FULL TEST BANK FOR
PEDIATRIC PHYSICAL EXAMINATION: AN ILLUSTRATED HANDBOOK,
4TH EDITION
BY DUDERSTADT, 9780323476508,CHAPTERS 1-20 | INCLUDES RATIONALES
,TABLE OF CONTENTS
CHAPTER 1. NEUROLOGICAL SYSTEM .................................................................................................. 3
CHAPTER 2. PHYSICAL ASSESSMENT PARAMETERS ............................................................................ 29
CHAPTER 3. DEVELOPMENTAL SURVEILLANCE AND SCREENING ......................................................... 40
CHAPTER 4. COMPREHENSIVE HEALTH GATHERING ........................................................................... 49
CHAPTER 5. ENVIRONMENTAL HEALTH HISTORY ............................................................................... 56
CHAPTER 6 NEWBORN ASSESSMENT ................................................................................................. 62
CHAPTER 7. SKIN .............................................................................................................................. 78
CHAPTER 8. HEART AND VASCULAR SYSTEM ..................................................................................... 88
CHAPTER 9. CHEST AND RESPIRATORY SYSTEM ............................................................................... 103
CHAPTER 10. HEAD AND NECK ........................................................................................................ 122
CHAPTER 11. LYMPHATIC SYSTEM................................................................................................... 129
CHAPTER 12. EYES .......................................................................................................................... 138
CHAPTER 13. EARS.......................................................................................................................... 150
CHAPTER 14. NOSE, MOUTH, AND THROAT ..................................................................................... 154
CHAPTER 15. ABDOMEN AND RECTUM ........................................................................................... 157
CHAPTER 16. MALE GENITALIA........................................................................................................ 177
CHAPTER 17. MALE AND FEMALE BREAST ....................................................................................... 179
CHAPTER 18. FEMALE GENITALIA .................................................................................................... 192
CHAPTER 19. MUSCULOSKELETAL SYSTEM ...................................................................................... 197
CHAPTER 20: APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND ADOLESCENTS ................... 213
,Chapter 1. Neurological System
1. A NURSE Is Explaining To Parents How The Central Nervous System Of A Child Differs From That
Of An Adult. Which Statement Accurately Describes These Differences?
A. The Infant Has 150 Milliliters Of Cerebrospinal Fluid Compared With 50 Milliliters In The Adult.
B. Papilledema Is A Common Manifestation Of Increased Intracranial Pressure In The Very Young
Child.
C. The Brain Of A Term Infant Weighs Less Than Half Of The Weight Of The Adult Brain.
D. Coordination And Fine Motor Skills Develop As Myelinization Of Peripheral Nerves Progresses.
ANS:D
PERIPHERAL NERVES ARE NOT COMPLETELY MYELINATED AT BIRTH. AS MYELINIZATION PROGRESSES,
SO DOES THE CHILDS COORDINATION AND FINE MUSCLE MOVEMENTS. AN INFANT HAS ABOUT 50
MILLILITERS OF CEREBROSPINAL FLUID COMPARED WITH 150 MILLILITERS IN AN ADULT.
PAPILLEDEMA RARELY OCCURS IN INFANCY BECAUSE OPEN FONTANELS AND SUTURES CAN EXPAND
IN THE PRESENCE OF INCREASED INTRACRANIAL PRESSURE. THE BRAIN OF THE TERM INFANT IS TWO-
THIRDS THE WEIGHT OF AN ADULTS BRAIN.
2. A NURSE Is Assessing A 1-Year-Old Child For Increased Intracranial Pressure (ICP). Which Sign
Should The NURSE Assess For With This Age Of Child?
A. Headache
B. Bulging Fontanel
, C. Tachypnea
D. Increase In Head Circumference
ANS:A
HEADACHES ARE A CLINICAL MANIFESTATION OF INCREASED ICP IN CHILDREN. A CHANGE IN THE
CHILDS NORMAL BEHAVIOR PATTERN MAY BE AN IMPORTANT EARLY SIGN OF INCREASED ICP. A
BULGING FONTANEL IS A MANIFESTATION OF INCREASED ICP IN INFANTS. A 10-YEAR-OLD CHILD
WOULD HAVE A CLOSED FONTANEL. A CHANGE IN RESPIRATORY PATTERN IS A LATE SIGN OF
INCREASED ICP. CHEYNE-STOKES RESPIRATION MAY BE EVIDENT. THIS REFERS TO A PATTERN OF
INCREASING RATE AND DEPTH OF RESPIRATIONS FOLLOWED BY A DECREASING RATE AND DEPTH
WITH A PAUSE OF VARIABLE LENGTH. BY 10 YEARS OF AGE, CRANIAL SUTURES HAVE FUSED SO THAT
HEAD CIRCUMFERENCE WILL NOT INCREASE IN THE PRESENCE OF INCREASED ICP.
3. The NURSE Should Give A Child Who Is To Have Magnetic Resonance Imaging (MRI) Of The Brain
Which Information?
