Human Development Case Studies Exam
Questions with correct Answers
Grace //is //a //4-month-old //infant //who //is //here //for //her //well-child //visit. //Her //mother, //Jamie, //is
//a //17-year-old //high //school //student. //Jamie //kept //her //pregnancy //a //secret, //and //did //not
//receive //any //prenatal //care. //She //delivered //Grace //prematurely //at //30 //weeks //gestation.
//Grace //weighed //3lbs //2 //oz //at //birth, //and //was //discharged //home //with //Jamie //after //a
//month-long //stay //in //the //NICU. //Jamie //attempted //breastfeeding //Grace //briefly //in //the
//hospital, //but //gave //up //and //switched //to //formula //after //a //few //days //because //"she //bit //me
//and //it //hurt //too //much". //Jamie //declined //to //pump //and //feed //expressed //breastmilk //in //a
//bottle //because //"it //was //just //too //much //work". //
At //today's //visit, //Grace //is //unable //to //hold //up //her //head //unassisted //and //"hates" //tummy
//time //according //to //Jamie. //Grace //has //not //rolled //over //yet. //Jamie //says //Grace //"sometimes
//will //hold //a //rattle //when //it //is //placed //in //her //hand." //In //the //past //couple //of //weeks, //Grace
//has //begun //to //bring //her //hands //up //to //touch //each //other //when //- //verified //answers-
✔✔Delayed
Daniel //is //a //9 //month-old //infant //who //was //brought //in //to //the //ER //today //by //his //mother
//with //a //laceration //to //his //lower //lip //and //mouth //after //a //fall //off //the //couch //and //into //a
//coffee //table. //He //also //has //a //bruise //to //his //forehead //and //nose. //After //being //treated, //for
//his //injuries, //Daniel //is //evaluated //by //the //hospital //abuse //team //which //includes //a //nurse
//practitioner, //nurse, //physical //therapist //and //social //worker. //This //is //standard //protocol
//based //on //the //facial //injury, //whether //reported //to //be //accidental //or //not. //As //part //of //the
//nursing //assessment, //the //nurse //measures //height //and //weight. //
Daniel's //current //weight //is //16lbs, //8 //oz. //According //to //CDC //standards, //(See
//http://www.cdc.gov/growthcharts/data/set1clinical/cj41l017.pdf). //this //falls //around //the
//25th //percentile, //as //does //Daniel's //height. //This //has //been //his //trend //since //birth //when
//looking //through //his //pediatricians //records.
According //to //Daniel's //mother, //he //was //full-term //and //weighed //7 //lbs, //8 //oz //at //birth. //S //-
verified //answers-✔✔Delay
//
, Max, //an //18 //month //old, //is //in //a //Mom's //Day //Out //childcare //program //one //day //a //week //for
//one //6 //hours. //His //child //care //provider, //Sarah, //has //been //watching //him //one //day //a //week
//for //two //months //now. //Sarah //notices //that //Max //can //hold //his //head //up //and //sit //up
//unsupported, //but //does //not //stand //or //try //to //pull //himself //up. //She //tries //to //hold //his
//hands //and //have //him //walk, //but //he //just //cries. //
When //Sarah //reads //to //Max, //he //seems //to //love //to //open //books //and //look //at //them, //but //he
//does //not //try //to //imitate //or //repeat //words //or //phrases //when //encouraged. //She //has //not
//noticed //him //speaking //any //words. //Music //time //does //not //hold //Max's //interest //either. //
Max //reaches //and //grabs //for //toys //and //other //objects //and //will //scream //if //there //is
//something //out //of //his //reach //that //he //obviously //wants. //Max //puts //blocks //into //a //container
//when //placed //in //front //of //him. //Otherwise, //he //does //not //seem //very //interested //in //the
//environment. //
Max //will //scream //when //he //wants //picked //up //but //does //not //gesture. //He //doe //- //verified
answers-✔✔Delayed
//
Hannah //has //recently //been //hospitalized //at //Children's //Mercy //Hospital //(CMH) //for //RSV. //She
//is //2 //years //old //and //lives //in //a //suburban //home //with //her //parents, //twin //brother, //and //10
//year //old //brother. //
Hannah //was //a //preemie, //born //at //28 //weeks //gestation. //She //has //had //multiple
//hospitalizations //since //birth //for //respiratory //related //illness. //She //is //not //potty-trained, //still
//takes //one //nap //each //afternoon, //uses //3 //words //together //at //a //time //to //ask //for //what //she
//wants, //and //cannot //make //a //choice //when //given //two //options. //She //calls //out //"Mine!"
//when //her //brother //takes //her //baby //doll. //She //can //follow //commands //when //asked //to //put
//the //toy //"up //or //down" //on //the //table //or //floor. //
A //child //life //specialist //has //been //in //to //see //Hannah //and //interact //with //her //as //part //of //the
//team //at //CMH. //When //an //adult //is //trying //to //help //Hannah, //Hannah //screams, //"NO!" //She
//repeatedly //does //just //the //opposite //of //what //her //mom, //who //is //in //the //room, //tells //her.
