,Pediatric Physical Examination 3rd Edition Duderstadt TESTBANK
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.
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.
4. A nurse is planning a teaching session with a child. According to Piagetian theory, the period
of cognitive development in which the child is able to distinguish fact from fantasy is the period
of cognitive development.
a. sensorimotor
b. formal operations
c. concrete operations
d. preoperational
ANS: C
Concrete operations is the period of cognitive development in which childrens thinking is shifted
from egocentric to being able to see anothers point of view. They develop the ability to
distinguish fact from fantasy. The sensorimotor stage occurs in infancy and is a period of
reflexive behavior. During this period, the infants world becomes more permanent and organized.
The stage ends with the infant demonstrating some evidence of reasoning. Formal operations is a
period in development in which new ideas are created through previous thoughts. Analytic reason
and abstract thought emerge in this period. The preoperational stage is a period of egocentrism in
which the childs judgments are illogical and dominated by magical thinking and animism.
, 5. The theorist who viewed developmental progression as a lifelong series of conflicts that need
resolution is:
a. Erikson.
b. Freud.
c. Kohlberg.
d. Piaget.
ANS: A
Erik Erikson viewed development as a series of conflicts affected by social and cultural factors.
Each conflict must be resolved for the child to progress emotionally, with unsuccessful resolution
leaving the child emotionally disabled. Sigmund Freud proposed a psychosexual theory of
development in which certain parts of the body assume psychological significance as foci of
sexual energy. The foci shift as the individual moves through the different stages (oral, anal,
phallic, latency, and genital) of development. Lawrence Kohlberg described moral development
as having three levels (preconventional, conventional, and postconventional). His theory closely
parallels Piagets. Jean Piagets cognitive theory interprets how children learn and think and how
this thinking progresses and differs from adult thinking. Stages of his theory include
sensorimotor, preoperations, concrete operations, and formal operations.
6. What does the nurse need to know when observing chronically ill children at play?
a. Play is not important to hospitalized children.
b. Children need to have structured play periods.
c. Childrens play is an indication of a childs response to treatment.
d. Play is to be discouraged because it tires hospitalized children.
ANS: C
Play for all children is an activity woven with meaning and purpose and is a mechanism for
mastering their environment. For chronically ill children, play can indicate their state of wellness
and response to treatment. Play is important to all children in all environments. Although
childrens play activities appear unorganized and at times chaotic, play has purpose and meaning.
Imposing structure on play interferes with the tasks being worked on. Children who have fewer
energy reserves still require play. For these children, less-active play activities will be important.
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.
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.
4. A nurse is planning a teaching session with a child. According to Piagetian theory, the period
of cognitive development in which the child is able to distinguish fact from fantasy is the period
of cognitive development.
a. sensorimotor
b. formal operations
c. concrete operations
d. preoperational
ANS: C
Concrete operations is the period of cognitive development in which childrens thinking is shifted
from egocentric to being able to see anothers point of view. They develop the ability to
distinguish fact from fantasy. The sensorimotor stage occurs in infancy and is a period of
reflexive behavior. During this period, the infants world becomes more permanent and organized.
The stage ends with the infant demonstrating some evidence of reasoning. Formal operations is a
period in development in which new ideas are created through previous thoughts. Analytic reason
and abstract thought emerge in this period. The preoperational stage is a period of egocentrism in
which the childs judgments are illogical and dominated by magical thinking and animism.
, 5. The theorist who viewed developmental progression as a lifelong series of conflicts that need
resolution is:
a. Erikson.
b. Freud.
c. Kohlberg.
d. Piaget.
ANS: A
Erik Erikson viewed development as a series of conflicts affected by social and cultural factors.
Each conflict must be resolved for the child to progress emotionally, with unsuccessful resolution
leaving the child emotionally disabled. Sigmund Freud proposed a psychosexual theory of
development in which certain parts of the body assume psychological significance as foci of
sexual energy. The foci shift as the individual moves through the different stages (oral, anal,
phallic, latency, and genital) of development. Lawrence Kohlberg described moral development
as having three levels (preconventional, conventional, and postconventional). His theory closely
parallels Piagets. Jean Piagets cognitive theory interprets how children learn and think and how
this thinking progresses and differs from adult thinking. Stages of his theory include
sensorimotor, preoperations, concrete operations, and formal operations.
6. What does the nurse need to know when observing chronically ill children at play?
a. Play is not important to hospitalized children.
b. Children need to have structured play periods.
c. Childrens play is an indication of a childs response to treatment.
d. Play is to be discouraged because it tires hospitalized children.
ANS: C
Play for all children is an activity woven with meaning and purpose and is a mechanism for
mastering their environment. For chronically ill children, play can indicate their state of wellness
and response to treatment. Play is important to all children in all environments. Although
childrens play activities appear unorganized and at times chaotic, play has purpose and meaning.
Imposing structure on play interferes with the tasks being worked on. Children who have fewer
energy reserves still require play. For these children, less-active play activities will be important.
