,Pediatric Physical Examination 4th Edition Duderstadt TESTBANK
s1 s1 s1 s1 s1 s1
Chapter 1: Approach to Care and Assessment of Children and Adolescents
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
MULTIPLE CHOICE s1
1. A nurse is reviewing developmental concepts for infants and children. Which statement bes
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
t describes development in infants and children?
s1 s1 s1 s1 s1 s1
a. Development, a predictable and orderly process, occurs at varying rates within normal limits
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
.
b. Development is primarily related to the growth in the number and size of cells.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
, c. Development occurs in a proximodistal direction with fine muscle development occurrin
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
g first. s1
d. Development is more easily and accurately measured than growth. s1 s1 s1 s1 s1 s1 s1 s1
ANS: A s1
Development, a continuous orderly process, provides the basis for increases in the childs function
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s
1 and complexity of behavior. The increases in rate of function and complexity can vary normally
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
within limits for each child. An increase in the number and size of cells is a definition for growth.
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 Development proceeds in a proximodistal direction with fine muscle organization occurring as a
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s
1 result of large muscle organization. Development is a more complex process that is affected by
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
many factors; therefore, it is less easily and accurately measured. Growth is a predictable process
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
s1 with standard measurement methods.
s1 s1 s1
2. Frequent developmental assessments are important for which reason?
s1 s1 s1 s1 s1 s1 s1
a. Stable developmental periods during infancy provide an opportunity to identify any delays o
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
r deficits. s1
b. Infants need stimulation specific to the stage of development.
s1 s1 s1 s1 s1 s1 s1 s1
c. Critical periods of development occur during childhood.
s1 s1 s1 s1 s1 s1
d. Child development is unpredictable and needs monitoring.
s1 s1 s1 s1 s1 s1
ANS: C s1
Critical periods are blocks of time during which children are ready to master specific developme
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
ntal tasks. Children can master these tasks more easily during particular periods of time in their g
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
rowth and developmental process. Infancy is a dynamic time of development that requires frequ
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
ent evaluations to assess appropriate developmental progress. Infants in a nurturing environment
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s
1 will develop appropriately and will not necessarily need stimulation specific to their developme
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
ntal stage. Normal growth and development are orderly and proceed in a predictable pattern on t
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
he basis of each individuals abilities and potentials.
s1 s1 s1 s1 s1 s1 s1
3. Which factor has the greatest influence on child growth and development?
s1 s1 s1 s1 s1 s1 s1 s1 s1 s1
a. Culture
b. Environment
c. Genetics