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NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH detailed
RATIONALES) ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully
,personally handpicked from Bates
1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which of the
following statements is true about sexual maturation?
A. Breast and pubic hair development are not related to a growth spurt.
B. Sexual maturation occurs later in girls than boys.
C. Mexican American girls enter puberty later than blacks and earlier than whites.
D. Sexual maturation occurs later in taller girls. –
ANS :C. Mexican American girls enter puberty later than blacks and earlier than whites.
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Sexual maturation begins earlier in girls with a higher body mass index. On average, black girls
enter puberty first, followed by Mexican American girls, and then white girls.
1. Mrs. Jones has brought her 4-month-old female infant in for her routine physical. Which
statement is true about the baby's expected weight?
A. Weight doubles during the first 3 months, then triples by 1 year.
B. Weight doubles during the first 4 to 5 months, then triples by 1 year.
C. Weight doubles during the first 6 months, and doubles again by 1 year.
D. Weight doubles during the first 6 months, and then triples by 18 months. - ANS :B. Weight
doubles during the first 4 to 5 months, then triples by 1 year.
In general, infants double their birth weight by 4 to 5 months of age and triple their birth weight
by 12 months of age. The remaining answers are not true.
1. The appearance of secondary sexual characteristics in an 8-year-old boy followed by
progressive sexual maturation can be indicative of which problem?
A. Cushing syndrome
B. Klinefelter syndrome
C. Testicular tumor
D. Brain tumor - ANS :D. Brain tumor
A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate the hypothalamic-
pituitary-gonadal axis, with gonadotropins triggering the growth of the gonads, secretion of the
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sex hormones, and progressive sexual maturation. Answers a, b, and c result in different
characteristics.
Which of the following inhibits the pituitary from releasing growth hormone?
A. Growth hormone-releasing hormone
B. Insulin-like growth factor
C. Somatostatin
D. Sex steroids - ANS :C. Somatostatin
Somatostatin inhibits the secretion of both growth hormone-releasing hormone (GHRH) and
thyroid-stimulating hormone. Growth hormone is secreted in pulses, with 70% of secretion
occurring during deep sleep.
Growth of which body region predominates during infancy?
A. Head
B. Arms
C. Trunk
D. Legs - ANS :C. Trunk
During infancy, the growth of the trunk predominates. Weight gain is initially rapid, but the
speed with which weight is gained decreases over the first year of life. Growth of the head
predominates during the fetal period. Growth of legs predominates during childhood.
In the older adult patient, stature begins to decline at:
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A. 40 years of age.
B. 50 years of age.
C. 60 years of age.
D. 70 years of age. - ANS :B. 50 years of age.
Physical stature declines in older adults beginning at approximately 50 years of age. The
intervertebral disks thin, and kyphosis develops with osteoporotic vertebral compression.
Which factor accounts for the majority of weight gained by a pregnant woman during the third
trimester?
A. Placental growth
B. Increase in amniotic fluid
C. Growth of maternal tissues
Fetal growth - ANS :D. Fetal growth
Maternal tissue growth accounts for most of the weight gained in the first and second
trimesters. Fetal growth accounts for most weight gained during the third trimester. Placental
and increase in amniotic fluid growth are part of the maternal tissue growth that accounts for
weight gained in the first and second trimesters.
Which is the most rapid and critical period of brain growth?
A. Birth to 1 year of age
B. Conception to 3 years of age
C. Birth to 4 years of age
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