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,Chapter 1: Approach to Care and Assessment of Children and Adolescents
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MULTIPLE CHOICE gkgk
1. A nurse is reviewing developmental concepts for infants and children. Which
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statement best describes development in infants and children?
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a. Development, a predictable and orderly process, occurs at varying
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rates within normal limits.
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b. Development is primarily related to the growth in the number and size of cells.
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c. Development occurs in a proximodistal direction with fine muscle
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development occurring first.
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d. Development is more easily and accurately measured than growth.
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ANS: A gkgk
Development, a continuous orderly process, provides the basis for increases in
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gkgk the childs function and complexity of behavior. The increases in rate of function
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gkgk and complexity can vary normally within limits for each child. An increase in
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gkgk the number and size of cells is a definition for growth. Development proceeds
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gkgk in a proximodistal direction with fine muscle organization occurring as a result
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gkgk of large muscle organization. Development is a more complex process that is
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gkgk affected by many factors; therefore, it is less easily and accurately measured.
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gkgk Growth is a predictable process with standard measurement methods.
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2. Frequent developmental assessments are important for which reason?
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a. Stable developmental periods during infancy provide an opportunity to
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identify any delays or deficits.
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b. Infants need stimulation specific to the stage of development.
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c. Critical periods of development occur during childhood.
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d. Child development is unpredictable and needs monitoring.
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ANS: C gkgk
Critical periods are blocks of time during which children are ready to master
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gkgk specific developmental tasks. Children can master these tasks more easily during
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gkgk particular periods of time in their growth and developmental process. Infancy is
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gkgk a dynamic time of development that requires frequent evaluations to assess
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appropriate developmental progress. Infants in a nurturing environment will develop
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gkgk appropriately and will not necessarily need stimulation specific to their
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gkgk developmental stage. Normal growth and development are orderly and proceed in
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gkgk a predictable pattern on the basis of each individuals abilities and potentials.
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3. Which factor has the greatest influence on child growth and development?
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a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS: C gkgk
Genetic factors (heredity) determine each individuals growth and developmental rate.
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gkgk Although factors such as environment, culture, nutrition, and family can influence
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gkgk genetic traits, they do not eliminate the effect of the genetic endowment, which
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gkgk is permanent. Culture is a significant factor that influences how children grow
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gkgk toward adulthood. Culture influences both growth and development but does not
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gkgk eliminate inborn genetic influences. Environment has a significant role in
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gkgk determining growth and development both before and after birth. The environment
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gkgk can influence how and to which extent genetic traits are manifested, but
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gkgk environmental factors cannot eliminate the effect of genetics. Nutrition is critical
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gkgk for growth and plays a significant role throughout childhood.
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4. A nurse is planning a teaching session with a child. According to Piagetian
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gkgk theory, gkgk the gkgk period gkgk of cognitive
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gkgk distinguish gkgk fact gkgk from gkgk fantasy is the gkgk gkgk gkgk g k g k g k g k g k g k g k g k period gkgk of gkgk cognitive
gkgk development.
a. sensorimotor
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