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TEST BANK CURRENT Diagnosis and Treatment Pediatrics

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1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse pulls the infant to a sitting position? a. Head lag is present when the infants trunk is lifted. b. The infant is able to support the head when the trunk is lifted. c. The infant is briefly able to hold the head erect. d. The infant is fully able to support and hold the head in a straight line. ANS: C A 2-month-old infant is able to hold the head erect only briefly and continues to have some head lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when pulled to a sitting position. 2. Approximately what should a newborn weigh at 1 year of age if the newborns birth weight was 7 pounds 6 ounces? a. 14 3/4 pounds b. 221/8 pounds c. 29 1/2 pounds d. Unable to estimate weight at 1 year ANS: B An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6 months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 year, and 2 years of age can be estimated from the birth weight. 3. Which statement made by a parent would be consistent with a developmental delay? a. I have noticed that my 9-month-old infant responds consistently to the sound of his name. b. I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand. c. I am so happy when my 1 1/2-month-old infant smiles at me. d. My 5-month-old infant is not rolling over in both directions yet. ANS: B Critical developmental milestones for gross motor development in a 12 month old include standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month- old child does not perform these activities, it may be indicative of a developmental delay. An infant who responds to his name at 9 months of age is demonstrating abilities to both hear and interpret sound. A social smile is present by 2 months of age. Rolling over in both directions is not a critical milestone for gross motor development until the child reaches 6 months of age. 4. At a healthy 2-month-old infants well-child clinic visit, the nurse should give which immunizations? a. DTaP, IPV, HepB, Hib, PCV, rotavirus b. MMR, DTaP, PVC, and IPV c. Hib, DTaP, rotavirus, and OPV d. Hib and MMR, IPV, and rotavirus ANS: A DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine (OPV) is no longer administered in the U.S. UPLOADED BY CELESTINE808 5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to: a. start giving the infant a vitamin D supplement. UPLOADED BY CELESTINE808 UPLOADED BY CELESTINE808 b. start using an infant feeder and add rice cereal to the formula. c. start feeding the infant rice cereal with a spoon at the evening feeding. d. continue breast-feeding without any supplements. ANS: A Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are exclusively breast-fed need vitamin D supplements to prevent rickets. An infant feeder is an inappropriate method of providing the infant with caloric intake. Solid foods and rice cereal are not recommended for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6 months of age. Because breast milk is not an adequate source of fluoride, infants need to be given a fluoride supplement. 6. At months of age, an infant should first be expected to locate an object hidden from view. a. 4 b. 6 c. 9 d. 20

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TEST BANK
CURRENT Diagnosis and
Treatment Pediatrics
24th Edition, by William Hay




UPLOADED BY CELESTINE808

,Current Diagnosis and Treatment Pediatrics, 24th Edition Test Bank
Table of Contents:
Chapter 1. The Newborn Infant
Chapter 2. Child Development and Behavior
Chapter 3. Adolescence
Chapter 4. Adolescent Substance Abuse
Chapter 5. Eating Disorders
Chapter 6. Child and Adolescent Psychiatric Disorders
Chapter 7. Child Abuse and Neglect
Chapter 8. Ambulatory / Office Pediatrics
Chapter 9. Immunization
Chapter 10. Travel Medicine
Chapter 11. Normal Childhood Nutrition and Its Disorders
Chapter 12. Emergencies and Injuries
Chapter 13. Poisoning
Chapter 14. Critical Care
Chapter 15. Skin
Chapter 16. Eye
Chapter 17. Oral Medicine and Dentistry
Chapter 18. Ear, Nose, and Throat
Chapter 19. Respiratory Tract and Mediastinum
Chapter 20. Sleep Medicine
Chapter 21. Cardiovascular Diseases
Chapter 22. Gastrointestinal Tract
Chapter 23. Liver and Pancreas
Chapter 24. Kidney and Urinary Tract
Chapter 25. Neurologic and Muscular Disorders
Chapter 26. Orthopedics
Chapter 27. Sports Medicine
Chapter 28. Rehabilitation Medicine
Chapter 29. Rheumatic Diseases
Chapter 30. Hematologic Disorders
Chapter 31. Neoplastic Disease
Chapter 32. Pain Management and Palliative Care
Chapter 33. Immunodeficiency
Chapter 34. Endocrine Disorders
Chapter 35. Diabetes Mellitus
Chapter 36. Inborn Errors of Metabolism
Chapter 37. Genetics and Dysmorphology
Chapter 38. Allergic Disorders
Chapter 39. Antimicrobial Therapy
Chapter 40. Infections: Viral and Rickettsial
Chapter 41. Human Immunodeficiency Virus Infection
Chapter 42. Infections: Bacterial and Spirochetal
Chapter 43. Infections: Parasitic and Mycotic
Chapter 44. Sexually Transmitted Infections
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges



UPLOADED BY CELESTINE808

, Chapter 1: The Newborn Infant
Current Diagnosis and Treatment Pediatrics, 24th Edition Test Bank

Multiple Choice

1. Which milestone is developmentally appropriate for a 2-month-old infant when
the nurse pulls the infant to a sitting position?

a. Head lag is present when the infants trunk is lifted.
b. The infant is able to support the head when the trunk is lifted.
c. The infant is briefly able to hold the head erect.
d. The infant is fully able to support and hold the head in a straight line.


ANS: C

A 2-month-old infant is able to hold the head erect only briefly and continues to
have some head lag. It is not until 4 months of age that the infant can keep his or
her head in a straight line when pulled to a sitting position.

2. Approximately what should a newborn weigh at 1 year of age if the newborns
birth weight was 7 pounds 6 ounces?

a. 14 3/4 pounds
b. 22 1/8 pounds
c. 29 1/2 pounds
d. Unable to estimate weight at


1 year ANS: B

An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by
6
months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6
months, 1 year, and 2 years of age can be estimated from the birth weight.




UPLOADED BY CELESTINE808

, 3. Which statement made by a parent would be consistent with a developmental
delay?

a. I have noticed that my 9-month-old infant responds consistently to
the sound of his name.
b. I have noticed that my 12-month-old child does not get herself
to a sitting position or pull to stand.
c. I am so happy when my 1 1/2-month-old infant smiles at me.
d. My 5-month-old infant is not rolling over in both


directions yet. ANS: B

Critical developmental milestones for gross motor development in a 12 month old
include
standing briefly without support, getting to a sitting position, and pulling to stand.
If a 12-month- old child does not perform these activities, it may be indicative of a
developmental delay. An infant who responds to his name at 9 months of age is
demonstrating abilities to both hear and interpret sound. A social smile is present
by 2 months of age. Rolling over in both directions is not a critical milestone for
gross motor development until the child reaches 6 months of age.

4. At a healthy 2-month-old infants well-child clinic visit, the nurse should
give which immunizations?

a. DTaP, IPV, HepB, Hib, PCV, rotavirus
b. MMR, DTaP, PVC, and IPV
c. Hib, DTaP, rotavirus, and OPV
d. Hib and MMR, IPV, and rotavirus


ANS: A

DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of
immunizations for a healthy 2-month-old infant. MMR is given at or after 12
months of age. Oral polio vaccine (OPV) is no longer administered in the U.S.


UPLOADED BY CELESTINE808

Connected book
 image
William W. Hay, Myron J. Levin, Robin R Deterding, Judith M. Sondheimer CURRENT Diagnosis and Treatment Pediatrics, Twentieth Edition
Publisher: 2010 ISBN: 9780071714914 Edition: Unknown

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