TEST BANK FOR PEDIATRIC PHYSICAL
EXAMINATION AN ILLUSTRATED HANDBOOK
4TH EDITION DUDERSTADT LATEST
,TABLE OF CONTENTS
CHAPTER 1: APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND ADOLESCENTS ............................ 3
CHAPTER 2. PHYSICAL ASSESSMENT PARAMETERS .................................................................................... 18
CHAPTER 3. DEVELOPMENTAL SURVEILLANCE AND SCREENING ............................................................... 31
CHAPTER 4. COMPREHENSIVE HEALTH GATHERING .................................................................................. 40
CHAPTER 5. ENVIRONMENTAL HEALTH HISTORY ....................................................................................... 47
CHAPTER 6 NEWBORN ASSESSMENT.......................................................................................................... 53
CHAPTER 7. SKIN ......................................................................................................................................... 70
CHAPTER 8. HEART AND VASCULAR SYSTEM.............................................................................................. 80
CHAPTER 9. CHEST AND RESPIRATORY SYSTEM ......................................................................................... 95
CHAPTER 10. HEAD AND NECK.................................................................................................................. 115
CHAPTER 11. LYMPHATIC SYSTEM ............................................................................................................ 122
CHAPTER 12. EYES ..................................................................................................................................... 132
CHAPTER 13. EARS .................................................................................................................................... 144
CHAPTER 14. NOSE, MOUTH, AND THROAT ............................................................................................. 149
CHAPTER 15. ABDOMEN AND RECTUM .................................................................................................... 152
CHAPTER 16. MALE GENITALIA ................................................................................................................. 173
CHAPTER 17. MALE AND FEMALE BREAST MULTIPLE CHOICE ................................................................. 176
CHAPTER 18. FEMALE GENITALIA ............................................................................................................. 189
CHAPTER 19. MUSCULOSKELETAL SYSTEM............................................................................................... 194
CHAPTER 20. NEUROLOGICAL SYSTEM ..................................................................................................... 213
,TEST BANK FOR PEDIATRIC PHYSICAL
EXAMINATION AN ILLUSTRATED HANDBOOK
4TH EDITION DUDERSTADT LATEST
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.
ANSWER: 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.
SBTUUYVBIAU.YCOAMND-ANTDHESEMLLASREKLEL TYPOLAUCRYEOTUOR
BSUTUYDAYNSDTUSDEYLLMYAOTUERRISATLUMDAYTEMRIATLERIAL
ANSWER: 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
ANSWER: C
EXAMINATION AN ILLUSTRATED HANDBOOK
4TH EDITION DUDERSTADT LATEST
,TABLE OF CONTENTS
CHAPTER 1: APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND ADOLESCENTS ............................ 3
CHAPTER 2. PHYSICAL ASSESSMENT PARAMETERS .................................................................................... 18
CHAPTER 3. DEVELOPMENTAL SURVEILLANCE AND SCREENING ............................................................... 31
CHAPTER 4. COMPREHENSIVE HEALTH GATHERING .................................................................................. 40
CHAPTER 5. ENVIRONMENTAL HEALTH HISTORY ....................................................................................... 47
CHAPTER 6 NEWBORN ASSESSMENT.......................................................................................................... 53
CHAPTER 7. SKIN ......................................................................................................................................... 70
CHAPTER 8. HEART AND VASCULAR SYSTEM.............................................................................................. 80
CHAPTER 9. CHEST AND RESPIRATORY SYSTEM ......................................................................................... 95
CHAPTER 10. HEAD AND NECK.................................................................................................................. 115
CHAPTER 11. LYMPHATIC SYSTEM ............................................................................................................ 122
CHAPTER 12. EYES ..................................................................................................................................... 132
CHAPTER 13. EARS .................................................................................................................................... 144
CHAPTER 14. NOSE, MOUTH, AND THROAT ............................................................................................. 149
CHAPTER 15. ABDOMEN AND RECTUM .................................................................................................... 152
CHAPTER 16. MALE GENITALIA ................................................................................................................. 173
CHAPTER 17. MALE AND FEMALE BREAST MULTIPLE CHOICE ................................................................. 176
CHAPTER 18. FEMALE GENITALIA ............................................................................................................. 189
CHAPTER 19. MUSCULOSKELETAL SYSTEM............................................................................................... 194
CHAPTER 20. NEUROLOGICAL SYSTEM ..................................................................................................... 213
,TEST BANK FOR PEDIATRIC PHYSICAL
EXAMINATION AN ILLUSTRATED HANDBOOK
4TH EDITION DUDERSTADT LATEST
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.
ANSWER: 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.
SBTUUYVBIAU.YCOAMND-ANTDHESEMLLASREKLEL TYPOLAUCRYEOTUOR
BSUTUYDAYNSDTUSDEYLLMYAOTUERRISATLUMDAYTEMRIATLERIAL
ANSWER: 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
ANSWER: C
