Ch 32 - Maternal and Pediatric Nursing
Exam Questions With 100% Rational
Answers Scored A+
What is the term for head-to-tail direction of growth?
a. Cephalocaudal
b. Proximodistal
c. Mass to specific
d. Sequential - SOLVED ANSWER-ANS: A
The first pattern of development is in the head-to-tail or cephalocaudal direction. The
head end of the organism develops first and is large and complex whereas the lower
end is smaller and simpler and development takes place at a later time. Proximodistal or
near-to-far is the second pattern of development. Limb buds develop before fingers and
toes. Postnatally the child has control of the shoulder before achieving mastery of the
hands. Mass to specific is not a pattern of development. In all dimensions of growth a
definite sequential pattern is followed.
If an infant weighed 3 kg at birth how much would he or she be expected to weigh at
age 1 year?
a. 6
b. 9
c. 12
d. 15 - SOLVED ANSWER-ANS: B
In general birth weight triples by the end of the first year of life. For an infant who was 3
kg at birth 9 kg would be the anticipated weight at the first birthday. A weight of 6 kg is
below what one would anticipate and weights of 12 and 15 kg are above what would be
expected for an infant with a birth weight of 3 kg.
, How does the onset of the pubertal growth spurt compare in girls and boys?
a. It occurs earlier in boys.
b. It occurs earlier in girls.
c. It is about the same in both boys and girls.
d. In both boys and girls it depends on their growth in infancy. - SOLVED ANSWER-
ANS: B
Girls seem to be more advanced in physiological growth at all ages than boys. There
does not appear to be a relation to growth during infancy.
How is a child's skeletal age best determined?
a. Assessment of dentition
b. Assessment of height over time
c. Facial bone development
d. Radiographs of the hand and wrist - SOLVED ANSWER-ANS: D
The most accurate measure of skeletal age is radiological examinations of the growth
plates. These are the epiphyseal cartilage plates. Radiographs of the hand and wrist
provide the most useful screening to determine skeletal age. Age of tooth eruption
varies considerably in children so it would not be a good determinant of skeletal age.
Assessment of height over time will provide a record of the child's height not skeletal
age. Facial bone development does not reflect the child's skeletal age which is
determined by radiographic assessment.
Which refers to those times in an individual's life when he or she is more susceptible to
positive or negative influences?
a. Sensitive period
b. Sequential period
c. Terminal points
d. Differentiation points - SOLVED ANSWER-ANS: A
Exam Questions With 100% Rational
Answers Scored A+
What is the term for head-to-tail direction of growth?
a. Cephalocaudal
b. Proximodistal
c. Mass to specific
d. Sequential - SOLVED ANSWER-ANS: A
The first pattern of development is in the head-to-tail or cephalocaudal direction. The
head end of the organism develops first and is large and complex whereas the lower
end is smaller and simpler and development takes place at a later time. Proximodistal or
near-to-far is the second pattern of development. Limb buds develop before fingers and
toes. Postnatally the child has control of the shoulder before achieving mastery of the
hands. Mass to specific is not a pattern of development. In all dimensions of growth a
definite sequential pattern is followed.
If an infant weighed 3 kg at birth how much would he or she be expected to weigh at
age 1 year?
a. 6
b. 9
c. 12
d. 15 - SOLVED ANSWER-ANS: B
In general birth weight triples by the end of the first year of life. For an infant who was 3
kg at birth 9 kg would be the anticipated weight at the first birthday. A weight of 6 kg is
below what one would anticipate and weights of 12 and 15 kg are above what would be
expected for an infant with a birth weight of 3 kg.
, How does the onset of the pubertal growth spurt compare in girls and boys?
a. It occurs earlier in boys.
b. It occurs earlier in girls.
c. It is about the same in both boys and girls.
d. In both boys and girls it depends on their growth in infancy. - SOLVED ANSWER-
ANS: B
Girls seem to be more advanced in physiological growth at all ages than boys. There
does not appear to be a relation to growth during infancy.
How is a child's skeletal age best determined?
a. Assessment of dentition
b. Assessment of height over time
c. Facial bone development
d. Radiographs of the hand and wrist - SOLVED ANSWER-ANS: D
The most accurate measure of skeletal age is radiological examinations of the growth
plates. These are the epiphyseal cartilage plates. Radiographs of the hand and wrist
provide the most useful screening to determine skeletal age. Age of tooth eruption
varies considerably in children so it would not be a good determinant of skeletal age.
Assessment of height over time will provide a record of the child's height not skeletal
age. Facial bone development does not reflect the child's skeletal age which is
determined by radiographic assessment.
Which refers to those times in an individual's life when he or she is more susceptible to
positive or negative influences?
a. Sensitive period
b. Sequential period
c. Terminal points
d. Differentiation points - SOLVED ANSWER-ANS: A
