Advanced Health Assessment Final Exam Prep – Practice
Questions & Answers | Latest Update 2026 | Graded A+
1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which of the
following statements is true about sexual maturation?
A. Breast and pubic hair development are not related to a growth spurt.
B. Sexual maturation occurs later in girls than boys.
C. Mexican American girls enter puberty later than blacks and earlier than whites.
D. Sexual maturation occurs later in taller girls. - correct answerC. Mexican American
girls enter puberty later than blacks and earlier than whites.
Sexual maturation begins earlier in girls with a higher body mass index. On average,
black girls enter puberty first, followed by Mexican American girls, and then white girls.
1. Mrs. Jones has brought her 4-month-old female infant in for her routine physical.
Which statement is true about the baby's expected weight?
A. Weight doubles during the first 3 months, then triples by 1 year.
B. Weight doubles during the first 4 to 5 months, then triples by 1 year.
C. Weight doubles during the first 6 months, and doubles again by 1 year.
D. Weight doubles during the first 6 months, and then triples by 18 months. - correct
answerB. Weight doubles during the first 4 to 5 months, then triples by 1 year.
In general, infants double their birth weight by 4 to 5 months of age and triple their birth
weight by 12 months of age. The remaining answers are not true.
1. The appearance of secondary sexual characteristics in an 8-year-old boy followed by
progressive sexual maturation can be indicative of which problem?
A. Cushing syndrome
B. Klinefelter syndrome
C. Testicular tumor
D. Brain tumor - correct answerD. Brain tumor
A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate the hypothalamic-
pituitary-gonadal axis, with gonadotropins triggering the growth of the gonads, secretion
of the sex hormones, and progressive sexual maturation. Answers a, b, and c result in
different characteristics.
Which of the following inhibits the pituitary from releasing growth hormone?
A. Growth hormone-releasing hormone
B. Insulin-like growth factor
C. Somatostatin
D. Sex steroids - correct answerC. Somatostatin
,Somatostatin inhibits the secretion of both growth hormone-releasing hormone (GHRH)
and thyroid-stimulating hormone. Growth hormone is secreted in pulses, with 70% of
secretion occurring during deep sleep.
Growth of which body region predominates during infancy?
A. Head
B. Arms
C. Trunk
D. Legs - correct answerC. Trunk
During infancy, the growth of the trunk predominates. Weight gain is initially rapid, but
the speed with which weight is gained decreases over the first year of life. Growth of the
head predominates during the fetal period. Growth of legs predominates during
childhood.
In the older adult patient, stature begins to decline at:
A. 40 years of age.
B. 50 years of age.
C. 60 years of age.
D. 70 years of age. - correct answerB. 50 years of age.
Physical stature declines in older adults beginning at approximately 50 years of age.
The intervertebral disks thin, and kyphosis develops with osteoporotic vertebral
compression.
Which factor accounts for the majority of weight gained by a pregnant woman during the
third trimester?
A. Placental growth
B. Increase in amniotic fluid
C. Growth of maternal tissues
Fetal growth - correct answerD. Fetal growth
Maternal tissue growth accounts for most of the weight gained in the first and second
trimesters. Fetal growth accounts for most weight gained during the third trimester.
Placental and increase in amniotic fluid growth are part of the maternal tissue growth
that accounts for weight gained in the first and second trimesters.
Which is the most rapid and critical period of brain growth?
A. Birth to 1 year of age
B. Conception to 3 years of age
C. Birth to 4 years of age
D. One to 2 years of age - correct answerB. Conception to 3 years of age
The brain, along with the skull, eyes, and ears, completes physical development more
quickly than any other body part. The most rapid and critical period of brain growth
occurs between conception and 3 years of age.
,A neonate was 18½ inches long at birth. What would you expect his length to be at age
1 year?
A. 24 to 25 inches
B. 27¾ inches
C. 30 to 31 inches
D. 37 inches - correct answerB. 27¾ inches
At birth, healthy term newborns have length variations between 45 and 55 cm (18 and
22 inches). Length increases by 50% in the first year of life (18.5/2 + 9.25 = 27.75).
The prevalence of obesity among adults is increasing. In 2010 in the United States,
what was the percentage of obese adults?
A. 15.5%
B. 35.7%
C. 49%
D. 65.2% - correct answerB. 35.7%
Obese children often become obese adults. In 2010, 35.7% of adults in the United
States were obese (Center for Disease Control Division of Nutrition, Physical Activity,
and Obesity, 2012).
A more rapid than expected weight gain in early infancy is associated with an increased
risk of which type of problem in adulthood?
A. Respiratory
B. Endocrine
C. Cardiovascular
D. Renal - correct answerC. Cardiovascular
A more rapid weight gain than expected during early infancy (e.g., the infant's weight
percentile level keeps increasing rather than following a specific growth curve) is
associated with increased cardiovascular disease risk as an adult (Singhal, 2006).
