TEST BANK FOR CURRENT Diagnosis & Treatment Pediatrics
27th Edition by Maya Bunik; William W. Hay,
Chapter 1 - 46 Complete
,Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank
in in in in in in in in
Table of Contents:
in in
Chapter 1. The Newborn Infant
in in in in
Chapter 2. Child Development and Behavior
in in in in in
Chapter 3. Adolescence
in in
Chapter 4. Adolescent Substance Abuse
in in in in
Chapter 5. Eating Disorders
in in in
Chapter 6. Child and Adolescent Psychiatric Disorders
in in in in in in
Chapter 7. Child Abuse and Neglect
in in in in in
Chapter 8. Ambulatory / Office Pediatrics
in in in in in
Chapter 9. Immunization
in in
Chapter 10. Travel Medicine
in in in
Chapter 11. Normal Childhood Nutrition and Its Disorders
in in in in in in in
Chapter 12. Emergencies and Injuries
in in in in
Chapter 13. Poisoning
in in
Chapter 14. Critical Care
in in in
Chapter 15. Skin
in in
Chapter 16. Eyein in
Chapter 17. Oral Medicine and Dentistry
in in in in in
Chapter 18. Ear, Nose, and Throat
in in in in in
Chapter 19. Respiratory Tract and Mediastinum
in in in in in
Chapter 20. Sleep Medicine
in in in
Chapter 21. Cardiovascular Diseases
in in in
Chapter 22. Gastrointestinal Tract
in in in
Chapter 23. Liver and Pancreas
in in in in
Chapter 24. Kidney and Urinary Tract
in in in in in
Chapter 25. Neurologic and Muscular Disorders
in in in in in
Chapter 26. Orthopedics
in in
Chapter 27. Sports Medicine
in in in
Chapter 28. Rehabilitation Medicine
in in in
Chapter 29. Rheumatic Diseases
in in in
Chapter 30. Hematologic Disorders
in in in
Chapter 31. Neoplastic Disease
in in in
Chapter 32. Pain Management and Palliative Care
in in in in in in
Chapter 33. Immunodeficiency
in in
Chapter 34. Endocrine Disorders
in in in
Chapter 35. Diabetes Mellitus
in in in
Chapter 36. Inborn Errors of Metabolism
in in in in in
Chapter 37. Genetics and Dysmorphology
in in in in
Chapter 38. Allergic Disorders
in in in
Chapter 39. Antimicrobial Therapy
in in in
Chapter 40. Infections: Viral and Rickettsial
in in in in in
Chapter 41. Human Immunodeficiency Virus Infection
in in in in in
Chapter 42. Infections: Bacterial and Spirochetal
in in in in in
Chapter 43. Infections: Parasitic and Mycotic
in in in in in
Chapter 44. Sexually Transmitted Infections
in in in in
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy
in in in in in in in in
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges
in in in in in in in
,Chapter 1: The Newborn Infant
in in in in
Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank Mul
in in in in in in in in in
tiple Choicein
1. Which milestone is developmentally appropriate for a 2-month-
in in in in in in in
old infant when the nurse pulls the infant to a sitting position?
in in in in in in in in in in in
a. Head lag is present when the infants trunk is lifted.
in in in in in in in in in
b. The infant is able to support the head when the trunk is lifted.
in in in in in in in in in in in in
c. The infant is briefly able to hold the head erect.
in in in in in in in in in
d. The infant is fully able to support and hold the head in a straight line.
in in in in in in in in in in in in in in
ANSWER: C in
A 2-month-
in
old infant is able to hold the head erect only briefly and continues to have some head lag. It i
in in in in in in in in in in in in in in in in in in in
s not until 4 months of age that the infant can keep his or her head in a straight line when p
in in in in in in in in in in in in in in in in in in in in in
ulled to a sitting position.
in in in in
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth wei in in in in in in in in in in in in in in in
ght was 7 pounds 6 ounces?
in in in in in
a. 14 3/4 pounds in in
b. 22 1/8 pounds in in
c. 29 1/2 pounds in in
d. Unable to estimate weight at 1 year in in in in in in
,ANSWER: B in
An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6 m
in in in in in in in in in in in in in in in in in in in
onths of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 y
in in in in in in in in in in in in in in in in in in in
ear, and 2 years of age can be estimated from the birth weight.
