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Pediatric Physical Examination An Illustrated
V V V V V
Handbook 4th Edition V V
Duderstadt Test Bank V V
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ChapterV1:VApproachVtoVCareVandVAssessmentVofVChildrenVandVAdolescents
MULTIPLEVCHOICE
1. AVnurseVisVreviewingVdevelopmentalVconceptsVforVinfantsVandVchildren.VWhichVstatementVbe
stVdescribesVdevelopmentV inVinfantsVandVchildren?
a. Development,VaVpredictableVandVorderlyVprocess,VoccursVatVvaryingVratesVwithi
nVnormalVlimits.
b. DevelopmentVisVprimarilyVrelatedVtoVtheVgrowthVinVtheVnumberVandVsizeVofVcells.
c. DevelopmentVoccursVinVaVproximodistalVdirectionVwithVfineVmuscleVdevelopme
ntVoccurringVfirst.
d. DevelopmentVisVmoreVeasilyVandVaccuratelyVmeasuredVthanVgrowth.
ANS:VA
Development,VaVcontinuousVorderlyVprocess,VprovidesVtheVbasisVforVincreasesVinVtheVchildsVfunc
tionVandVcomplexityVofVbehavior.VTheVincreasesVinVrateVofVfunctionVandVcomplexityVcanVvaryVno
rmallyVwithinVlimitsVforVeachVchild.VAnVincreaseVinVtheVnumberVandVsizeVofVcellsVisVaVdefinitionV
forVgrowth.VDevelopmentVproceedsVinVaVproximodistalVdirectionVwithVfineVmuscleVorganizationV
occurringVasVaVresultVofVlargeVmuscleVorganization.VDevelopmentVisVaVmoreVcomplexVprocessVth
atVisVaffectedVbyVmanyVfactors;Vtherefore,VitVisVlessVeasilyVandVaccuratelyVmeasured.VGrowthVisVa
predictableVprocessVwithVstandardVmeasurementV methods.
V
2. FrequentVdevelopmentalVassessmentsVareVimportantVforVwhichVreason?
a. StableVdevelopmentalVperiodsVduringVinfancyVprovideVanVopportunityVtoVidentif
yVanyVdelaysVorVdeficits.
b. InfantsVneedVstimulationVspecificVtoVtheVstageVofVdevelopment.
c. CriticalVperiodsVofVdevelopmentVoccurVduringVchildhood.
d. ChildVdevelopmentVisVunpredictableVandVneedsVmonitoring.
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toVBuyBuy
ANS:VC
CriticalVperiodsVareVblocksVofVtimeVduringVwhichVchildrenVareVreadyVtoVmasterVspecificVdevelopm
entalVtasks.VChildrenVcanVmasterVtheseVtasksVmoreVeasilyVduringVparticularVperiodsVofVtimeVinVthei
rVgrowthVandVdevelopmentalVprocess.VInfancyVisVaVdynamicVtimeVofVdevelopmentVthatVrequiresVfr
equentVevaluationsVtoVassessVappropriateVdevelopmentalVprogress.VInfantsVinVaVnurturingVenviron
mentVwillVdevelopVappropriatelyVandVwillVnotVnecessarilyVneedVstimulationVspecificVtoVtheirVdevel
opmentalVstage.VNormalVgrowthVandVdevelopmentVareVorderlyVandVproceedVinVaVpredictableVpatte
rnVonVtheVbasisVofVeachVindividualsVabilitiesVandVpotentials.
3. WhichVfactorVhasVtheVgreatestVinfluenceVonVchildVgrowthVandVdevelopment?
a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS:VC
GeneticVfactorsV(heredity)VdetermineVeachVindividualsVgrowthVandVdevelopmentalVrate.VAlthough
factorsVsuchVasVenvironment,Vculture,Vnutrition,VandVfamilyVcanVinfluenceVgeneticVtraits,VtheyVdoV
V
notVeliminateVtheVeffectVofVtheVgeneticVendowment,VwhichVisVpermanent.VCultureVisVaVsignificantV
factorVthatVinfluencesVhowVchildrenVgrowVtowardVadulthood.VCultureVinfluencesVbothVgrowthVand
developmentVbutVdoesVnotVeliminateVinbornVgeneticVinfluences.VEnvironmentVhasVaVsignificantVr
V
oleVinVdeterminingVgrowthVandVdevelopmentVbothVbeforeVandVafterVbirth.VTheVenvironmentVcanVin
fluenceVhowVandVtoVwhichVextentVgeneticVtraitsVareVmanifested,VbutVenvironmentalVfactorsVcannotV
eliminateVtheVeffectVofVgenetics.VNutritionVisVcriticalVforVgrowthVandVplaysVaVsignificantVroleVthro
ughoutVchildhood.
4. AVnurseVisVplanningVaVteachingVsessionVwithVaVchild.VAccordingVtoVPiagetianVtheory,VtheVperio
dVofVcognitiveVdevelopmentVinVwhichVtheVchildVisVableVtoVdistinguishVfactV fromV fantasyVisVtheVp
eriodVofVcognitiveVdevelopment.
a. sensorimotor
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