TEST BANK Current Diagnosis and Treatment Pediatrics, 24th Edition Test Bank
Table of Contents:
Chapter 1. The Newborn Infant
Chapter 2. Child Development and Behavior
Chapter 3. Adolescence
CURRENT Diagnosis and
Chapter 4. Adolescent Substance Abuse
Chapter 5. Eating Disorders
Chapter 6. Child and Adolescent Psychiatric Disorders
Chapter 7. Child Abuse and Neglect
Treatment Pediatrics
Chapter 8. Ambulatory / Office Pediatrics
Chapter 9. Immunization
Chapter 10. Travel Medicine
Chapter 11. Normal Childhood Nutrition and Its Disorders
24th Edition, by William Hay
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
Chapter 42. Infections: Bacterial and Spirochetal
Chapter 43. Infections: Parasitic and Mycotic
Chapter 44. Sexually Transmitted Infections
TEST BANK
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges
, 3. Which statement made by a parent would be consistent with a developmental delay?
Chapter 1: The Newborn Infant
Current Diagnosis and Treatment Pediatrics, 24th Edition Test Bank
a. I have noticed that my 9-month-old infant responds consistently to the sound of
his name.
Multiple Choice
b. I have noticed that my 12-month-old child does not get herself to a sitting
1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse pulls position or pull to stand.
the infant to a sitting position? c. I am so happy when my 1 1/2-month-old infant smiles at me.
a. Head lag is present when the infants trunk is lifted. d. My 5-month-old infant is not rolling over in both directions yet.
b. The infant is able to support the head when the trunk is lifted.
ANS: B
c. The infant is briefly able to hold the head erect.
d. The infant is fully able to support and hold the head in a straight line. Critical developmental milestones for gross motor development in a 12 month old include
standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month-
ANS: C 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 both hear and
A 2-month-old infant is able to hold the head erect only briefly and continues to have some head interpret sound. A social smile is present by 2 months of age. Rolling over in both directions is
lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when not a critical milestone for gross motor development until the child reaches 6 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 weight immunizations?
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
ANS: A
ANS: B
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a
An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6 healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine
months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 (OPV) is no longer administered in the U.S.
year, and 2 years of age can be estimated from the birth weight.
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
a. start giving the infant a vitamin D supplement.
,b. start using an infant feeder and add rice cereal to the formula. a. It is your decision.
c. start feeding the infant rice cereal with a spoon at the evening feeding. b. Have you talked with your parents about this? They can probably help you think
about this decision.
d. continue breast-feeding without any supplements.
c. The risks of not immunizing your baby are greater than the risks from the
immunizations.
ANS: A
d. You are making a mistake.
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 ANS: C
inappropriate method of providing the infant with caloric intake. Solid foods and rice cereal are
Although immunizations have been documented to have a negative effect in a small number of
not recommended for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6
cases, an unimmunized infant is at greater risk for development of complications from childhood
months of age. Because breast milk is not an adequate source of fluoride, infants need to be
diseases than from the vaccines. It is the parents decision not to immunize the child; however,
given a fluoride supplement.
the nurse has a responsibility to inform parents about the risks to infants who are not immunized.
6. At months of age, an infant should first be expected to locate an object hidden from Grandparents can be supportive but are not the primary decision makers for the infant. Telling
view. parents that they are making a mistake is an inappropriate response.
a. 4 8. The mother of a 9-month-old infant is concerned because the infant cries when she leaves him.
b. 6 Which is the best response for the nurse to make to the mother?
c. 9 a. You could consider leaving the infant more often so he can adjust.
d. 20 b. You might consider taking him to the doctor because he may be ill.
c. Have you noticed whether the baby is teething?
ANS: C
d. This can be a healthy sign of attachment.
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 ANS: D
this developmental level do not pursue hidden objects. Six-month-old infants have not developed
Healthy attachment is manifested by stranger anxiety in late infancy. An infant who manifests
the ability to perceive objects as permanent and do not search out objects hidden from their view.
stranger anxiety can be supported by the mother leaving the infant for only short periods of time.
Twenty-month-old infants actively pursue objects not in their view and are capable of recalling
Assessing developmental needs is appropriate before taking an infant to a physician. Pain from
the location of an object not in their view. They first look for hidden objects around the age of 9
teething expressed by the infants cries would not occur only when the mother left the room.
months.
9. Which statement concerning physiological factors of infancy is true?
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 for the a. The infant has a slower metabolic rate than an adult.
nurse to make?
, b. An infant is not able to digest protein and lactase. c. It is helpful to keep a record of your babys eating, waking, sleeping, and
elimination patterns and to come back in a week to discuss them.
c. Infants have a slower circulatory response than adults.
d. This infant is difficult. It is important for you to identify what is bothering the
d. The kidneys of an infant are less efficient in concentrating urine than an adults baby.
kidneys.
