Chapter 08: Growth, Measurement, and Nutrition
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The gonads begin to secrete estrogen and testosterone during:
a. infancy.
b. puberty.
c. pregnancy.
d. early adulthood.
ANS: B
At puberty, the gonads secrete testosterone and estrogen. As a result, secondary sex
characteristics (e.g., genitalia growth) begin to
appear. Maturation occurs at a mean age of 11.5 years in females and 13.5 years in males.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Developmental changes of puberty are caused mainly by the interaction of the pituitary gland,
gonads, and:
a. hypothalamus.
b. islet cells.
c. thalamus.
d. thymus.
ANS: A
Under the influence of the hypothalamus, pituitary gland, and gonads, developmental changes of
puberty are established.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. After 50 years of age, stature:
a. becomes fixed.
b. begins a barely perceptible secondary increase.
c. increases at a rate of 0.5 cm/year.
d. declines.
ANS: D
As the individual reaches 50 years of age, the intervertebral disk begins to thin and become more
compressed, which leads to a
decline in stature.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. By 10 to 12 years of age, lymphatic tissues are about:
a. 25% of adult size.
b. 50% of adult size.
c. the same as adult size.
d. twice the size of those in the adult.
, ANS: D
Lymphatic tissues are small compared with total body size, but they are almost fully developed
at birth. They grow fast and are
about twice the adult size by age 10 to 12 years.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. During adolescence, the head size normally increases as a result of:
a. sinus development.
b. brain mass increase.
c. evolution of lymphatic tissue.
d. hypertrophy of myelin.
ANS: A
As the facial sinuses grow, the head size enlarges its surface area to accommodate their growth.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Gender-specific skeletal differences first occur during:
a. the second stage of fetal development.
b. late infancy.
c. early childhood.
d. adolescence.
ANS: D
During adolescence, females develop a wider pelvis and males develop broad shoulders; males
transition from a slight increase in
body fat to more lean muscle mass in later puberty, whereas females maintain an increase in
adipose tissue throughout adolescence.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. Mrs. Layton is a 33-year-old patient who is obese. Most adult obesity begins:
a. in adolescence.
b. in childhood.
c. after the skeletal growth is completed.
d. once sexual maturation is complete.
ANS: A
Most adult obesity begins in adolescence.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. The legs are the fastest growing body part during:
a. early infancy.
b. late infancy.
c. childhood.
d. early adulthood.
ANS: C
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The gonads begin to secrete estrogen and testosterone during:
a. infancy.
b. puberty.
c. pregnancy.
d. early adulthood.
ANS: B
At puberty, the gonads secrete testosterone and estrogen. As a result, secondary sex
characteristics (e.g., genitalia growth) begin to
appear. Maturation occurs at a mean age of 11.5 years in females and 13.5 years in males.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Developmental changes of puberty are caused mainly by the interaction of the pituitary gland,
gonads, and:
a. hypothalamus.
b. islet cells.
c. thalamus.
d. thymus.
ANS: A
Under the influence of the hypothalamus, pituitary gland, and gonads, developmental changes of
puberty are established.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. After 50 years of age, stature:
a. becomes fixed.
b. begins a barely perceptible secondary increase.
c. increases at a rate of 0.5 cm/year.
d. declines.
ANS: D
As the individual reaches 50 years of age, the intervertebral disk begins to thin and become more
compressed, which leads to a
decline in stature.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. By 10 to 12 years of age, lymphatic tissues are about:
a. 25% of adult size.
b. 50% of adult size.
c. the same as adult size.
d. twice the size of those in the adult.
, ANS: D
Lymphatic tissues are small compared with total body size, but they are almost fully developed
at birth. They grow fast and are
about twice the adult size by age 10 to 12 years.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. During adolescence, the head size normally increases as a result of:
a. sinus development.
b. brain mass increase.
c. evolution of lymphatic tissue.
d. hypertrophy of myelin.
ANS: A
As the facial sinuses grow, the head size enlarges its surface area to accommodate their growth.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Gender-specific skeletal differences first occur during:
a. the second stage of fetal development.
b. late infancy.
c. early childhood.
d. adolescence.
ANS: D
During adolescence, females develop a wider pelvis and males develop broad shoulders; males
transition from a slight increase in
body fat to more lean muscle mass in later puberty, whereas females maintain an increase in
adipose tissue throughout adolescence.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. Mrs. Layton is a 33-year-old patient who is obese. Most adult obesity begins:
a. in adolescence.
b. in childhood.
c. after the skeletal growth is completed.
d. once sexual maturation is complete.
ANS: A
Most adult obesity begins in adolescence.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. The legs are the fastest growing body part during:
a. early infancy.
b. late infancy.
c. childhood.
d. early adulthood.
ANS: C
