(Solution) Bates: infancy through adolescence,
Complete With Questions and Correct Answers with
Rationale. Updated 2024.
During the delivery of a male infant, you are there to assess the Apgar score. He
was born through an intact pelvis and had no complications during labor or
delivery. At 1 minute he is pink all over and grimaces. He is flexing his arms and
legs occasionally. He is breathing well and his heart rate is 110. At 5 minutes he
is still pink all over but now is crying vigorously, with active movement. His
respiratory effort is good and his heart rate is 130.
What is his Apgar score?
A) 8 at 1 minute, 10 at 5 minutes
B) 7 at 1 minute, 9 at 5 minutes
C) 9 at 1 minute, 10 at 5 minutes
D) 8 at 1 minute, 9 at 5 minutes
A) 8 at 1 minute, 10 at 5 minutes
In checking the Apgar, five things are looked at during the 1-minute and 5-minute
marks. The color, reflex irritability, muscle tone, respiratory effort, and heart rate are
evaluated. In this case, at 1 minute he received 2 points for being pink all over, 1 point
for grimacing, 1 point for flexion of the arms and legs, 2 points for strong respiratory
effort, and 2 points for a heart rate over 100. This gives a 1-minute total of 8. At 5
minutes he was given 2 points for being pink all over, 2 points for vigorous crying, 2
points for active movement, 2 points for strong breathing, and 2 points for a heart rate
over 100. This gives a 5-minute total of 10. These are normal, healthy Apgar scores.
A 24-year-old mother who is a smoker and cocaine addict gave birth at 39 weeks
to a 2,000- gram female infant who is in the neonatal intensive care unit. Using the
Intrauterine Growth Curve chart, you determine whether the infant's weight is
appropriate for her gestational age.
In which category does the infant best fit?
A) Large for gestational age
B) Normal for gestational age
C) Small for gestational age
C) Small for gestational age
For a 39-week infant, any weight less than 2,500 grams would be considered small.
Intrauterine growth retardation and low birth weight would be expected in a smoker who
also abuses cocaine.
A mother brings her 16-month-old son in for an evaluation. She is afraid he is not
meeting his developmental milestones and wants to know if he should be sent to
therapy. He was the product of an uneventful pregnancy and a spontaneous
vaginal delivery. His Apgar scores were 7 and 9. Until reaching a year old the
mother believes he was hitting his milestones appropriately. You decide to
, administer the Denver Developmental Screening Test. You find that he is using a
spoon to eat with and can take off his own shoes and shirt. He can build a tower
of two cubes and dump raisins. His vocabulary consists of at least 10 words. He
can stand alone and stoop and recover, but he is unable to walk without holding
onto someone's hand.
What type of developmental delay does he have?
A) Personal/social
B) Fine motor
C) Language
D) Gross motor
D) Gross motor
By 16 months a child should be able to walk unaided and even walk backwards and run.
This child was referred to physical therapy and did well.
A foster mother brings a 4-year-old child to see you for an evaluation. She has
had custody of the girl for 2 weeks. She knows that the child was born in your
state and that her maternal grandmother had custody for 6 months. She received
good medical care during that time, but after her biologic mother obtained
custody the child was abused and has had no further medical care. She says the
child has had many behavioral problems and seems to be very behind on her
developmental tasks. When you examine the child you notice short palpebral
fissures, a wide nasal philtrum, and thin lips. Her cardiac, pulmonary,
musculoskeletal, and abdominal examinations are normal. Her Denver
Developmental Screening Test shows most of her milestones have occurred only
through the 24th month.
What form of congenital retardation is she most likely to have?
A) Fetal alcohol syndrome
B) Congenital hypothyroidism
C) Down syndrome
A) Fetal alcohol syndrome
The facial appearance in fetal alcohol syndrome shows short palpebral fissures, a wide
and flattened philtrum, and thin lips. These children often have mild retardation even
with good care, but with abuse they may have more profound retardation. This condition
may occur with only modest alcohol consumption.
A young Hispanic mother brings in her 2-month-old son. She is upset because
her neighbors have threatened to call the Child Protective Agency because they
think his birthmark is a bruise. Her son was the product of an uneventful
pregnancy and spontaneous vaginal delivery. On examination you see a large,
smooth-bordered bluish mark on his buttock and lower back. Otherwise his
examination is unremarkable.
What form of birthmark is this likely to be?
