TEST BANK FOR CURRENT Diagnosis & Treatment Pediatrics Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank
Table of Contents:
Chapter 1. The Newborn Infant
27th Edition by Maya Bunik; William W. Hay, Chapter 2. Child Development and Behavior
Chapter 3. Adolescence
Chapter 4. Adolescent Substance Abuse
Chapter 1 - 46 Complete Chapter 5. Eating Disorders
Chapter 6. Child and Adolescent Psychiatric Disorders
Chapter 7. Child Abuse and Neglect
Chapter 8. Ambulatory / Office Pediatrics
Chapter 9. Immunization
Chapter 10. Travel Medicine
Chapter 11. Normal Childhood Nutrition and Its Disorders
Chapter 12. Emergencies and Injuries
Chapter 13. Poisoning
Chapter 14. Critical Care
Chapter 15. Skin
Chapter 16. Eye
Chapter 17. Oral Medicine and Dentistry
Chapter 18. Ear, Nose, and Throat
Chapter 19. Respiratory Tract and Mediastinum
Chapter 20. Sleep Medicine
Chapter 21. Cardiovascular Diseases
Chapter 22. Gastrointestinal Tract
Chapter 23. Liver and Pancreas
Chapter 24. Kidney and Urinary Tract
Chapter 25. Neurologic and Muscular Disorders
Chapter 26. Orthopedics
Chapter 27. Sports Medicine
Chapter 28. Rehabilitation Medicine
Chapter 29. Rheumatic Diseases
Chapter 30. Hematologic Disorders
Chapter 31. Neoplastic Disease
Chapter 32. Pain Management and Palliative Care
Chapter 33. Immunodeficiency
Chapter 34. Endocrine Disorders
Chapter 35. Diabetes Mellitus
Chapter 36. Inborn Errors of Metabolism
Chapter 37. Genetics and Dysmorphology
Chapter 38. Allergic Disorders
Chapter 39. Antimicrobial Therapy
Chapter 40. Infections: Viral and Rickettsial
, Chapter 41. Human Immunodeficiency Virus Infection An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6
Chapter 42. Infections: Bacterial and Spirochetal months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1
Chapter 43. Infections: Parasitic and Mycotic
Chapter 44. Sexually Transmitted Infections
year, and 2 years of age can be estimated from the birth weight.
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy 3. Which statement made by a parent would be consistent with a developmental delay?
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges
Chapter 1: The Newborn Infant a. I have noticed that my 9-month-old infant responds consistently to the sound of his
Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank name.
b. I have noticed that my 12-month-old child does not get herself to a sitting position
Multiple Choice or pull to stand.
c. I am so happy when my 1 1/2-month-old infant smiles at me.
1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse
d. My 5-month-old infant is not rolling over in both directions yet.
pulls the infant to a sitting position?
a. Head lag is present when the infants trunk is lifted. ANSWER: B
b. The infant is able to support the head when the trunk is lifted.
Critical developmental milestones for gross motor development in a 12 month old include
c. The infant is briefly able to hold the head erect.
standing briefly without support, getting to a sitting position, and pulling to stand. If a
d. The infant is fully able to support and hold the head in a straight line.
12month- old child does not perform these activities, it may be indicative of a developmental
delay. An infant who responds to his name at 9 months of age is demonstrating abilities to
ANSWER: C
both hear and interpret sound. A social smile is present by 2 months of age. Rolling over in
A 2-month-old infant is able to hold the head erect only briefly and continues to have some head both directions is not a critical milestone for gross motor development until the child reaches 6
lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when months of age.
pulled to a sitting position.