To accurately assess height velocity, a child's height can be measured:
A. at 6-month intervals.
B. at 9-month intervals.
C. at 12-month intervals.
D. at 15-month intervals. - correct answerC. at 12-month intervals.
To calculate height velocity, determine the change in height over a time interval (e.g., 1
year). Shorter time intervals may reflect seasonal variations in growth. Make height
measurements as close to 12 months apart as possible, no fewer than 10 months and
no more than 14 months. (See the website for gender-specific height velocity growth
curves during adolescence.)
Which occurrence marks the completion of skeletal growth?
, A. Fused epiphyses of long bones
B. Eighteenth birthday
C. Fused epiphyses of all bones
D. Fifteenth birthday - correct answerA. Fused epiphyses of long bones
Skeletal growth is considered complete when the epiphyses of long bones have
completely fused during late puberty. Although more than 90% of the skeletal mass is
present by 18 years of age, this is incorrect because it does not apply to everyone.
Answers c and d are false statements.
Typically, an infant's weight, height (length), and _______________ are routinely
measured to assess and monitor growth.
A. head circumference
B. hip-to-toe length
C. forearm length
D. chest circumference - correct answerA. head circumference
A newborn's fetal growth pattern and size for gestational age can be determined once
gestational age is assigned. An intrauterine growth curve is used to plot the newborn's
birth weight, length, and head circumference (see Evolve website for growth curves).
The infant is then classified as small, appropriate, or large for gestational age by
percentile curve placement for weeks of gestation.
Mrs. Niland brings her 13-year-old daughter in for a physical examination. Which of the
following rating tools would you use to determine the child's pubertal development?
A. Philip pubertal rating
B. Turner maturation rating
C. Sexual maturity rating
D. Pubertal maturation rating - correct answerC. Sexual maturity rating
Sexual maturity rating (SMR) may be assigned to determine the child's overall pubertal
development. This is done after the secondary sexual characteristics are examined.
Which is a true statement about lymphatic tissue?
A. The number of adipose cells affects development of lymph tissue.
B. At 10 to 12 years of age, lymph tissue is at its peak.
C. Lymphatic tissues are completely developed by 6 years of age.
D. During adolescence, lymphatic tissues increase in size. - correct answerB. At 10 to
12 years of age, lymph tissue is at its peak.
Lymph nodes, spleen, tonsils, adenoids, and blood lymphocytes constitute lymph tissue.
These tissues grow rapidly to reach adult size by 6 years of age but peak and double
the adult size between 10 to 12 years of age.
A baby's height, until 2 years of age, is measured by:
A. the recumbent length.
Questions & Answers | Latest Update 2026 | Graded A+
1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which of the
following statements is true about sexual maturation?
A. Breast and pubic hair development are not related to a growth spurt.
B. Sexual maturation occurs later in girls than boys.
C. Mexican American girls enter puberty later than blacks and earlier than whites.
D. Sexual maturation occurs later in taller girls. - correct answerC. Mexican American
girls enter puberty later than blacks and earlier than whites.
Sexual maturation begins earlier in girls with a higher body mass index. On average,
black girls enter puberty first, followed by Mexican American girls, and then white girls.
1. Mrs. Jones has brought her 4-month-old female infant in for her routine physical.
Which statement is true about the baby's expected weight?
A. Weight doubles during the first 3 months, then triples by 1 year.
B. Weight doubles during the first 4 to 5 months, then triples by 1 year.
C. Weight doubles during the first 6 months, and doubles again by 1 year.
D. Weight doubles during the first 6 months, and then triples by 18 months. - correct
answerB. Weight doubles during the first 4 to 5 months, then triples by 1 year.
In general, infants double their birth weight by 4 to 5 months of age and triple their birth
weight by 12 months of age. The remaining answers are not true.
1. The appearance of secondary sexual characteristics in an 8-year-old boy followed by
progressive sexual maturation can be indicative of which problem?
A. Cushing syndrome
B. Klinefelter syndrome
C. Testicular tumor
D. Brain tumor - correct answerD. Brain tumor
A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate the hypothalamic-
pituitary-gonadal axis, with gonadotropins triggering the growth of the gonads, secretion
of the sex hormones, and progressive sexual maturation. Answers a, b, and c result in
different characteristics.
Which of the following inhibits the pituitary from releasing growth hormone?
A. Growth hormone-releasing hormone
B. Insulin-like growth factor
C. Somatostatin
D. Sex steroids - correct answerC. Somatostatin
,Somatostatin inhibits the secretion of both growth hormone-releasing hormone (GHRH)
and thyroid-stimulating hormone. Growth hormone is secreted in pulses, with 70% of
secretion occurring during deep sleep.
Growth of which body region predominates during infancy?
A. Head
B. Arms
C. Trunk
D. Legs - correct answerC. Trunk
During infancy, the growth of the trunk predominates. Weight gain is initially rapid, but
the speed with which weight is gained decreases over the first year of life. Growth of the
head predominates during the fetal period. Growth of legs predominates during
childhood.