When //Hannah //is //told //no, //she //often //continues //- //verified //answers-✔✔Normal
//
Chad //is //a //5-year-old //boy //who //recently //visited //his //primary //care //provider //and //was
//diagnosed //with //a //chronic //behavioral //disorder. //Chad's //mother //keeps //ruminating //about
Questions with correct Answers
Grace //is //a //4-month-old //infant //who //is //here //for //her //well-child //visit. //Her //mother, //Jamie, //is
//a //17-year-old //high //school //student. //Jamie //kept //her //pregnancy //a //secret, //and //did //not
//receive //any //prenatal //care. //She //delivered //Grace //prematurely //at //30 //weeks //gestation.
//Grace //weighed //3lbs //2 //oz //at //birth, //and //was //discharged //home //with //Jamie //after //a
//month-long //stay //in //the //NICU. //Jamie //attempted //breastfeeding //Grace //briefly //in //the
//hospital, //but //gave //up //and //switched //to //formula //after //a //few //days //because //"she //bit //me
//and //it //hurt //too //much". //Jamie //declined //to //pump //and //feed //expressed //breastmilk //in //a
//bottle //because //"it //was //just //too //much //work". //
At //today's //visit, //Grace //is //unable //to //hold //up //her //head //unassisted //and //"hates" //tummy
//time //according //to //Jamie. //Grace //has //not //rolled //over //yet. //Jamie //says //Grace //"sometimes
//will //hold //a //rattle //when //it //is //placed //in //her //hand." //In //the //past //couple //of //weeks, //Grace
//has //begun //to //bring //her //hands //up //to //touch //each //other //when //- //verified //answers-
✔✔Delayed
Daniel //is //a //9 //month-old //infant //who //was //brought //in //to //the //ER //today //by //his //mother
//with //a //laceration //to //his //lower //lip //and //mouth //after //a //fall //off //the //couch //and //into //a
//coffee //table. //He //also //has //a //bruise //to //his //forehead //and //nose. //After //being //treated, //for
//his //injuries, //Daniel //is //evaluated //by //the //hospital //abuse //team //which //includes //a //nurse
//practitioner, //nurse, //physical //therapist //and //social //worker. //This //is //standard //protocol
//based //on //the //facial //injury, //whether //reported //to //be //accidental //or //not. //As //part //of //the
//nursing //assessment, //the //nurse //measures //height //and //weight. //
Daniel's //current //weight //is //16lbs, //8 //oz. //According //to //CDC //standards, //(See
//http://www.cdc.gov/growthcharts/data/set1clinical/cj41l017.pdf). //this //falls //around //the
//25th //percentile, //as //does //Daniel's //height. //This //has //been //his //trend //since //birth //when
//looking //through //his //pediatricians //records.
According //to //Daniel's //mother, //he //was //full-term //and //weighed //7 //lbs, //8 //oz //at //birth. //S //-
verified //answers-✔✔Delay
//
, Max, //an //18 //month //old, //is //in //a //Mom's //Day //Out //childcare //program //one //day //a //week //for
//one //6 //hours. //His //child //care //provider, //Sarah, //has //been //watching //him //one //day //a //week
//for //two //months //now. //Sarah //notices //that //Max //can //hold //his //head //up //and //sit //up
//unsupported, //but //does //not //stand //or //try //to //pull //himself //up. //She //tries //to //hold //his
//hands //and //have //him //walk, //but //he //just //cries. //
When //Sarah //reads //to //Max, //he //seems //to //love //to //open //books //and //look //at //them, //but //he
//does //not //try //to //imitate //or //repeat //words //or //phrases //when //encouraged. //She //has //not
//noticed //him //speaking //any //words. //Music //time //does //not //hold //Max's //interest //either. //
Max //reaches //and //grabs //for //toys //and //other //objects //and //will //scream //if //there //is
//something //out //of //his //reach //that //he //obviously //wants. //Max //puts //blocks //into //a //container
//when //placed //in //front //of //him. //Otherwise, //he //does //not //seem //very //interested //in //the
//environment. //
Max //will //scream //when //he //wants //picked //up //but //does //not //gesture. //He //doe //- //verified
answers-✔✔Delayed
//
Hannah //has //recently //been //hospitalized //at //Children's //Mercy //Hospital //(CMH) //for //RSV. //She
//is //2 //years //old //and //lives //in //a //suburban //home //with //her //parents, //twin //brother, //and //10
//year //old //brother. //
Hannah //was //a //preemie, //born //at //28 //weeks //gestation. //She //has //had //multiple
//hospitalizations //since //birth //for //respiratory //related //illness. //She //is //not //potty-trained, //still
//takes //one //nap //each //afternoon, //uses //3 //words //together //at //a //time //to //ask //for //what //she
//wants, //and //cannot //make //a //choice //when //given //two //options. //She //calls //out //"Mine!"
//when //her //brother //takes //her //baby //doll. //She //can //follow //commands //when //asked //to //put
//the //toy //"up //or //down" //on //the //table //or //floor. //
A //child //life //specialist //has //been //in //to //see //Hannah //and //interact //with //her //as //part //of //the
//team //at //CMH. //When //an //adult //is //trying //to //help //Hannah, //Hannah //screams, //"NO!" //She
//repeatedly //does //just //the //opposite //of //what //her //mom, //who //is //in //the //room, //tells //her.
When //Hannah //is //told //no, //she //often //continues //- //verified //answers-✔✔Normal
//
Chad //is //a //5-year-old //boy //who //recently //visited //his //primary //care //provider //and //was
//diagnosed //with //a //chronic //behavioral //disorder. //Chad's //mother //keeps //ruminating //about