4. At a healthy 2-month-old infants well-child clinic visit, the nurse should give which
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth
immunizations?
weight was 7 pounds 6 ounces?
a. DTaP, IPV, HepB, Hib, PCV, rotavirus
a. 14 3/4 pounds
b. MMR, DTaP, PVC, and IPV
b. 22 1/8 pounds
c. Hib, DTaP, rotavirus, and OPV
c. 29 1/2 pounds
d. Hib and MMR, IPV, and rotavirus
d. Unable to estimate weight at 1 year
ANSWER: A
ANSWER: B
,DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a from their view. Twenty-month-old infants actively pursue objects not in their view and are
healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine capable of recalling the location of an object not in their view. They first look for hidden objects
(OPV) is no longer administered in the U.S. around the age of 9 months.
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to: 7. The parents of a newborn infant state, We will probably not have our baby immunized
because we are concerned about the risk of our child being injured. Which is the best response
a. start giving the infant a vitamin D supplement.
for the nurse to make?
b. start using an infant feeder and add rice cereal to the formula.
c. start feeding the infant rice cereal with a spoon at the evening feeding.
d. continue breast-feeding without any supplements.
ANSWER: A
Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are
exclusively breast-fed need vitamin D supplements to prevent rickets. An infant feeder is an
inappropriate method of providing the infant with caloric intake. Solid foods and rice cereal are
not recommended for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6
months of age. Because breast milk is not an adequate source of fluoride, infants need to be
given a fluoride supplement.
6. At months of age, an infant should first be expected to locate an object hidden from
view.
a. 4
b. 6
c. 9
d. 20
ANSWER: C
By 9 months of age an infant will actively search for an object that is out of sight. Four-month-
old infants are not cognitively capable of searching out objects hidden from their view. Infants
at this developmental level do not pursue hidden objects. Six-month-old infants have not
developed the ability to perceive objects as permanent and do not search out objects hidden
, a. b.
It is your decision.
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b. Have you talked with your parents about this? They can probably help
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Qq occur only when the mother left the room.
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you think about this decision.
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9. Which statement concerning physiological factors of infancy is true?
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c. The risks of not immunizing your baby are greater than the risks
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from the immunizations.
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a. The infant has a slower metabolic rate than an adult.
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d. You are making a mistake.
An infant is not able to digest protein and lactase.
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c. Infants have a slower circulatory response than adults.
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ANSWER: C Qq
d. The kidneys of an infant are less efficient in concentrating urine than an
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Although immunizations have been documented to have a negative effect in a small
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adults kidneys.
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number of cases, an unimmunized infant is at greater risk for development of
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ANSWER: D
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decision not to immunize the child; however, the nurse has a responsibility to inform
The infants kidneys are not as effective at concentrating urine compared with an
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parents about the risks to infants who are not immunized. Grandparents can be
adults kidneys because of immaturity of the renal system and a slower glomerular
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supportive but are not the primary decision makers for the infant. Telling parents that
filtration rates. The infants metabolic rate is faster, not slower, than an adults.
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the newborn infants gastrointestinal system is immature, it is capable of digesting
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8. The mother of a 9-month-old infant is concerned because the infant cries when she
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Qq leaves him. Which is the best response for the nurse to make to the mother?
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Qq levels until approximately 6 to 9 months of age.
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a. You could consider leaving the infant more often so he can adjust.
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10. Which is a priority in counseling parents of a 6-month-old infant?
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b. You might consider taking him to the doctor because he may be ill.
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c. Have you noticed whether the baby is teething?
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a. Increased appetite from secondary growth spurt
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d. This can be a healthy sign of attachment.