In the older adult patient, stature begins to decline at:
A. 40 years of age.
B. 50 years of age.
C. 60 years of age.
D. 70 years of age. - correct answerB. 50 years of age.
Physical stature declines in older adults beginning at approximately 50 years of age.
The intervertebral disks thin, and kyphosis develops with osteoporotic vertebral
compression.
Which factor accounts for the majority of weight gained by a pregnant woman during the
third trimester?
A. Placental growth
B. Increase in amniotic fluid
C. Growth of maternal tissues
Fetal growth - correct answerD. Fetal growth
Maternal tissue growth accounts for most of the weight gained in the first and second
trimesters. Fetal growth accounts for most weight gained during the third trimester.
Placental and increase in amniotic fluid growth are part of the maternal tissue growth
that accounts for weight gained in the first and second trimesters.
Which is the most rapid and critical period of brain growth?
A. Birth to 1 year of age
B. Conception to 3 years of age
C. Birth to 4 years of age
D. One to 2 years of age - correct answerB. Conception to 3 years of age
The brain, along with the skull, eyes, and ears, completes physical development more
quickly than any other body part. The most rapid and critical period of brain growth
occurs between conception and 3 years of age.
,A neonate was 18½ inches long at birth. What would you expect his length to be at age
1 year?
A. 24 to 25 inches
B. 27¾ inches
C. 30 to 31 inches
D. 37 inches - correct answerB. 27¾ inches
At birth, healthy term newborns have length variations between 45 and 55 cm (18 and
22 inches). Length increases by 50% in the first year of life (18.5/2 + 9.25 = 27.75).
The prevalence of obesity among adults is increasing. In 2010 in the United States,
what was the percentage of obese adults?
A. 15.5%
B. 35.7%
C. 49%
D. 65.2% - correct answerB. 35.7%
Obese children often become obese adults. In 2010, 35.7% of adults in the United
States were obese (Center for Disease Control Division of Nutrition, Physical Activity,
and Obesity, 2012).
A more rapid than expected weight gain in early infancy is associated with an increased
risk of which type of problem in adulthood?
A. Respiratory
B. Endocrine
C. Cardiovascular
D. Renal - correct answerC. Cardiovascular
A more rapid weight gain than expected during early infancy (e.g., the infant's weight
percentile level keeps increasing rather than following a specific growth curve) is
associated with increased cardiovascular disease risk as an adult (Singhal, 2006).
To accurately assess height velocity, a child's height can be measured:
A. at 6-month intervals.
B. at 9-month intervals.
C. at 12-month intervals.
D. at 15-month intervals. - correct answerC. at 12-month intervals.
To calculate height velocity, determine the change in height over a time interval (e.g., 1
year). Shorter time intervals may reflect seasonal variations in growth. Make height
measurements as close to 12 months apart as possible, no fewer than 10 months and
no more than 14 months. (See the website for gender-specific height velocity growth
curves during adolescence.)
Which occurrence marks the completion of skeletal growth?
, A. Fused epiphyses of long bones
B. Eighteenth birthday
C. Fused epiphyses of all bones
D. Fifteenth birthday - correct answerA. Fused epiphyses of long bones
Skeletal growth is considered complete when the epiphyses of long bones have
completely fused during late puberty. Although more than 90% of the skeletal mass is
present by 18 years of age, this is incorrect because it does not apply to everyone.
Answers c and d are false statements.
Typically, an infant's weight, height (length), and _______________ are routinely
measured to assess and monitor growth.
A. head circumference
B. hip-to-toe length
C. forearm length
D. chest circumference - correct answerA. head circumference
A newborn's fetal growth pattern and size for gestational age can be determined once
gestational age is assigned. An intrauterine growth curve is used to plot the newborn's
birth weight, length, and head circumference (see Evolve website for growth curves).
The infant is then classified as small, appropriate, or large for gestational age by
percentile curve placement for weeks of gestation.
Mrs. Niland brings her 13-year-old daughter in for a physical examination. Which of the
following rating tools would you use to determine the child's pubertal development?
A. Philip pubertal rating
B. Turner maturation rating
C. Sexual maturity rating
D. Pubertal maturation rating - correct answerC. Sexual maturity rating
Sexual maturity rating (SMR) may be assigned to determine the child's overall pubertal
development. This is done after the secondary sexual characteristics are examined.
Which is a true statement about lymphatic tissue?
A. The number of adipose cells affects development of lymph tissue.
B. At 10 to 12 years of age, lymph tissue is at its peak.
C. Lymphatic tissues are completely developed by 6 years of age.
D. During adolescence, lymphatic tissues increase in size. - correct answerB. At 10 to
12 years of age, lymph tissue is at its peak.
Lymph nodes, spleen, tonsils, adenoids, and blood lymphocytes constitute lymph tissue.
These tissues grow rapidly to reach adult size by 6 years of age but peak and double
the adult size between 10 to 12 years of age.
A baby's height, until 2 years of age, is measured by:
A. the recumbent length.