ANS: B
ANS: D
Newborn infants may sleep as much as 17 to 20 hours per day. Sleep patterns vary widely, with
The infants kidneys are not as effective at concentrating urine compared with an adults kidneys
some infants sleeping only 2 to 3 hours at a time. Infants typically do not need more caloric
because of immaturity of the renal system and a slower glomerular filtration rates. The infants
intake to improve sleep behaviors. Keeping intake, output, waking, and sleeping data is not
metabolic rate is faster, not slower, than an adults. Although the newborn infants gastrointestinal
typically helpful in discussing differences among infants behaviors. Identifying an infant as
system is immature, it is capable of digesting protein and lactase, but the ability to digest and
difficult without identifying helpful actions is not a therapeutic response for a parent concerned
absorb fat does not reach adult levels until approximately 6 to 9 months of age.
about sleep.
10. Which is a priority in counseling parents of a 6-month-old infant?
12. The mother of a 10-month-old infant tells the nurse that her infant really likes cows milk.
a. Increased appetite from secondary growth spurt Which is the best response to this mother?
b. Allowing the infant to self-feed
a. Milk is good for him.
c. Securing a developmentally safe environment for the infant
b. It is best to wait until he is a year old before giving him cows milk.
d. Strategies to teach infants to sit up
c. Limit cows milk to his bedtime bottle.
d. Mix his cereal with cows milk and give him formula in a bottle.
ANS: C
Safety is a primary concern as an infant becomes increasingly mobile. The infants appetite and ANS: B
growth velocity decrease in the second half of infancy. Fine motor development, which is refined
It is best to wait until the infant is at least a year old before giving him cows milk because of the
in the second half of infancy, is necessary before the infant can self-feed. Unless the infant has a
risk of allergies and intestinal problems. Cows milk protein intolerance is the most common food
neuromuscular deficit, strategies for teaching a normally developing infant to sit up are not
allergy during infancy. Although milk is a good source of calcium and protein for children after
necessary.
the first year of life, it is not the best source of nutrients for children younger than 1 year old.
11. A mother of a 2-month-old infant tells the nurse, My child doesnt sleep as much as his older Bedtime bottles of formula or milk are contraindicated because of their high sugar content,
brother did at the same age. What is the best response for the nurse? which leads to dental decay in primary teeth. Cereal can be mixed with formula.
a. Have you tried to feed the baby more often? 13. The mother of a 10-month-old infant asks the nurse about beginning to wean her child from
b. Infant sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at the bottle. Which statement by the mother suggests that the child is not ready to be weaned?
a time.
a. My son is frequently throwing his bottle down.
Table of Contents:
Chapter 1. The Newborn Infant
Chapter 2. Child Development and Behavior
Chapter 3. Adolescence
CURRENT Diagnosis and
Chapter 4. Adolescent Substance Abuse
Chapter 5. Eating Disorders
Chapter 6. Child and Adolescent Psychiatric Disorders
Chapter 7. Child Abuse and Neglect
Treatment Pediatrics
Chapter 8. Ambulatory / Office Pediatrics
Chapter 9. Immunization
Chapter 10. Travel Medicine
Chapter 11. Normal Childhood Nutrition and Its Disorders
24th Edition, by William Hay
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
Chapter 42. Infections: Bacterial and Spirochetal
Chapter 43. Infections: Parasitic and Mycotic
Chapter 44. Sexually Transmitted Infections
TEST BANK
Chapter 45. Fluid, Electrolyte, and Acid-Base Disorders and Therapy
Chapter 46. Pediatric Laboratory Medicine and Reference Ranges
, 3. Which statement made by a parent would be consistent with a developmental delay?
Chapter 1: The Newborn Infant
Current Diagnosis and Treatment Pediatrics, 24th Edition Test Bank
a. I have noticed that my 9-month-old infant responds consistently to the sound of
his name.
Multiple Choice
b. I have noticed that my 12-month-old child does not get herself to a sitting
1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse pulls position or pull to stand.
the infant to a sitting position? c. I am so happy when my 1 1/2-month-old infant smiles at me.
a. Head lag is present when the infants trunk is lifted. d. My 5-month-old infant is not rolling over in both directions yet.
b. The infant is able to support the head when the trunk is lifted.
ANS: B
c. The infant is briefly able to hold the head erect.
d. The infant is fully able to support and hold the head in a straight line. Critical developmental milestones for gross motor development in a 12 month old include
standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month-
ANS: C 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 both hear and
A 2-month-old infant is able to hold the head erect only briefly and continues to have some head interpret sound. A social smile is present by 2 months of age. Rolling over in both directions is
lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when not a critical milestone for gross motor development until the child reaches 6 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 weight immunizations?
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
ANS: A
ANS: B
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a
An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6 healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine
months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 (OPV) is no longer administered in the U.S.
year, and 2 years of age can be estimated from the birth weight.
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
a. start giving the infant a vitamin D supplement.
,b. start using an infant feeder and add rice cereal to the formula. a. It is your decision.
c. start feeding the infant rice cereal with a spoon at the evening feeding. b. Have you talked with your parents about this? They can probably help you think
about this decision.
d. continue breast-feeding without any supplements.
c. The risks of not immunizing your baby are greater than the risks from the
immunizations.
