Test Bank- Pediatric Physical Examination: An Illustrated Handbook 3rd Edition (Karen G. Duderstadt, 2025) Latest Edition|| All Chapters 1-19 available

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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 t2




1. A nurse is reviewing developmental concepts for infants and children. Which statement best
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describes development in infants and children?
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a. Development, a predictable and orderly process, occurs at varying 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 development occurring
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first. 2




d. Development is more easily and accurately measured than growth. t2 t2 t2 t2 t2 t2 t2 t2




ANS: A t2




Development, a continuous orderly process, provides the basis for increases in the childs function
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and complexity of behavior. The increases in rate of function and complexity can vary normally w
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ithin limits for each child. An increase in the number and size of cells is a definition for growth. D
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evelopment proceeds in a proximodistal direction with fine muscle organization occurring as a res
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ult of large muscle organization. Development is a more complex process that is affected by many
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2 factors; therefore, it is less easily and accurately measured. Growth is a predictable process with s
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tandard 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 identify any delays or
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deficits. 2




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 t2




Critical periods are blocks of time during which children are ready to master specific developmen
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tal tasks. Children can master these tasks more easily during particular periods of time in their gro
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wth and developmental process. Infancy is a dynamic time of development that requires frequent
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evaluations to assess appropriate developmental progress. Infants in a nurturing environment will
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develop appropriately and will not necessarily need stimulation specific to their developmental st
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age. Normal growth and development are orderly and proceed in a predictable pattern on the basis
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t2 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