in in in in in in in in in in in in
,3. Which statement made by a parent would be consistent with a developmental delay?
in in in in in in in in in in in in
a. I have noticed that my 9-month-
in in in in in
old infant responds consistently to the sound of his name.
in in in in in in in in in
b. I have noticed that my 12-month-
in in in in in
old child does not get herself to a sitting position or pull to stand.
in in in in in in in in in in in in in
c. I am so happy when my 1 1/2-month-old infant smiles at me.
in in in in in in in in in in in
d. My 5-month-old infant is not rolling over in both directions yet.
in in in in in in in in in in
ANSWER: B in
Critical developmental milestones for gross motor development in a 12 month old include
in in in in in in in in in in in in in
standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-
in in in in in in in in in in in in in in in
month-
old child does not perform these activities, it may be indicative of a developmental delay.
in in in in in in in in in in in in in in in in
An infant who responds to his name at 9 months of age is demonstrating abilities to both h
in in in in in in in in in in in in in in in in in
ear and interpret sound. A social smile is present by 2 months of age. Rolling over in both di
in in in in in in in in in in in in in in in in in in
rections is not a critical milestone for gross motor development until the child reaches 6 m
in in in in in in in in in in in in in in in
onths of age. in in
4. At a healthy 2-month-old infants well-
in in in in in
child clinic visit, the nurse should give which immunizations?
in in in in in in in in
a. DTaP, IPV, HepB, Hib, PCV, rotavirus in in in in in
b. MMR, DTaP, PVC, and IPV in in in in
c. Hib, DTaP, rotavirus, and OPV in in in in
d. Hib and MMR, IPV, and rotavirus
in in in in in
,ANSWER: A in
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for
in in in in in in in in in in in in in i
a healthy 2-month-
n in in
old infant. MMR is given at or after 12 months of age. Oral polio vaccine (OPV) is no longer
in in in in in in in in in in in in in in in in in in in
administered in the U.S. in in in
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
in in in in in in in in in in in
a. start giving the infant a vitamin D supplement.
in in in in in in in
, b. start using an infant feeder and add rice cereal to the formula.
in in in in in in in in in in in
c. start feeding the infant rice cereal with a spoon at the evening feeding.
in in in in in in in in in in in in
d. continue breast-feeding without any supplements. in in in in
ANSWER: A in
Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are exc
in in in in in in in in in in in in in in in
lusively breast- in
fed need vitamin D supplements to prevent rickets. An infant feeder is an inappropriate me
in in in in in in in in in in in in in in
thod of providing the infant with caloric intake. Solid foods and rice cereal are not recomme
in in in in in in in in in in in in in in in
nded for a 3-month- in in in
old infant. Solid feedings do not typically begin before 4 to 6 months of age. Because breas
in in in in in in in in in in in in in in in in
t milk is not an adequate source of fluoride, infants need to be given a fluoride supplement.
in in in in in in in in in in in in in in in in
6. At
months of age, an infant should first be expected to locate an object hidden from view
in in in in in in in in in in in in in in in
.
a. 4
b. 6
c. 9
d. 20
ANSWER: C in
By 9 months of age an infant will actively search for an object that is out of sight. Four-
in in in in in in in in in in in in in in in in in in
,month-
in old infants are not cognitively capable of searching out objects hidden from their view. Infa
in in in in in in in in in in in in in in
nts at this developmental level do not pursue hidden objects. Six-month-
in in in in in in in in in in
old infants have not developed the ability to perceive objects as permanent and do not searc
in in in in in in in in in in in in in in in
h out objects hidden from their view. Twenty-month-
in in in in in in in
old infants actively pursue objects not in their view and are capable of recalling the location
in in in in in in in in in in in in in in in i
nof an object not in their view. They first look for hidden objects around the age of 9 months.
in in in in in in in in in in in in in in in in in in
7. The parents of a newborn infant state, We will probably not have our baby immunized bec
in in in in in in in in in in in in in in in
ause we are concerned about the risk of our child being injured. Which is the best response
in in in in in in in in in in in in in in in in in
for the nurse to make?
