhrecallinghthehlocationhofh
mhteethinghexpressedhbyhthehinfantshcrieshwouldhnothoccurhonlyhwhenhthehmotherhlefththehroom.
anhobjecthnothinhtheirhview.hTheyhfirsthlookhforhhiddenhobjectsharoundhthehagehofh9hmonths.
9. Whichhstatementhconcerninghphysiologicalhfactorshofhinfancyhishtrue?
7. Thehparentshofhahnewbornhinfanthstate,hWehwillhprobablyhnothhavehourhbabyhimmunizedhbecaus
ehweharehconcernedhabouththehriskhofhourhchildhbeinghinjured.hWhichhishthehbesthresponsehforhtheh a. Thehinfanthhashahslowerhmetabolichratehthanhanhadult.
nursehtohmake?
, b. Anhinfanthishnothablehtohdigesthproteinhandhlactase. c. Ithishhelpfulhtohkeephahrecordhofhyourhbabysheating,hwaking,hsleeping,hand
heliminationhpatternshandhtohcomehbackhinhahweekhtohdiscusshthem.
c. Infantshhavehahslowerhcirculatoryhresponsehthanhadults.
d. Thishinfanthishdifficult.hIthishimportanthforhyouhtohidentifyhwhathishbotheringhtheh
d. Thehkidneyshofhanhinfantharehlesshefficienthinhconcentratinghurinehthanhanhadult
baby.
shkidneys.
ANSWER:hB
ANSWER:hD
Newbornhinfantshmayhsleephashmuchhash17htoh20hhourshperhday.hSleephpatternshvaryhwidely,hwithh
Thehinfantshkidneysharehnothasheffectivehathconcentratinghurinehcomparedhwithhanhadultshkidneys
somehinfantshsleepinghonlyh2htoh3hhourshathahtime.hInfantshtypicallyhdohnothneedhmorehcalorichint
becausehofhimmaturityhofhthehrenalhsystemhandhahslowerhglomerularhfiltrationhrates.hThehinfantsh
h
akehtohimprovehsleephbehaviors.hKeepinghintake,houtput,hwaking,handhsleepinghdatahishnothtypica
metabolichratehishfaster,hnothslower,hthanhanhadults.hAlthoughhthehnewbornhinfantshgastrointestin
llyhhelpfulhinhdiscussinghdifferenceshamonghinfantshbehaviors.hIdentifyinghanhinfanthashdifficulthwi
alhsystemhishimmature,hithishcapablehofhdigestinghproteinhandhlactase,hbuththehabilityhtohdigesthan
thouthidentifyinghhelpfulhactionshishnothahtherapeutichresponsehforhahparenthconcernedhabouthsle
dhabsorbhfathdoeshnothreachhadulthlevelshuntilhapproximatelyh6htoh9hmonthshofhage.
ep.
10. Whichhishahpriorityhinhcounselinghparentshofhah6-month-oldhinfant?
12. Thehmotherhofhah10-month-
a. Increasedhappetitehfromhsecondaryhgrowthhspurt oldhinfanthtellshthehnursehthathherhinfanthreallyhlikeshcowshmilk.hWhichhishthehbesthresponsehto
b. Allowinghthehinfanthtohself-feed thishmother?
h
c. Securinghahdevelopmentallyhsafehenvironmenthforhthehinfant
a. Milkhishgoodhforhhim.
d. Strategieshtohteachhinfantshtohsithup b. Ithishbesthtohwaithuntilhhehishahyearholdhbeforehgivinghhimhcowshmilk.
c. Limithcowshmilkhtohhishbedtimehbottle.
ANSWER:hC
d. Mixhhishcerealhwithhcowshmilkhandhgivehhimhformulahinhahbottle.
Safetyhishahprimaryhconcernhashanhinfanthbecomeshincreasinglyhmobile.hThehinfantshappetitehandh
growthhvelocityhdecreasehinhthehsecondhhalfhofhinfancy.hFinehmotorhdevelopment,hwhichhishrefine ANSWER:hB
dhinhthehsecondhhalfhofhinfancy,hishnecessaryhbeforehthehinfanthcanhself-
Ithishbesthtohwaithuntilhthehinfanthishathleasthahyearholdhbeforehgivinghhimhcowshmilkhbecausehofhthe
feed.hUnlesshthehinfanthhashahneuromuscularhdeficit,hstrategieshforhteachinghahnormallyhdevelopi
riskhofhallergieshandhintestinalhproblems.hCowshmilkhproteinhintolerancehishthehmosthcommonhfoo
h
nghinfanthtohsithupharehnothnecessary.