ANS: A
d. You are making a mistake.
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 ANS: C
inappropriate method of providing the infant with caloric intake. Solid foods and rice cereal are
Although immunizations have been documented to have a negative effect in a small number of
not recommended for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6
cases, an unimmunized infant is at greater risk for development of complications from childhood
months of age. Because breast milk is not an adequate source of fluoride, infants need to be
diseases than from the vaccines. It is the parents decision not to immunize the child; however,
given a fluoride supplement.
the nurse has a responsibility to inform parents about the risks to infants who are not immunized.
6. At months of age, an infant should first be expected to locate an object hidden from Grandparents can be supportive but are not the primary decision makers for the infant. Telling
view. parents that they are making a mistake is an inappropriate response.
a. 4 8. The mother of a 9-month-old infant is concerned because the infant cries when she leaves him.
b. 6 Which is the best response for the nurse to make to the mother?
c. 9 a. You could consider leaving the infant more often so he can adjust.
d. 20 b. You might consider taking him to the doctor because he may be ill.
c. Have you noticed whether the baby is teething?
ANS: C
d. This can be a healthy sign of attachment.
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 ANS: D
this developmental level do not pursue hidden objects. Six-month-old infants have not developed
Healthy attachment is manifested by stranger anxiety in late infancy. An infant who manifests
the ability to perceive objects as permanent and do not search out objects hidden from their view.
stranger anxiety can be supported by the mother leaving the infant for only short periods of time.
Twenty-month-old infants actively pursue objects not in their view and are capable of recalling
Assessing developmental needs is appropriate before taking an infant to a physician. Pain from
the location of an object not in their view. They first look for hidden objects around the age of 9
teething expressed by the infants cries would not occur only when the mother left the room.
months.
9. Which statement concerning physiological factors of infancy is true?
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 for the a. The infant has a slower metabolic rate than an adult.
nurse to make?
, b. An infant is not able to digest protein and lactase. c. It is helpful to keep a record of your babys eating, waking, sleeping, and
elimination patterns and to come back in a week to discuss them.
c. Infants have a slower circulatory response than adults.
d. This infant is difficult. It is important for you to identify what is bothering the
d. The kidneys of an infant are less efficient in concentrating urine than an adults baby.
kidneys.
ANS: B
ANS: D
Newborn infants may sleep as much as 17 to 20 hours per day. Sleep patterns vary widely, with
The infants kidneys are not as effective at concentrating urine compared with an adults kidneys
some infants sleeping only 2 to 3 hours at a time. Infants typically do not need more caloric
because of immaturity of the renal system and a slower glomerular filtration rates. The infants
intake to improve sleep behaviors. Keeping intake, output, waking, and sleeping data is not
metabolic rate is faster, not slower, than an adults. Although the newborn infants gastrointestinal
typically helpful in discussing differences among infants behaviors. Identifying an infant as
system is immature, it is capable of digesting protein and lactase, but the ability to digest and
difficult without identifying helpful actions is not a therapeutic response for a parent concerned
absorb fat does not reach adult levels until approximately 6 to 9 months of age.
about sleep.
10. Which is a priority in counseling parents of a 6-month-old infant?
12. The mother of a 10-month-old infant tells the nurse that her infant really likes cows milk.
a. Increased appetite from secondary growth spurt Which is the best response to this mother?
b. Allowing the infant to self-feed
a. Milk is good for him.
c. Securing a developmentally safe environment for the infant
b. It is best to wait until he is a year old before giving him cows milk.
d. Strategies to teach infants to sit up
c. Limit cows milk to his bedtime bottle.
d. Mix his cereal with cows milk and give him formula in a bottle.
ANS: C
Safety is a primary concern as an infant becomes increasingly mobile. The infants appetite and ANS: B
growth velocity decrease in the second half of infancy. Fine motor development, which is refined
It is best to wait until the infant is at least a year old before giving him cows milk because of the
in the second half of infancy, is necessary before the infant can self-feed. Unless the infant has a
risk of allergies and intestinal problems. Cows milk protein intolerance is the most common food
neuromuscular deficit, strategies for teaching a normally developing infant to sit up are not
allergy during infancy. Although milk is a good source of calcium and protein for children after
necessary.
the first year of life, it is not the best source of nutrients for children younger than 1 year old.
11. A mother of a 2-month-old infant tells the nurse, My child doesnt sleep as much as his older Bedtime bottles of formula or milk are contraindicated because of their high sugar content,
brother did at the same age. What is the best response for the nurse? which leads to dental decay in primary teeth. Cereal can be mixed with formula.
a. Have you tried to feed the baby more often? 13. The mother of a 10-month-old infant asks the nurse about beginning to wean her child from
b. Infant sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at the bottle. Which statement by the mother suggests that the child is not ready to be weaned?
a time.
a. My son is frequently throwing his bottle down.
