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CH 32 - MATERNAL AND PEDIATRIC NURSING

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CH 32 - MATERNAL AND PEDIATRIC NURSING What is the term for head-to-tail direction of growth? a. Cephalocaudal b. Proximodistal c. Mass to specific d. Sequential - CORRECT ANSWER -ANS: A The first pattern of development is in the head-to-tail or cephalocaudal direction. The head end of the organism develops first and is large and complex whereas the lower end is smaller and simpler and development takes place at a later time. Proximodistal or near-to-far is the second pattern of development. Limb buds develop before fingers and toes. Postnatally the child has control of the shoulder before achieving mastery of the hands. Mass to specific is not a pattern of development. In all dimensions of growth a definite sequential pattern is followed. Which refers to those times in an individual's life when he or she is more susceptible to positive or negative influences? a. Sensitive period b. Sequential period c. Terminal points d. Differentiation points - CORRECT ANSWER -ANS: A Sensitive periods are limited times during the process of growth when the organism will interact with a particular environment in a specific manner. These times make the organism more susceptible to positive or negative influences. The sequential period terminal points and differentiation points are developmental times that do not make the organism more susceptible to environmental interaction. If an infant weighed 3 kg at birth how much would he or she be expected to weigh at age 1 year? a. 6 b. 9 c. 12 d. 15 - CORRECT ANSWER -ANS: B In general birth weight triples by the end of the first year of life. For an infant who was 3 kg at birth 9 kg would be the anticipated weight at the first birthday. A weight of 6 kg is below what one would anticipate and weights of 12 and 15 kg are above what would be expected for an infant with a birth weight of 3 kg.

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