dhallergyhduringhinfancy.hAlthoughhmilkhishahgoodhsourcehofhcalciumhandhproteinhforhchildrenhafte
11. Ahmotherhofhah2-month- rhthehfirsthyearhofhlife,hithishnoththehbesthsourcehofhnutrientshforhchildrenhyoungerhthanh1hyearhold.
oldhinfanthtellshthehnurse,hMyhchildhdoesnthsleephashmuchhashhisholderhbrotherhdidhaththehsameha Bedtimehbottleshofhformulahorhmilkharehcontraindicatedhbecausehofhtheirhhighhsugarhcontent,hwh
ge.hWhathishthehbesthresponsehforhthehnurse? ichhleadshtohdentalhdecayhinhprimaryhteeth.hCerealhcanhbehmixedhwithhformula.
a. Havehyouhtriedhtohfeedhthehbabyhmorehoften? 13. Thehmotherhofhah10-month-
b. Infanthsleephpatternshvaryhwidely,hwithhsomehinfantshsleepinghonlyh2htoh3hhoursha oldhinfanthaskshthehnursehabouthbeginninghtohweanhherhchildhfromhthehbottle.hWhichhstatementh
thahtime. byhthehmotherhsuggestshthaththehchildhishnothreadyhtohbehweaned?
CurrenthDiagnosishandhTreatmenthPediatrics,h27thhEditionhTesthBank
TablehofhContents:
27th Edition by Maya Bunik; William W. Hay, Chapterh1.hThehNewbornhInfant
Chapterh2.hChildhDevelopmenthandhBehavior
Chapterh3.hAdolescence
Chapter 1 - 46 Complete Chapterh4.hAdolescenthSubstancehAbuse
Chapterh5.hEatinghDisorders
Chapterh6.hChildhandhAdolescenthPsychiatrichDisorders
Chapterh7.hChildhAbusehandhNeglect
Chapterh8.hAmbulatoryh/hOfficehPediatrics
Chapterh9.hImmunization
Chapterh10.hTravelhMedicine
Chapterh11.hNormalhChildhoodhNutritionhandhItshDisorders
Chapterh12.hEmergencieshandhInjuries
Chapterh13.hPoisoning
Chapterh14.hCriticalhCare
Chapterh15.hSkin
Chapterh16.hEye
Chapterh17.hOralhMedicinehandhDentistry
Chapterh18.hEar,hNose,handhThroat
Chapterh19.hRespiratoryhTracthandhMediastinum
Chapterh20.hSleephMedicine
Chapterh21.hCardiovascularhDiseases
Chapterh22.hGastrointestinalhTract
Chapterh23.hLiverhandhPancreas
Chapterh24.hKidneyhandhUrinaryhTract
Chapterh25.hNeurologichandhMuscularhDisorders
Chapterh26.hOrthopedics
Chapterh27.hSportshMedicine
Chapterh28.hRehabilitationhMedicine
Chapterh29.hRheumatichDiseases
Chapterh30.hHematologichDisorders
Chapterh31.hNeoplastichDisease
Chapterh32.hPainhManagementhandhPalliativehCare
Chapterh33.hImmunodeficiency
Chapterh34.hEndocrinehDisorders
Chapterh35.hDiabeteshMellitus
Chapterh36.hInbornhErrorshofhMetabolism
Chapterh37.hGeneticshandhDysmorphology
Chapterh38.hAllergichDisorders
Chapterh39.hAntimicrobialhTherapy
Chapterh40.hInfections:hViralhandhRickettsial
Chapterh41.hHumanhImmunodeficiencyhVirushInfection
Chapterh42.hInfections:hBacterialhandhSpirochetal
Chapterh43.hInfections:hParasitichandhMycotic
Chapterh44.hSexuallyhTransmittedhInfections
Chapterh45.hFluid,hElectrolyte,handhAcid-BasehDisordershandhTherapy
Chapterh46.hPediatrichLaboratoryhMedicinehandhReferencehRanges
, 3. Whichhstatementhmadehbyhahparenthwouldhbehconsistenthwithhahdevelopmentalhdelay?