in in in in
, a. It is your decision.in in in
b. Have you talked with your parents about this? They can probably help you th
in in in in in in in in in in in in in
ink about this decision.
in in in
c. The risks of not immunizing your baby are greater than the risks from t
in in in in in in in in in in in in in
he immunizations.
in
d. You are making a mistake. in in in in
ANSWER: C in
Although immunizations have been documented to have a negative effect in a small numb
in in in in in in in in in in in in in
er of cases, an unimmunized infant is at greater risk for development of complications from c
in in in in in in in in in in in in in in in
hildhood diseases than from the vaccines. It is the parents decision not to immunize the chi
in in in in in in in in in in in in in in in
ld; however, the nurse has a responsibility to inform parents about the risks to infants who ar
in in in in in in in in in in in in in in in in
e not immunized. Grandparents can be supportive but are not the primary decision makers
in in in in in in in in in in in in in i
for the infant. Telling parents that they are making a mistake is an inappropriate response.
n in in in in in in in in in in in in in in
8. The mother of a 9-month- in in in in
old infant is concerned because the infant cries when she leaves him. Which is the best respo
in in in in in in in in in in in in in in in in
nse for the nurse to make to the mother?
in in in in in in in in
a. You could consider leaving the infant more often so he can adjust.
in in in in in in in in in in in
b. You might consider taking him to the doctor because he may be ill.
in in in in in in in in in in in in
c. Have you noticed whether the baby is teething? in in in in in in in
d. This can be a healthy sign of attachment.in in in in in in in
ANSWER: D in
, Healthy attachment is manifested by stranger anxiety in late infancy. An infant who manifes
in in in in in in in in in in in in in
ts stranger anxiety can be supported by the mother leaving the infant for only short periods
in in in in in in in in in in in in in in in in
of time. Assessing developmental needs is appropriate before taking an infant to a physicia
in in in in in in in in in in in in in
n. Pain from teething expressed by the infants cries would not occur only when the mother
in in in in in in in in in in in in in in in in
left the room.
in in
9. Which statement concerning physiological factors of infancy is true?
in in in in in in in in
a. The infant has a slower metabolic rate than an adult.
in in in in in in in in in
27th Edition by Maya Bunik; William W. Hay,
Chapter 1 - 46 Complete
,Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank
in in in in in in in in
Table of Contents:
in in
Chapter 1. The Newborn Infant
in in in in
Chapter 2. Child Development and Behavior
in in in in in
Chapter 3. Adolescence
in in
Chapter 4. Adolescent Substance Abuse
in in in in
Chapter 5. Eating Disorders
in in in
Chapter 6. Child and Adolescent Psychiatric Disorders
in in in in in in
Chapter 7. Child Abuse and Neglect
in in in in in
Chapter 8. Ambulatory / Office Pediatrics
in in in in in
Chapter 9. Immunization
in in
Chapter 10. Travel Medicine
in in in
Chapter 11. Normal Childhood Nutrition and Its Disorders
in in in in in in in
Chapter 12. Emergencies and Injuries
in in in in
Chapter 13. Poisoning
in in
Chapter 14. Critical Care
in in in
Chapter 15. Skin
in in
Chapter 16. Eyein in
Chapter 17. Oral Medicine and Dentistry
in in in in in
Chapter 18. Ear, Nose, and Throat
in in in in in
Chapter 19. Respiratory Tract and Mediastinum
in in in in in
Chapter 20. Sleep Medicine
in in in
Chapter 21. Cardiovascular Diseases
in in in
Chapter 22. Gastrointestinal Tract
in in in
Chapter 23. Liver and Pancreas
in in in in
Chapter 24. Kidney and Urinary Tract
in in in in in
Chapter 25. Neurologic and Muscular Disorders
in in in in in
Chapter 26. Orthopedics
in in
Chapter 27. Sports Medicine
in in in
Chapter 28. Rehabilitation Medicine
in in in
Chapter 29. Rheumatic Diseases
in in in
Chapter 30. Hematologic Disorders
in in in
Chapter 31. Neoplastic Disease
in in in
Chapter 32. Pain Management and Palliative Care
in in in in in in
Chapter 33. Immunodeficiency
in in
Chapter 34. Endocrine Disorders
in in in
Chapter 35. Diabetes Mellitus
in in in
Chapter 36. Inborn Errors of Metabolism
in in in in in
Chapter 37. Genetics and Dysmorphology
in in in in
Chapter 38. Allergic Disorders
in in in
Chapter 39. Antimicrobial Therapy
in in in
Chapter 40. Infections: Viral and Rickettsial
in in in in in
Chapter 41. Human Immunodeficiency Virus Infection
in in in in in
Chapter 42. Infections: Bacterial and Spirochetal
in in in in in
Chapter 43. Infections: Parasitic and Mycotic
in in in in in
Chapter 44. Sexually Transmitted Infections
in in in in
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy
in in in in in in in in
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges
in in in in in in in
,Chapter 1: The Newborn Infant
in in in in
Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank Mul
in in in in in in in in in
tiple Choicein
1. Which milestone is developmentally appropriate for a 2-month-
in in in in in in in
old infant when the nurse pulls the infant to a sitting position?
