NURS 612 EXAM 3 MARYVILLE
NURS 612 EXAM 3 MARYVILLE
ADVANCED HEALTH ASSESSMENT EXAM
3 NEWEST 2025/2026 ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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
A+ TEST BANK 1
, NURS 612 EXAM 3 MARYVILLE
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
A+ TEST BANK 2
, NURS 612 EXAM 3 MARYVILLE
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%
Obese children often become obese adults. In 2010, 35.7% of adults in the United States were obese
(Center for Disease Control Division of Nutrition, Physical Activity, and Obesity, 2012).
A more rapid than expected weight gain in early infancy is associated with an increased risk of which
type of problem in adulthood?
A+ TEST BANK 3
, NURS 612 EXAM 3 MARYVILLE
A. Respiratory
B. Endocrine
C. Cardiovascular
D. Renal
C. Cardiovascular
A more rapid weight gain than expected during early infancy (e.g., the infant's weight percentile
level keeps increasing rather than following a specific growth curve) is associated with increased
cardiovascular disease risk as an adult (Singhal, 2006).
To accurately assess height velocity, a child's height can be measured:
A. at 6-month intervals.
B. at 9-month intervals.
C. at 12-month intervals.
D. at 15-month intervals.
C. at 12-month intervals.
To calculate height velocity, determine the change in height over a time interval (e.g., 1 year). Shorter
time intervals may reflect seasonal variations in growth. Make height measurements as close to 12
months apart as possible, no fewer than 10 months and no more than 14 months. (See the website
for gender-specific height velocity growth curves during adolescence.)
Which occurrence marks the completion of skeletal growth?
A. Fused epiphyses of long bones
B. Eighteenth birthday
C. Fused epiphyses of all bones
D. Fifteenth birthday
A. Fused epiphyses of long bones
Skeletal growth is considered complete when the epiphyses of long bones have completely fused
during late puberty. Although more than 90% of the skeletal mass is present by 18 years of age, this is
incorrect because it does not apply to everyone. Answers c and d are false statements.
Typically, an infant's weight, height (length), and _______________ are routinely measured to assess
and monitor growth.
A. head circumference
B. hip-to-toe length
C. forearm length
D. chest circumference
A. head circumference
A newborn's fetal growth pattern and size for gestational age can be determined once gestational
A+ TEST BANK 4
NURS 612 EXAM 3 MARYVILLE
ADVANCED HEALTH ASSESSMENT EXAM
3 NEWEST 2025/2026 ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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
A+ TEST BANK 1
, NURS 612 EXAM 3 MARYVILLE
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
A+ TEST BANK 2
, NURS 612 EXAM 3 MARYVILLE
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%
Obese children often become obese adults. In 2010, 35.7% of adults in the United States were obese
(Center for Disease Control Division of Nutrition, Physical Activity, and Obesity, 2012).
A more rapid than expected weight gain in early infancy is associated with an increased risk of which
type of problem in adulthood?
A+ TEST BANK 3
, NURS 612 EXAM 3 MARYVILLE
A. Respiratory
B. Endocrine
C. Cardiovascular
D. Renal
C. Cardiovascular
A more rapid weight gain than expected during early infancy (e.g., the infant's weight percentile
level keeps increasing rather than following a specific growth curve) is associated with increased
cardiovascular disease risk as an adult (Singhal, 2006).
To accurately assess height velocity, a child's height can be measured:
A. at 6-month intervals.
B. at 9-month intervals.
C. at 12-month intervals.
D. at 15-month intervals.
C. at 12-month intervals.
To calculate height velocity, determine the change in height over a time interval (e.g., 1 year). Shorter
time intervals may reflect seasonal variations in growth. Make height measurements as close to 12
months apart as possible, no fewer than 10 months and no more than 14 months. (See the website
for gender-specific height velocity growth curves during adolescence.)
Which occurrence marks the completion of skeletal growth?
A. Fused epiphyses of long bones
B. Eighteenth birthday
C. Fused epiphyses of all bones
D. Fifteenth birthday
A. Fused epiphyses of long bones
Skeletal growth is considered complete when the epiphyses of long bones have completely fused
during late puberty. Although more than 90% of the skeletal mass is present by 18 years of age, this is
incorrect because it does not apply to everyone. Answers c and d are false statements.
Typically, an infant's weight, height (length), and _______________ are routinely measured to assess
and monitor growth.
A. head circumference
B. hip-to-toe length
C. forearm length
D. chest circumference
A. head circumference
A newborn's fetal growth pattern and size for gestational age can be determined once gestational
A+ TEST BANK 4