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b. Allowing the infant to self-feed Qq Qq Qq Qq
c. Securing a developmentally safe environment for the infant
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ANSWER: D Qq
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Healthy attachment is manifested by stranger anxiety in late infancy. An infant who
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ANSWER: C Qq
manifests stranger anxiety can be supported by the mother leaving the infant for only
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Table of Contents:
Chapter 1. The Newborn Infant
27th Edition by Maya Bunik; William W. Hay, Chapter 2. Child Development and Behavior
Chapter 3. Adolescence
Chapter 4. Adolescent Substance Abuse
Chapter 1 - 46 Complete Chapter 5. Eating Disorders
Chapter 6. Child and Adolescent Psychiatric Disorders
Chapter 7. Child Abuse and Neglect
Chapter 8. Ambulatory / Office Pediatrics
Chapter 9. Immunization
Chapter 10. Travel Medicine
Chapter 11. Normal Childhood Nutrition and Its Disorders
Chapter 12. Emergencies and Injuries
Chapter 13. Poisoning
Chapter 14. Critical Care
Chapter 15. Skin
Chapter 16. Eye
Chapter 17. Oral Medicine and Dentistry
Chapter 18. Ear, Nose, and Throat
Chapter 19. Respiratory Tract and Mediastinum
Chapter 20. Sleep Medicine
Chapter 21. Cardiovascular Diseases
Chapter 22. Gastrointestinal Tract
Chapter 23. Liver and Pancreas
Chapter 24. Kidney and Urinary Tract
Chapter 25. Neurologic and Muscular Disorders
Chapter 26. Orthopedics
Chapter 27. Sports Medicine
Chapter 28. Rehabilitation Medicine
Chapter 29. Rheumatic Diseases
Chapter 30. Hematologic Disorders
Chapter 31. Neoplastic Disease
Chapter 32. Pain Management and Palliative Care
Chapter 33. Immunodeficiency
Chapter 34. Endocrine Disorders
Chapter 35. Diabetes Mellitus
Chapter 36. Inborn Errors of Metabolism
Chapter 37. Genetics and Dysmorphology
Chapter 38. Allergic Disorders
Chapter 39. Antimicrobial Therapy
Chapter 40. Infections: Viral and Rickettsial
, Chapter 41. Human Immunodeficiency Virus Infection An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6
Chapter 42. Infections: Bacterial and Spirochetal months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1
Chapter 43. Infections: Parasitic and Mycotic
Chapter 44. Sexually Transmitted Infections
year, and 2 years of age can be estimated from the birth weight.
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy 3. Which statement made by a parent would be consistent with a developmental delay?
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges
Chapter 1: The Newborn Infant a. I have noticed that my 9-month-old infant responds consistently to the sound of his
Current Diagnosis and Treatment Pediatrics, 27th Edition Test Bank name.
b. I have noticed that my 12-month-old child does not get herself to a sitting position
Multiple Choice or pull to stand.
c. I am so happy when my 1 1/2-month-old infant smiles at me.
1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse
d. My 5-month-old infant is not rolling over in both directions yet.
pulls the infant to a sitting position?
a. Head lag is present when the infants trunk is lifted. ANSWER: B
b. The infant is able to support the head when the trunk is lifted.
Critical developmental milestones for gross motor development in a 12 month old include
c. The infant is briefly able to hold the head erect.
standing briefly without support, getting to a sitting position, and pulling to stand. If a
d. The infant is fully able to support and hold the head in a straight line.
12month- old child does not perform these activities, it may be indicative of a developmental
delay. An infant who responds to his name at 9 months of age is demonstrating abilities to
ANSWER: C
both hear and interpret sound. A social smile is present by 2 months of age. Rolling over in
A 2-month-old infant is able to hold the head erect only briefly and continues to have some head both directions is not a critical milestone for gross motor development until the child reaches 6
lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when months of age.
pulled to a sitting position.
4. At a healthy 2-month-old infants well-child clinic visit, the nurse should give which
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth
immunizations?
weight was 7 pounds 6 ounces?
a. DTaP, IPV, HepB, Hib, PCV, rotavirus
a. 14 3/4 pounds
b. MMR, DTaP, PVC, and IPV
b. 22 1/8 pounds
c. Hib, DTaP, rotavirus, and OPV
c. 29 1/2 pounds
d. Hib and MMR, IPV, and rotavirus
d. Unable to estimate weight at 1 year
ANSWER: A
ANSWER: B
,DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a from their view. Twenty-month-old infants actively pursue objects not in their view and are
healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine capable of recalling the location of an object not in their view. They first look for hidden objects
(OPV) is no longer administered in the U.S. around the age of 9 months.
