C HAPTER 08: G ROWTH , M EASUREMENT ,
AND N UTRITION
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The gonads begin to secrete estrogen and testosterone during:
a. infancy.
b. puberty.
c. pregnancy.
d. early adulthood.
ANS: B
At puberty, the gonads secrete testosterone and estrogen. As a result,
secondary sex characteristics (e.g., genitalia growth) begin to appear.
Maturation occurs at a mean age of 11.5 years in females and 13.5 years in
males.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
2. Developmental changes of puberty are caused mainly by the interaction of the
pituitary gland, gonads, and:
a. hypothalamus.
, b. islet cells.
c. thalamus.
d. thymus.
ANS: A
Under the influence of the hypothalamus, pituitary gland, and gonads,
developmental changes of puberty are established.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. After 50 years of age, stature:
a. becomes fixed.
b. begins a barely perceptible secondary increase.
c. increases at a rate of 0.5 cm/year.
d. declines.
ANS: D
As the individual reaches 50 years of age, the intervertebral disk begins to
thin and become more compressed, which leads to a decline in stature.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
, 4. By 10 to 12 years of age, lymphatic tissues are about:
a. 25% of adult size.
b. 50% of adult size.
c. the same as adult size.
d. twice the size of those in the adult.
ANS: D
Lymphatic tissues are small compared with total body size, but they are
almost fully developed at birth. They grow fast and are about twice the adult
size by age 10 to 12 years.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
5. During adolescence, the head size normally increases as a result of:
a. sinus development.
b. brain mass increase.
c. evolution of lymphatic tissue.
d. hypertrophy of myelin.
ANS: A
As the facial sinuses grow, the head size enlarges its surface area to
accommodate their growth.
AND N UTRITION
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The gonads begin to secrete estrogen and testosterone during:
a. infancy.
b. puberty.
c. pregnancy.
d. early adulthood.
ANS: B
At puberty, the gonads secrete testosterone and estrogen. As a result,
secondary sex characteristics (e.g., genitalia growth) begin to appear.
Maturation occurs at a mean age of 11.5 years in females and 13.5 years in
males.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
2. Developmental changes of puberty are caused mainly by the interaction of the
pituitary gland, gonads, and:
a. hypothalamus.
, b. islet cells.
c. thalamus.
d. thymus.
ANS: A
Under the influence of the hypothalamus, pituitary gland, and gonads,
developmental changes of puberty are established.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. After 50 years of age, stature:
a. becomes fixed.
b. begins a barely perceptible secondary increase.
c. increases at a rate of 0.5 cm/year.
d. declines.
ANS: D
As the individual reaches 50 years of age, the intervertebral disk begins to
thin and become more compressed, which leads to a decline in stature.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
, 4. By 10 to 12 years of age, lymphatic tissues are about:
a. 25% of adult size.
b. 50% of adult size.
c. the same as adult size.
d. twice the size of those in the adult.
ANS: D
Lymphatic tissues are small compared with total body size, but they are
almost fully developed at birth. They grow fast and are about twice the adult
size by age 10 to 12 years.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
5. During adolescence, the head size normally increases as a result of:
a. sinus development.
b. brain mass increase.
c. evolution of lymphatic tissue.
d. hypertrophy of myelin.
ANS: A
As the facial sinuses grow, the head size enlarges its surface area to
accommodate their growth.