Chapterh1:hThehNewbornhInfant
CurrenthDiagnosishandhTreatmenthPediatrics,h27thhEditionhTesthBankhMulti
a. Ihhavehnoticedhthathmyh9-month-
oldhinfanthrespondshconsistentlyhtohthehsoundhofhhishname.
plehChoice
b. Ihhavehnoticedhthathmyh12-month-
1. Whichhmilestonehishdevelopmentallyhappropriatehforhah2-month- oldhchildhdoeshnothgethherselfhtohahsittinghpositionhorhpullhtohstand.
oldhinfanthwhenhthehnursehpullshthehinfanthtohahsittinghposition? c. Ihamhsohhappyhwhenhmyh1h1/2-month-oldhinfanthsmileshathme.
d. Myh5-month-oldhinfanthishnothrollinghoverhinhbothhdirectionshyet.
a. Headhlaghishpresenthwhenhthehinfantshtrunkhishlifted.
b. Thehinfanthishablehtohsupporththehheadhwhenhthehtrunkhishlifted.
ANSWER:hB
c. Thehinfanthishbrieflyhablehtohholdhthehheadherect.
d. Thehinfanthishfullyhablehtohsupporthandhholdhthehheadhinhahstraighthline. Criticalhdevelopmentalhmilestoneshforhgrosshmotorhdevelopmenthinhah12hmonthholdhincludehstan
dinghbrieflyhwithouthsupport,hgettinghtohahsittinghposition,handhpullinghtohstand.hIfhah12-month-
ANSWER:hC oldhchildhdoeshnothperformhthesehactivities,hithmayhbehindicativehofhahdevelopmentalhdelay.hAnhi
h
nfanthwhohrespondshtohhishnamehath9hmonthshofhagehishdemonstratinghabilitieshtohbothhhearhandh
Ah2-month-
interprethsound.hAhsocialhsmilehishpresenthbyh2hmonthshofhage.hRollinghoverhinhbothhdirectionshishn
oldhinfanthishablehtohholdhthehheadherecthonlyhbrieflyhandhcontinueshtohhavehsomehheadhlag.hIthishn
othahcriticalhmilestonehforhgrosshmotorhdevelopmenthuntilhthehchildhreachesh6hmonthshofhage.
othuntilh4hmonthshofhagehthaththehinfanthcanhkeephhishorhherhheadhinhahstraighthlinehwhenhpulledht
ohahsittinghposition. 4. Athahhealthyh2-month-oldhinfantshwell-
childhclinichvisit,hthehnursehshouldhgivehwhichhimmunizations?
2. Approximatelyhwhathshouldhahnewbornhweighhath1hyearhofhagehifhthehnewbornshbirthhweigh
thwash7hpoundsh6hounces? a. DTaP,hIPV,hHepB,hHib,hPCV,hrotavirus
b. MMR,hDTaP,hPVC,handhIPV
a. 14h3/4hpounds
c. Hib,hDTaP,hrotavirus,handhOPV
b. 22h1/8hpounds
d. HibhandhMMR,hIPV,handhrotavirus
c. 29h1/2hpounds
d. Unablehtohestimatehweighthath1hyear ANSWER:hA
ANSWER:hB DTaP,hIPV,hHepB,hHib,hPCV,handhrotavirusharehthehappropriatehsequencehofhimmunizationshforhahh
ealthyh2-month-
Anhinfanthtripleshthehbirthhweighthbyh1hyearhofhage.hAnhinfanthdoubleshthehbirthhweighthbyh6hmont oldhinfant.hMMRhishgivenhathorhafterh12hmonthshofhage.hOralhpoliohvaccineh(OPV)hishnohlongerhadm
hshofhage.hAnhinfanthquadrupleshthehbirthhweighthbyh2hyearshofhage.hWeighthath6hmonths,h1hyear,ha inisteredhinhthehU.S.
ndh2hyearshofhagehcanhbehestimatedhfromhthehbirthhweight.
5. Thehnursehadviseshthehmotherhofhah3-month-oldhinfant,hexclusivelyhbreast-fed,hto:
a. starthgivinghthehinfanthahvitaminhDhsupplement.
, b. starthusinghanhinfanthfeederhandhaddhricehcerealhtohthehformula. a. Ithishyourhdecision.
c. starthfeedinghthehinfanthricehcerealhwithhahspoonhaththeheveninghfeeding. b. Havehyouhtalkedhwithhyourhparentshabouththis?hTheyhcanhprobablyhhelphyouhthink
habouththishdecision.
d. continuehbreast-feedinghwithouthanyhsupplements.
c. Thehriskshofhnothimmunizinghyourhbabyharehgreaterhthanhthehriskshfromhth
ehimmunizations.
ANSWER:hA
d. Youharehmakinghahmistake.
