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