in in in in in in in in in in in
a. Head lag is present when the infants trunk is lifted.
in in in in in in in in in
b. The infant is able to support the head when the trunk is lifted.
in in in in in in in in in in in in
c. The infant is briefly able to hold the head erect.
in in in in in in in in in
d. The infant is fully able to support and hold the head in a straight line.
in in in in in in in in in in in in in in
ANSWER: C in
A 2-month-
in
old infant is able to hold the head erect only briefly and continues to have some head lag. It i
in in in in in in in in in in in in in in in in in in in
s not until 4 months of age that the infant can keep his or her head in a straight line when p
in in in in in in in in in in in in in in in in in in in in in
ulled to a sitting position.
in in in in
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth wei in in in in in in in in in in in in in in in
ght was 7 pounds 6 ounces?
in in in in in
a. 14 3/4 pounds in in
b. 22 1/8 pounds in in
c. 29 1/2 pounds in in
d. Unable to estimate weight at 1 year in in in in in in
,ANSWER: B in
An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6 m
in in in in in in in in in in in in in in in in in in in
onths of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 y
in in in in in in in in in in in in in in in in in in in
ear, and 2 years of age can be estimated from the birth weight.
in in in in in in in in in in in in
,3. Which statement made by a parent would be consistent with a developmental delay?
in in in in in in in in in in in in
a. I have noticed that my 9-month-
in in in in in
old infant responds consistently to the sound of his name.
in in in in in in in in in
b. I have noticed that my 12-month-
in in in in in
old child does not get herself to a sitting position or pull to stand.
in in in in in in in in in in in in in
c. I am so happy when my 1 1/2-month-old infant smiles at me.
in in in in in in in in in in in
d. My 5-month-old infant is not rolling over in both directions yet.
in in in in in in in in in in
ANSWER: B in
Critical developmental milestones for gross motor development in a 12 month old include
in in in in in in in in in in in in in
standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-
in in in in in in in in in in in in in in in
month-
old child does not perform these activities, it may be indicative of a developmental delay.
in in in in in in in in in in in in in in in in
An infant who responds to his name at 9 months of age is demonstrating abilities to both h
in in in in in in in in in in in in in in in in in
ear and interpret sound. A social smile is present by 2 months of age. Rolling over in both di
in in in in in in in in in in in in in in in in in in
rections is not a critical milestone for gross motor development until the child reaches 6 m
in in in in in in in in in in in in in in in
onths of age. in in
4. At a healthy 2-month-old infants well-
in in in in in
child clinic visit, the nurse should give which immunizations?
in in in in in in in in
a. DTaP, IPV, HepB, Hib, PCV, rotavirus in in in in in
b. MMR, DTaP, PVC, and IPV in in in in
c. Hib, DTaP, rotavirus, and OPV in in in in
d. Hib and MMR, IPV, and rotavirus
in in in in in
,ANSWER: A in
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for
in in in in in in in in in in in in in i
a healthy 2-month-
n in in
old infant. MMR is given at or after 12 months of age. Oral polio vaccine (OPV) is no longer
in in in in in in in in in in in in in in in in in in in
administered in the U.S. in in in
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
in in in in in in in in in in in
a. start giving the infant a vitamin D supplement.
