Test Bank For Pediatric Physical Examination An Illustrated Handbook 3rd Edition by Karen G. Duderstadt 9780323476508 Chapter 1-20 Complete Guide

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TEST BANK FOR PEDIATRIC
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PHYSICAL EXAMINATION AN
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ILLUSTRATED HANDBOOK
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3RDEDITION DUDERSTADT
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Pediatric Physical Examination 3rd Edition Duderstadt TESTBANK
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Chapter 1: Approach to Care and Assessment of Children and Adolescents
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MULTIPLE CHOICE mm




1. A nurse is reviewing developmental concepts for infants and children. Which
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statement best describes development in infants and children?
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a. Development, a predictable and orderly process, occurs at varying
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rates within normal limits.
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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
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development occurring first.
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d. Development is more easily and accurately measured than growth.
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ANS: A mm




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




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

d. Nutrition


ANS: C mm




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




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




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