BreasthmilkhdoeshnothprovidehanhadequatehamounthofhdietaryhvitaminhD.hInfantshwhoharehexclusi
velyhbreast- ANSWER:hC
fedhneedhvitaminhDhsupplementshtohpreventhrickets.hAnhinfanthfeederhishanhinappropriatehmetho
Althoughhimmunizationshhavehbeenhdocumentedhtohhavehahnegativeheffecthinhahsmallhnumberhof
dhofhprovidinghthehinfanthwithhcalorichintake.hSolidhfoodshandhricehcerealharehnothrecommendedhfo
cases,hanhunimmunizedhinfanthishathgreaterhriskhforhdevelopmenthofhcomplicationshfromhchildhoo
h
rhah3-month-
dhdiseaseshthanhfromhthehvaccines.hIthishthehparentshdecisionhnothtohimmunizehthehchild;hhoweve
oldhinfant.hSolidhfeedingshdohnothtypicallyhbeginhbeforeh4htoh6hmonthshofhage.hBecausehbreasthmil
r,hthehnursehhashahresponsibilityhtohinformhparentshabouththehriskshtohinfantshwhoharehnothimmuni
khishnothanhadequatehsourcehofhfluoride,hinfantshneedhtohbehgivenhahfluoridehsupplement.
zed.hGrandparentshcanhbehsupportivehbutharehnoththehprimaryhdecisionhmakershforhthehinfant.hTe
6. At llinghparentshthaththeyharehmakinghahmistakehishanhinappropriatehresponse.
monthshofhage,hanhinfanthshouldhfirsthbehexpectedhtohlocatehanhobjecthhiddenhfromhview.
8. Thehmotherhofhah9-month-
a. 4 oldhinfanthishconcernedhbecausehthehinfanthcrieshwhenhshehleaveshhim.hWhichhishthehbesthrespons
b. 6 ehforhthehnursehtohmakehtohthehmother?
c. 9
a. Youhcouldhconsiderhleavinghthehinfanthmorehoftenhsohhehcanhadjust.
d. 20
b. Youhmighthconsiderhtakinghhimhtohthehdoctorhbecausehhehmayhbehill.
c. Havehyouhnoticedhwhetherhthehbabyhishteething?
ANSWER:hC
d. Thishcanhbehahhealthyhsignhofhattachment.
Byh9hmonthshofhagehanhinfanthwillhactivelyhsearchhforhanhobjecththathishouthofhsight.hFour-month-
oldhinfantsharehnothcognitivelyhcapablehofhsearchinghouthobjectshhiddenhfromhtheirhview.hInfantsh
h
ANSWER:hD
aththishdevelopmentalhlevelhdohnothpursuehhiddenhobjects.hSix-month-
Healthyhattachmenthishmanifestedhbyhstrangerhanxietyhinhlatehinfancy.hAnhinfanthwhohmanifestshs
oldhinfantshhavehnothdevelopedhthehabilityhtohperceivehobjectshashpermanenthandhdohnothsearchho
trangerhanxietyhcanhbehsupportedhbyhthehmotherhleavinghthehinfanthforhonlyhshorthperiodshofhtime
uthobjectshhiddenhfromhtheirhview.hTwenty-month-
.hAssessinghdevelopmentalhneedshishappropriatehbeforehtakinghanhinfanthtohahphysician.hPainhfro
oldhinfantshactivelyhpursuehobjectshnothinhtheirhviewhandharehcapablehofhrecallinghthehlocationhofh
mhteethinghexpressedhbyhthehinfantshcrieshwouldhnothoccurhonlyhwhenhthehmotherhlefththehroom.
anhobjecthnothinhtheirhview.hTheyhfirsthlookhforhhiddenhobjectsharoundhthehagehofh9hmonths.
9. Whichhstatementhconcerninghphysiologicalhfactorshofhinfancyhishtrue?
7. Thehparentshofhahnewbornhinfanthstate,hWehwillhprobablyhnothhavehourhbabyhimmunizedhbecaus
ehweharehconcernedhabouththehriskhofhourhchildhbeinghinjured.hWhichhishthehbesthresponsehforhtheh a. Thehinfanthhashahslowerhmetabolichratehthanhanhadult.
nursehtohmake?
, b. Anhinfanthishnothablehtohdigesthproteinhandhlactase. c. Ithishhelpfulhtohkeephahrecordhofhyourhbabysheating,hwaking,hsleeping,hand
heliminationhpatternshandhtohcomehbackhinhahweekhtohdiscusshthem.
c. Infantshhavehahslowerhcirculatoryhresponsehthanhadults.
d. Thishinfanthishdifficult.hIthishimportanthforhyouhtohidentifyhwhathishbotheringhtheh
d. Thehkidneyshofhanhinfantharehlesshefficienthinhconcentratinghurinehthanhanhadult
baby.
shkidneys.