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to: 7. The parents of a newborn infant state, We will probably not have our baby immunized
because we are concerned about the risk of our child being injured. Which is the best response
a. start giving the infant a vitamin D supplement.
for the nurse to make?
b. start using an infant feeder and add rice cereal to the formula.
c. start feeding the infant rice cereal with a spoon at the evening feeding.
d. continue breast-feeding without any supplements.
ANSWER: A
Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are
exclusively breast-fed need vitamin D supplements to prevent rickets. An infant feeder is an
inappropriate method of providing the infant with caloric intake. Solid foods and rice cereal are
not recommended for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6
months of age. Because breast milk is not an adequate source of fluoride, infants need to be
given a fluoride supplement.
6. At months of age, an infant should first be expected to locate an object hidden from
view.
a. 4
b. 6
c. 9
d. 20
ANSWER: C
By 9 months of age an infant will actively search for an object that is out of sight. Four-month-
old infants are not cognitively capable of searching out objects hidden from their view. Infants
at this developmental level do not pursue hidden objects. Six-month-old infants have not
developed the ability to perceive objects as permanent and do not search out objects hidden
, a. b.
It is your decision.
Qq Qq Qq Qq infant to a physician. Pain from teething expressed by the infants cries would not
Qq Qq Qq Qq Qq Qq Qq Qq Qq Qq Qq Qq Qq
b. Have you talked with your parents about this? They can probably help
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Qq occur only when the mother left the room.
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you think about this decision.
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9. Which statement concerning physiological factors of infancy is true?
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c. The risks of not immunizing your baby are greater than the risks
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from the immunizations.
Qq Qq Qq
a. The infant has a slower metabolic rate than an adult.
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d. You are making a mistake.
An infant is not able to digest protein and lactase.
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c. Infants have a slower circulatory response than adults.
Qq Qq Qq Qq Qq Qq Qq
ANSWER: C Qq
d. The kidneys of an infant are less efficient in concentrating urine than an
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Although immunizations have been documented to have a negative effect in a small
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adults kidneys.
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number of cases, an unimmunized infant is at greater risk for development of
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ANSWER: D
complications from childhood diseases than from the vaccines. It is the parents
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decision not to immunize the child; however, the nurse has a responsibility to inform
The infants kidneys are not as effective at concentrating urine compared with an
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parents about the risks to infants who are not immunized. Grandparents can be
adults kidneys because of immaturity of the renal system and a slower glomerular
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supportive but are not the primary decision makers for the infant. Telling parents that
filtration rates. The infants metabolic rate is faster, not slower, than an adults.
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Qq they are making a mistake is an inappropriate response.
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the newborn infants gastrointestinal system is immature, it is capable of digesting
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8. The mother of a 9-month-old infant is concerned because the infant cries when she
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Qq leaves him. Which is the best response for the nurse to make to the mother?
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Qq levels until approximately 6 to 9 months of age.
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a. You could consider leaving the infant more often so he can adjust.
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10. Which is a priority in counseling parents of a 6-month-old infant?
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b. You might consider taking him to the doctor because he may be ill.
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c. Have you noticed whether the baby is teething?
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a. Increased appetite from secondary growth spurt
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d. This can be a healthy sign of attachment.
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b. Allowing the infant to self-feed Qq Qq Qq Qq
c. Securing a developmentally safe environment for the infant
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ANSWER: D Qq
d. Strategies to teach infants to sit up Qq Qq Qq Qq Qq Qq
Healthy attachment is manifested by stranger anxiety in late infancy. An infant who
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ANSWER: C Qq
manifests stranger anxiety can be supported by the mother leaving the infant for only
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Qq Qq Qq Qq Qq Qq Qq Qq Qq Qq Qq Safety is a primary concern as an infant becomes increasingly mobile. The infants
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