in in in in in in in
, b. start using an infant feeder and add rice cereal to the formula.
in in in in in in in in in in in
c. start feeding the infant rice cereal with a spoon at the evening feeding.
in in in in in in in in in in in in
d. continue breast-feeding without any supplements. in in in in
ANSWER: A in
Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are exc
in in in in in in in in in in in in in in in
lusively breast- in
fed need vitamin D supplements to prevent rickets. An infant feeder is an inappropriate me
in in in in in in in in in in in in in in
thod of providing the infant with caloric intake. Solid foods and rice cereal are not recomme
in in in in in in in in in in in in in in in
nded for a 3-month- in in in
old infant. Solid feedings do not typically begin before 4 to 6 months of age. Because breas
in in in in in in in in in in in in in in in in
t milk is not an adequate source of fluoride, infants need to be given a fluoride supplement.
in in in in in in in in in in in in in in in in
6. At
months of age, an infant should first be expected to locate an object hidden from view
in in in in in in in in in in in in in in in
.
a. 4
b. 6
c. 9
d. 20
ANSWER: C in
By 9 months of age an infant will actively search for an object that is out of sight. Four-
in in in in in in in in in in in in in in in in in in
,month-
in old infants are not cognitively capable of searching out objects hidden from their view. Infa
in in in in in in in in in in in in in in
nts at this developmental level do not pursue hidden objects. Six-month-
in in in in in in in in in in
old infants have not developed the ability to perceive objects as permanent and do not searc
in in in in in in in in in in in in in in in
h out objects hidden from their view. Twenty-month-
in in in in in in in
old infants actively pursue objects not in their view and are capable of recalling the location
in in in in in in in in in in in in in in in i
nof an object not in their view. They first look for hidden objects around the age of 9 months.
in in in in in in in in in in in in in in in in in in
7. The parents of a newborn infant state, We will probably not have our baby immunized bec
in in in in in in in in in in in in in in in
ause we are concerned about the risk of our child being injured. Which is the best response
in in in in in in in in in in in in in in in in in
for the nurse to make?
in in in in
, a. It is your decision.in in in
b. Have you talked with your parents about this? They can probably help you th
in in in in in in in in in in in in in
ink about this decision.
in in in
c. The risks of not immunizing your baby are greater than the risks from t
in in in in in in in in in in in in in
he immunizations.
in
d. You are making a mistake. in in in in
ANSWER: C in
Although immunizations have been documented to have a negative effect in a small numb
in in in in in in in in in in in in in
er of cases, an unimmunized infant is at greater risk for development of complications from c
in in in in in in in in in in in in in in in
hildhood diseases than from the vaccines. It is the parents decision not to immunize the chi
in in in in in in in in in in in in in in in
ld; however, the nurse has a responsibility to inform parents about the risks to infants who ar
in in in in in in in in in in in in in in in in
e not immunized. Grandparents can be supportive but are not the primary decision makers
in in in in in in in in in in in in in i
for the infant. Telling parents that they are making a mistake is an inappropriate response.
n in in in in in in in in in in in in in in
8. The mother of a 9-month- in in in in
old infant is concerned because the infant cries when she leaves him. Which is the best respo
in in in in in in in in in in in in in in in in
nse for the nurse to make to the mother?
in in in in in in in in
a. You could consider leaving the infant more often so he can adjust.
in in in in in in in in in in in
b. You might consider taking him to the doctor because he may be ill.
in in in in in in in in in in in in
c. Have you noticed whether the baby is teething? in in in in in in in
d. This can be a healthy sign of attachment.in in in in in in in
ANSWER: D in
, Healthy attachment is manifested by stranger anxiety in late infancy. An infant who manifes
in in in in in in in in in in in in in
ts stranger anxiety can be supported by the mother leaving the infant for only short periods
in in in in in in in in in in in in in in in in
of time. Assessing developmental needs is appropriate before taking an infant to a physicia
in in in in in in in in in in in in in
n. Pain from teething expressed by the infants cries would not occur only when the mother
in in in in in in in in in in in in in in in in
left the room.
in in
9. Which statement concerning physiological factors of infancy is true?
in in in in in in in in
a. The infant has a slower metabolic rate than an adult.
in in in in in in in in in
