Test Bank- Pediatric Physical Examination: An Illustrated Handbook 4th Edition (Karen G. Duderstadt, 2025) Latest Edition|| All Chapters

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,Pediatric Physical Examination 4thEdition Duderstadt TESTBANK
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Chapter 1: Approach to Care and Assessment of Children and Adolescents
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MULTIPLE CHOICE qx




1. A nurse is reviewing developmental concepts for infants and children. Which statement
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best describes development in infants and children?
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a. Development, a predictable and orderly process, occurs at varying rates within normal
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limits.

b. Development is primarily related to the growth in the number and size of cells.
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, c. Development occurs in a proximodistal direction with fine muscle development
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occurring first. qx




d. Development is more easily and accurately measured than growth. qx qx qx qx qx qx qx qx




ANS: A qx




Development, a continuous orderly process, provides the basis for increases in the childs
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function and complexity of behavior. The increases in rate of function and complexity can
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vary normally within limits for each child. An increase in the number and size of cells is a
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definition for growth. Development proceeds in a proximodistal direction with fine muscle
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organization occurring as a result of large muscle organization. Development is a more
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complex process that is affected by many factors; therefore, it is less easily and accurately
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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 identify any
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delays or deficits. qx qx




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 qx




Critical periods are blocks of time during which children are ready to master specific
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developmental tasks. Children can master these tasks more easily during particular periods of
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time in their growth and developmental process. Infancy is a dynamic time of development
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that requires frequent evaluations to assess appropriate developmental progress. Infants in a
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nurturing environment will develop appropriately and will not necessarily need stimulation
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specific to their developmental stage. Normal growth and development are orderly and
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proceed in a predictable pattern on the basis of each 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