Test Bank- Pediatric Physical Examination: An Illustrated Handbook
4th Edition (Karen G. Duderstadt, 2025) Latest Edition|| All Chapters
,Table of Contents
Chapter 1: Approach to Care and Assessment of Children and Adolescents ............................................... 3
Chapter 2. Physical Assessment Parameters .............................................................................................. 17
Chapter 4. Comprehensive Health Gathering ............................................................................................. 37
Chapter 5. Environmental Health History ................................................................................................... 45
Chapter 6 Newborn Assessment................................................................................................................. 51
Chapter 8. Heart and Vascular System ....................................................................................................... 76
Chapter 9. Chest and Respiratory System .................................................................................................. 90
Chapter 10. Head and Neck ...................................................................................................................... 109
Chapter 12. Eyes ....................................................................................................................................... 124
Chapter 13. Ears ........................................................................................................................................ 136
Chapter 14. Nose, Mouth, and Throat ...................................................................................................... 141
Chapter 15. Abdomen and Rectum .......................................................................................................... 144
Chapter 17. Male and Female Breast MULTIPLE CHOICE ......................................................................... 165
Chapter 18. Female Genitalia ................................................................................................................... 178
Chapter 19. Musculoskeletal System ........................................................................................................ 183
Chapter 20. Neurological System.............................................................................................................. 200
,Chapter 1: Approach to Care and Assessment of Children and
Adolescents
MULTIPLE CHOICE
1. A nurse is reviewing developmental concepts for infants and children. Which statement best
describes development in infants and children?
a. Development, a predictable and orderly process, occurs at varying rates within normal limits.
b. Development is primarily related to the growth in the number and size of cells.
c. Development occurs in a proximodistal direction with fine muscle development occurring first.
d. Development is more easily and accurately measured than growth.
ANS: A
Development, a continuous orderly process, provides the basis for increases in the childs function and
complexity of behavior. The increases in rate of function and complexity can vary normally within limits
for each child. An increase in the number and size of cells is a definition for growth. Development
proceeds in a proximodistal direction with fine muscle organization occurring as a result of large muscle
organization. Development is a more complex process that is affected by many factors; therefore, it is
less easily and accurately measured. Growth is a predictable process with standard measurement
methods.
2. Frequent developmental assessments are important for which reason?
a. Stable developmental periods during infancy provide an opportunity to identify any delays or
deficits.
b. Infants need stimulation specific to the stage of development.
c. Critical periods of development occur during childhood.
d. Child development is unpredictable and needs monitoring.
, SBtuuyvBiau.ycoamnd-anTdheSeMllaSreklel typolaucryeotuor
BSutuydaynSdtuSdeyllMyaotuerriSatluMdayteMriatlerial
ANS: C
Critical periods are blocks of time during which children are ready to master specific developmental
tasks. Children can master these tasks more easily during particular periods of time in their growth and
developmental process. Infancy is a dynamic time of development that requires frequent evaluations to
assess appropriate developmental progress. Infants in a nurturing environment will develop
appropriately and will not necessarily need stimulation specific to their developmental stage. Normal
growth and development are orderly and proceed in a predictable pattern on the basis of each
individuals abilities and potentials.
3. Which factor has the greatest influence on child growth and development?
a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS: C
Genetic factors (heredity) determine each individuals growth and developmental rate. Although factors
such as environment, culture, nutrition, and family can influence genetic traits, they do not eliminate
the effect of the genetic endowment, which is permanent. Culture is a significant factor that influences
how children grow toward adulthood. Culture influences both growth and development but does not
eliminate inborn genetic influences. Environment has a significant role in determining growth and
development both before and after birth. The environment can influence how and to which extent
genetic traits are manifested, but environmental factors cannot eliminate the effect of genetics.
Nutrition is critical for growth and plays a significant role throughout childhood.
4th Edition (Karen G. Duderstadt, 2025) Latest Edition|| All Chapters
,Table of Contents
Chapter 1: Approach to Care and Assessment of Children and Adolescents ............................................... 3
Chapter 2. Physical Assessment Parameters .............................................................................................. 17
Chapter 4. Comprehensive Health Gathering ............................................................................................. 37
Chapter 5. Environmental Health History ................................................................................................... 45
Chapter 6 Newborn Assessment................................................................................................................. 51
Chapter 8. Heart and Vascular System ....................................................................................................... 76
Chapter 9. Chest and Respiratory System .................................................................................................. 90
Chapter 10. Head and Neck ...................................................................................................................... 109
Chapter 12. Eyes ....................................................................................................................................... 124
Chapter 13. Ears ........................................................................................................................................ 136
Chapter 14. Nose, Mouth, and Throat ...................................................................................................... 141
Chapter 15. Abdomen and Rectum .......................................................................................................... 144
Chapter 17. Male and Female Breast MULTIPLE CHOICE ......................................................................... 165
Chapter 18. Female Genitalia ................................................................................................................... 178
Chapter 19. Musculoskeletal System ........................................................................................................ 183
Chapter 20. Neurological System.............................................................................................................. 200
,Chapter 1: Approach to Care and Assessment of Children and
Adolescents
MULTIPLE CHOICE
1. A nurse is reviewing developmental concepts for infants and children. Which statement best
describes development in infants and children?
a. Development, a predictable and orderly process, occurs at varying rates within normal limits.
b. Development is primarily related to the growth in the number and size of cells.
c. Development occurs in a proximodistal direction with fine muscle development occurring first.
d. Development is more easily and accurately measured than growth.
ANS: A
Development, a continuous orderly process, provides the basis for increases in the childs function and
complexity of behavior. The increases in rate of function and complexity can vary normally within limits
for each child. An increase in the number and size of cells is a definition for growth. Development
proceeds in a proximodistal direction with fine muscle organization occurring as a result of large muscle
organization. Development is a more complex process that is affected by many factors; therefore, it is
less easily and accurately measured. Growth is a predictable process with standard measurement
methods.
2. Frequent developmental assessments are important for which reason?
a. Stable developmental periods during infancy provide an opportunity to identify any delays or
deficits.
b. Infants need stimulation specific to the stage of development.
c. Critical periods of development occur during childhood.
d. Child development is unpredictable and needs monitoring.
, SBtuuyvBiau.ycoamnd-anTdheSeMllaSreklel typolaucryeotuor
BSutuydaynSdtuSdeyllMyaotuerriSatluMdayteMriatlerial
ANS: C
Critical periods are blocks of time during which children are ready to master specific developmental
tasks. Children can master these tasks more easily during particular periods of time in their growth and
developmental process. Infancy is a dynamic time of development that requires frequent evaluations to
assess appropriate developmental progress. Infants in a nurturing environment will develop
appropriately and will not necessarily need stimulation specific to their developmental stage. Normal
growth and development are orderly and proceed in a predictable pattern on the basis of each
individuals abilities and potentials.
3. Which factor has the greatest influence on child growth and development?
a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS: C
Genetic factors (heredity) determine each individuals growth and developmental rate. Although factors
such as environment, culture, nutrition, and family can influence genetic traits, they do not eliminate
the effect of the genetic endowment, which is permanent. Culture is a significant factor that influences
how children grow toward adulthood. Culture influences both growth and development but does not
eliminate inborn genetic influences. Environment has a significant role in determining growth and
development both before and after birth. The environment can influence how and to which extent
genetic traits are manifested, but environmental factors cannot eliminate the effect of genetics.
Nutrition is critical for growth and plays a significant role throughout childhood.
