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TEST BANK--PEDIATRIC PHYSICAL EXAMINATION AN ILLUSTRATED HANDBOOK. 3RD EDITION CHAPTER 1-20 ALL CHAPTERS INCLUDED

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Known for its accuracy, consistency, and portability, Pediatric Physical Examination: An Illustrated Handbook, 3rd Edition teaches the unique range of skills needed to assess children of all ages. Spiral-bound for quick reference in clinical settings, this photo-rich, step-by-step guide to physical examination for advanced practice providers prepares you to expertly examine children from birth through adolescence. Body system chapters begin with fetal development and take you through the key developmental stages of childhood. For infants and young children, Duderstadt uses the quiet-to-active approach favored by pediatric experts and considered more effective for this age-group than the traditional head-to-toe approach used for adults. This edition features a new chapter on newborn physical examination, expanded coverage of skin conditions and new Red Flag highlights that help you recognize high-priority health issues. Expert guidance for the pediatric exam employs the quiet-to-active approach to the examination and assessment of infants ― including preterm infants ― and young children. This pediatric assessment approach, which starts with listening and moves on to touching, yields the best results in this age group. Richly illustrated in full color to help facilitate learning, with more than 300 photos and drawings that familiarize you with assessment techniques and common assessment findings. Easy-to-use two-column format provides quick access to concise guidance for the pediatric physical exam. Quick-reference special features, including: Information Gathering tables highlight questions and data needed from the patient/guardian, with questions conveniently separated by age group, to guide history-taking. Concise Conditions tables summarize common abnormal findings for each examination area. Pediatric Pearls highlight effective physical examination findings and techniques gleaned from years of expert practice. Family, Cultural, and Racial Considerations sections address the increasingly important areas of family and cultural assessment to prepare you for differences to anticipate when assessing children of various cultural or racial groups. Evidence-Based Practice Tips highlight useful research findings that guide clinical practice. Bulleted Summary of Examination lists at the end of each examination chapter highlight key assessment points associated with each body system and serve as a convenient learning aid and quick reference. End-of-chapter Charting examples demonstrate how to record physical examination findings in the health record and familiarize you with documentation language and format. Convenient spiral binding lets you lay the book flat or fold it back for easy visualization and quick reference in clinical settings. NEW! Completely new Newborn Assessment chapter equips you to provide comprehensive assessment of newborn patients. UPDATED! Expanded coverage of skin conditions equips you to effectively assess the common pediatric skin conditions that you will encounter in day-to-day practice. NEW and UNIQUE! Red Flag feature alerts you to recognize such issues as trauma, neglect, health issues related to conflict-related geographic displacement, and other high-priority health issues that practitioners encounter (e.g., croup, developmental delay). UNIQUE! Interprofessional Collaboration feature promotes engagement with other healthcare and non-healthcare professionals, such as Occupational Therapists, Physical Therapists, physicians, medical specialists, counselors, or other professional resources. NEW! Updated content throughout, including the latest coverage of gender considerations, autism spectrum disorder screening, and electronic documentation (charting via the EHR).

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TEST BANK FOR PEDIATRIC
PHYSICAL EXAMINATION AN
ILLUSTRATED HANDBOOK


3RD EDITION

DUDERSTADT

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Pediatric Physical Examination 3rd Edition Duderstadt




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Chapter 1: Approach to Care and Assessment of Children and Adolescents




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MULTIPLE CHOICE

1. A nurse is reviewing developmental concepts for infants and children. Which statement best
describes development in infants and children?

a. Development, a predictable and orderly process, occurs at varying rates within
normal limits.
b. Development is primarily related to the growth in the number and size of cells.

c. Development occurs in a proximodistal direction with fine muscle development
occurring first.

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


ANS: A

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

2. Frequent developmental assessments are important for which reason?

a. Stable developmental periods during infancy provide an opportunity to identify
any delays or deficits.

b. Infants need stimulation specific to the stage of development.

c. Critical periods of development occur during childhood.

d. Child development is unpredictable and needs monitoring.

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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 that




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requires frequent evaluations to assess appropriate developmental progress. Infants in a nurturing




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environment will develop appropriately and will not necessarily need stimulation specific to their
developmental stage. Normal growth and development are orderly and proceed in a predictable
pattern on the basis of each individuals abilities and potentials.

3. Which factor has the greatest influence on child growth and development?

a. Culture

b. Environment

c. Genetics

d. Nutrition


ANS: C

Genetic factors (heredity) determine each individuals growth and developmental rate. Although
factors such as environment, culture, nutrition, and family can influence genetic traits, they do
not eliminate the effect of the genetic endowment, which is permanent. Culture is a significant
factor that influences how children grow toward adulthood. Culture influences both growth and
development but does not eliminate inborn genetic influences. Environment has a significant role
in determining growth and development both before and after birth. The environment can
influence how and to which extent genetic traits are manifested, but environmental factors cannot
eliminate the effect of genetics. Nutrition is critical for growth and plays a significant role
throughout childhood.

4. A nurse is planning a teaching session with a child. According to Piagetian theory, the period
of cognitive development in which the child is able to distinguish fact from fantasy is the
period of cognitive development.

a. sensorimotor

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Publisher: 2018 ISBN: 9780323476508 Edition: Unknown

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