A) Café-au-lait spot
B) Salmon patch
C) Mongolian spot
Complete With Questions and Correct Answers with
Rationale. Updated 2024.
During the delivery of a male infant, you are there to assess the Apgar score. He
was born through an intact pelvis and had no complications during labor or
delivery. At 1 minute he is pink all over and grimaces. He is flexing his arms and
legs occasionally. He is breathing well and his heart rate is 110. At 5 minutes he
is still pink all over but now is crying vigorously, with active movement. His
respiratory effort is good and his heart rate is 130.
What is his Apgar score?
A) 8 at 1 minute, 10 at 5 minutes
B) 7 at 1 minute, 9 at 5 minutes
C) 9 at 1 minute, 10 at 5 minutes
D) 8 at 1 minute, 9 at 5 minutes
A) 8 at 1 minute, 10 at 5 minutes
In checking the Apgar, five things are looked at during the 1-minute and 5-minute
marks. The color, reflex irritability, muscle tone, respiratory effort, and heart rate are
evaluated. In this case, at 1 minute he received 2 points for being pink all over, 1 point
for grimacing, 1 point for flexion of the arms and legs, 2 points for strong respiratory
effort, and 2 points for a heart rate over 100. This gives a 1-minute total of 8. At 5
minutes he was given 2 points for being pink all over, 2 points for vigorous crying, 2
points for active movement, 2 points for strong breathing, and 2 points for a heart rate
over 100. This gives a 5-minute total of 10. These are normal, healthy Apgar scores.
A 24-year-old mother who is a smoker and cocaine addict gave birth at 39 weeks
to a 2,000- gram female infant who is in the neonatal intensive care unit. Using the
Intrauterine Growth Curve chart, you determine whether the infant's weight is
appropriate for her gestational age.
In which category does the infant best fit?
A) Large for gestational age
B) Normal for gestational age
C) Small for gestational age
C) Small for gestational age
For a 39-week infant, any weight less than 2,500 grams would be considered small.
Intrauterine growth retardation and low birth weight would be expected in a smoker who
also abuses cocaine.
A mother brings her 16-month-old son in for an evaluation. She is afraid he is not
meeting his developmental milestones and wants to know if he should be sent to
therapy. He was the product of an uneventful pregnancy and a spontaneous
vaginal delivery. His Apgar scores were 7 and 9. Until reaching a year old the
mother believes he was hitting his milestones appropriately. You decide to
, administer the Denver Developmental Screening Test. You find that he is using a
spoon to eat with and can take off his own shoes and shirt. He can build a tower
of two cubes and dump raisins. His vocabulary consists of at least 10 words. He
can stand alone and stoop and recover, but he is unable to walk without holding
onto someone's hand.
What type of developmental delay does he have?
A) Personal/social
B) Fine motor
C) Language
D) Gross motor
D) Gross motor
By 16 months a child should be able to walk unaided and even walk backwards and run.
This child was referred to physical therapy and did well.
A foster mother brings a 4-year-old child to see you for an evaluation. She has
had custody of the girl for 2 weeks. She knows that the child was born in your
state and that her maternal grandmother had custody for 6 months. She received
good medical care during that time, but after her biologic mother obtained
custody the child was abused and has had no further medical care. She says the
child has had many behavioral problems and seems to be very behind on her
developmental tasks. When you examine the child you notice short palpebral
fissures, a wide nasal philtrum, and thin lips. Her cardiac, pulmonary,
musculoskeletal, and abdominal examinations are normal. Her Denver
Developmental Screening Test shows most of her milestones have occurred only
through the 24th month.
What form of congenital retardation is she most likely to have?
A) Fetal alcohol syndrome
B) Congenital hypothyroidism
C) Down syndrome
A) Fetal alcohol syndrome
The facial appearance in fetal alcohol syndrome shows short palpebral fissures, a wide
and flattened philtrum, and thin lips. These children often have mild retardation even
with good care, but with abuse they may have more profound retardation. This condition
may occur with only modest alcohol consumption.
A young Hispanic mother brings in her 2-month-old son. She is upset because
her neighbors have threatened to call the Child Protective Agency because they
think his birthmark is a bruise. Her son was the product of an uneventful
pregnancy and spontaneous vaginal delivery. On examination you see a large,
smooth-bordered bluish mark on his buttock and lower back. Otherwise his
examination is unremarkable.
What form of birthmark is this likely to be?
A) Café-au-lait spot
B) Salmon patch
C) Mongolian spot