ANSWER:hB
ANSWER:hD
Newbornhinfantshmayhsleephashmuchhash17htoh20hhourshperhday.hSleephpatternshvaryhwidely,hwithh
Thehinfantshkidneysharehnothasheffectivehathconcentratinghurinehcomparedhwithhanhadultshkidneys
somehinfantshsleepinghonlyh2htoh3hhourshathahtime.hInfantshtypicallyhdohnothneedhmorehcalorichint
becausehofhimmaturityhofhthehrenalhsystemhandhahslowerhglomerularhfiltrationhrates.hThehinfantsh
h
akehtohimprovehsleephbehaviors.hKeepinghintake,houtput,hwaking,handhsleepinghdatahishnothtypica
metabolichratehishfaster,hnothslower,hthanhanhadults.hAlthoughhthehnewbornhinfantshgastrointestin
llyhhelpfulhinhdiscussinghdifferenceshamonghinfantshbehaviors.hIdentifyinghanhinfanthashdifficulthwi
alhsystemhishimmature,hithishcapablehofhdigestinghproteinhandhlactase,hbuththehabilityhtohdigesthan
thouthidentifyinghhelpfulhactionshishnothahtherapeutichresponsehforhahparenthconcernedhabouthsle
dhabsorbhfathdoeshnothreachhadulthlevelshuntilhapproximatelyh6htoh9hmonthshofhage.
ep.
10. Whichhishahpriorityhinhcounselinghparentshofhah6-month-oldhinfant?
12. Thehmotherhofhah10-month-
a. Increasedhappetitehfromhsecondaryhgrowthhspurt oldhinfanthtellshthehnursehthathherhinfanthreallyhlikeshcowshmilk.hWhichhishthehbesthresponsehto
b. Allowinghthehinfanthtohself-feed thishmother?
h
c. Securinghahdevelopmentallyhsafehenvironmenthforhthehinfant
a. Milkhishgoodhforhhim.
d. Strategieshtohteachhinfantshtohsithup b. Ithishbesthtohwaithuntilhhehishahyearholdhbeforehgivinghhimhcowshmilk.
c. Limithcowshmilkhtohhishbedtimehbottle.
ANSWER:hC
d. Mixhhishcerealhwithhcowshmilkhandhgivehhimhformulahinhahbottle.
Safetyhishahprimaryhconcernhashanhinfanthbecomeshincreasinglyhmobile.hThehinfantshappetitehandh
growthhvelocityhdecreasehinhthehsecondhhalfhofhinfancy.hFinehmotorhdevelopment,hwhichhishrefine ANSWER:hB
dhinhthehsecondhhalfhofhinfancy,hishnecessaryhbeforehthehinfanthcanhself-
Ithishbesthtohwaithuntilhthehinfanthishathleasthahyearholdhbeforehgivinghhimhcowshmilkhbecausehofhthe
feed.hUnlesshthehinfanthhashahneuromuscularhdeficit,hstrategieshforhteachinghahnormallyhdevelopi
riskhofhallergieshandhintestinalhproblems.hCowshmilkhproteinhintolerancehishthehmosthcommonhfoo
h
nghinfanthtohsithupharehnothnecessary.
dhallergyhduringhinfancy.hAlthoughhmilkhishahgoodhsourcehofhcalciumhandhproteinhforhchildrenhafte
11. Ahmotherhofhah2-month- rhthehfirsthyearhofhlife,hithishnoththehbesthsourcehofhnutrientshforhchildrenhyoungerhthanh1hyearhold.
oldhinfanthtellshthehnurse,hMyhchildhdoesnthsleephashmuchhashhisholderhbrotherhdidhaththehsameha Bedtimehbottleshofhformulahorhmilkharehcontraindicatedhbecausehofhtheirhhighhsugarhcontent,hwh
ge.hWhathishthehbesthresponsehforhthehnurse? ichhleadshtohdentalhdecayhinhprimaryhteeth.hCerealhcanhbehmixedhwithhformula.
a. Havehyouhtriedhtohfeedhthehbabyhmorehoften? 13. Thehmotherhofhah10-month-
b. Infanthsleephpatternshvaryhwidely,hwithhsomehinfantshsleepinghonlyh2htoh3hhoursha oldhinfanthaskshthehnursehabouthbeginninghtohweanhherhchildhfromhthehbottle.hWhichhstatementh
thahtime. byhthehmotherhsuggestshthaththehchildhishnothreadyhtohbehweaned?