A. Your Head Will Be Restrained.
B. You Will Have To Drink A Special Fluid Before The Test.
PEDIATRIC PHYSICAL EXAMINATION: AN ILLUSTRATED HANDBOOK,
4TH EDITION
BY DUDERSTADT, 9780323476508,CHAPTERS 1-20 | INCLUDES RATIONALES
,TABLE OF CONTENTS
CHAPTER 1. NEUROLOGICAL SYSTEM .................................................................................................. 3
CHAPTER 2. PHYSICAL ASSESSMENT PARAMETERS ............................................................................ 29
CHAPTER 3. DEVELOPMENTAL SURVEILLANCE AND SCREENING ......................................................... 40
CHAPTER 4. COMPREHENSIVE HEALTH GATHERING ........................................................................... 49
CHAPTER 5. ENVIRONMENTAL HEALTH HISTORY ............................................................................... 56
CHAPTER 6 NEWBORN ASSESSMENT ................................................................................................. 62
CHAPTER 7. SKIN .............................................................................................................................. 78
CHAPTER 8. HEART AND VASCULAR SYSTEM ..................................................................................... 88
CHAPTER 9. CHEST AND RESPIRATORY SYSTEM ............................................................................... 103
CHAPTER 10. HEAD AND NECK ........................................................................................................ 122
CHAPTER 11. LYMPHATIC SYSTEM................................................................................................... 129
CHAPTER 12. EYES .......................................................................................................................... 138
CHAPTER 13. EARS.......................................................................................................................... 150
CHAPTER 14. NOSE, MOUTH, AND THROAT ..................................................................................... 154
CHAPTER 15. ABDOMEN AND RECTUM ........................................................................................... 157
CHAPTER 16. MALE GENITALIA........................................................................................................ 177
CHAPTER 17. MALE AND FEMALE BREAST ....................................................................................... 179
CHAPTER 18. FEMALE GENITALIA .................................................................................................... 192
CHAPTER 19. MUSCULOSKELETAL SYSTEM ...................................................................................... 197
CHAPTER 20: APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND ADOLESCENTS ................... 213
,Chapter 1. Neurological System
1. A NURSE Is Explaining To Parents How The Central Nervous System Of A Child Differs From That
Of An Adult. Which Statement Accurately Describes These Differences?
A. The Infant Has 150 Milliliters Of Cerebrospinal Fluid Compared With 50 Milliliters In The Adult.
B. Papilledema Is A Common Manifestation Of Increased Intracranial Pressure In The Very Young
Child.
C. The Brain Of A Term Infant Weighs Less Than Half Of The Weight Of The Adult Brain.
D. Coordination And Fine Motor Skills Develop As Myelinization Of Peripheral Nerves Progresses.
ANS:D
PERIPHERAL NERVES ARE NOT COMPLETELY MYELINATED AT BIRTH. AS MYELINIZATION PROGRESSES,
SO DOES THE CHILDS COORDINATION AND FINE MUSCLE MOVEMENTS. AN INFANT HAS ABOUT 50
MILLILITERS OF CEREBROSPINAL FLUID COMPARED WITH 150 MILLILITERS IN AN ADULT.
PAPILLEDEMA RARELY OCCURS IN INFANCY BECAUSE OPEN FONTANELS AND SUTURES CAN EXPAND
IN THE PRESENCE OF INCREASED INTRACRANIAL PRESSURE. THE BRAIN OF THE TERM INFANT IS TWO-
THIRDS THE WEIGHT OF AN ADULTS BRAIN.
2. A NURSE Is Assessing A 1-Year-Old Child For Increased Intracranial Pressure (ICP). Which Sign
Should The NURSE Assess For With This Age Of Child?
A. Headache
B. Bulging Fontanel
, C. Tachypnea
D. Increase In Head Circumference
ANS:A
HEADACHES ARE A CLINICAL MANIFESTATION OF INCREASED ICP IN CHILDREN. A CHANGE IN THE
CHILDS NORMAL BEHAVIOR PATTERN MAY BE AN IMPORTANT EARLY SIGN OF INCREASED ICP. A
BULGING FONTANEL IS A MANIFESTATION OF INCREASED ICP IN INFANTS. A 10-YEAR-OLD CHILD
WOULD HAVE A CLOSED FONTANEL. A CHANGE IN RESPIRATORY PATTERN IS A LATE SIGN OF
INCREASED ICP. CHEYNE-STOKES RESPIRATION MAY BE EVIDENT. THIS REFERS TO A PATTERN OF
INCREASING RATE AND DEPTH OF RESPIRATIONS FOLLOWED BY A DECREASING RATE AND DEPTH
WITH A PAUSE OF VARIABLE LENGTH. BY 10 YEARS OF AGE, CRANIAL SUTURES HAVE FUSED SO THAT
HEAD CIRCUMFERENCE WILL NOT INCREASE IN THE PRESENCE OF INCREASED ICP.
3. The NURSE Should Give A Child Who Is To Have Magnetic Resonance Imaging (MRI) Of The Brain
Which Information?
A. Your Head Will Be Restrained.
B. You Will Have To Drink A Special Fluid Before The Test.
