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TEST BANK FOR PEDIATRIC PH
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YSICAL EXAMINATION AN ILLU
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STRATED HANDBOOK 3RD EDIT
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ION DUDERSTADT m
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Pediatric Physical Examination 3rd Edition Duderstadt TESTBANK
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Chapterm1:mApproachmtomCaremand mAssessment mof mChildrenmand mAdolescents
MULTIPLEmCHOICE
1. A mnursemismreviewingmdevelopmentalmconceptsmforminfantsmand mchildren.mWhichmstatement mb
est mdescribesmdevelopment minminfantsmand mchildren?
a. Development,mampredictablemand morderlymprocess,moccursmat mvaryingmratesmwith
inmnormalmlimits.
b. Development mismprimarilymrelated mtomthemgrowthminmthemnumbermand msizemof mcells.
c. Development moccursminmamproximodistalmdirectionmwithmfinemmusclemdevelopme
nt moccurringmfirst.
d. Development mismmoremeasilymand maccuratelymmeasured mthanmgrowth.
ANS:mA
Development,mamcontinuousmorderlymprocess,mprovidesmthembasismformincreases minmthemchildsmfun
ctionmand mcomplexitymof mbehavior.mThemincreasesminmratemof mfunctionmand mcomplexitymcanmvarym
normallymwithinmlimitsmformeachmchild.mAnmincrease minmthemnumber mand msizemof mcellsm ismamdefiniti
onmformgrowth.mDevelopment mproceedsminmamproximodistalmdirectionmwithmfinemmusclemorganizat
ionmoccurringmasmamresult mof mlargemmusclemorganization.mDevelopment mismam moremcomplexmproce
ssmthat mismaffected mbymmanymfactors;mtherefore,mit mismlessmeasilymand maccuratelymmeasured.mGrowt
hmismampredictablemprocessmwithmstandard mmeasurement mmethods.
2. Frequent mdevelopmentalmassessmentsmaremimportant mformwhichmreason?
a. Stablemdevelopmentalmperiodsmduringminfancymprovidemanmopportunitymtomidentif
ymanymdelaysmormdeficits.
b. Infantsmneed mstimulationmspecificmtomthemstagemof mdevelopment.
c. Criticalmperiodsmof mdevelopment moccurmduringmchildhood.
d. Child mdevelopment mismunpredictablemand mneedsmmonitoring.
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ANS:mC
Criticalmperiodsmaremblocksmof mtimemduringmwhichmchildrenmaremreadymtommastermspecificmdevelop
mentalmtasks.mChildrenmcanmmastermthesemtasksmmoremeasilymduringmparticular mperiodsmof mtimemin mt
heirmgrowthmand mdevelopmentalmprocess.mInfancymismamdynamicmtimemof mdevelopment mthat mrequire
smfrequent mevaluationsmtomassessmappropriatemdevelopmentalmprogress.mInfantsminmamnurturingmenvi
ronment mwillmdevelopmappropriatelymand mwillmnot mnecessarilymneed mstimulationmspecificmtomtheirmd
evelopmentalmstage.mNormalmgrowthmand mdevelopment maremorderlymand mproceed minmampredictablem
patternmonmthembasismof meachmindividualsmabilitiesmand mpotentials.
3. Whichmfactormhasmthemgreatest minfluencemonmchild mgrowthmand mdevelopment?
a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS:mC
Geneticmfactorsm(heredity)mdeterminemeachmindividualsmgrowthmand mdevelopmentalmrate.mAlthoug
hmfactorsmsuchmasmenvironment,mculture,mnutrition,mand mfamilymcanminfluencemgeneticmtraits,mtheym
domnot meliminatemthemeffect mof mthemgeneticmendowment,mwhichmismpermanent.mCulturemismamsignific
ant mfactormthat minfluencesmhow mchildrenmgrow mtoward madulthood.mCultureminfluencesmbothmgrowth
and mdevelopment mbut mdoesmnot meliminateminbornmgeneticminfluences.mEnvironment mhasmamsignific
m
ant mroleminmdeterminingmgrowthmand mdevelopment mbothmbeforemand maftermbirth.mThemenvironment m
canminfluencemhowmand mtomwhichmextent mgeneticmtraitsmaremmanifested,mbut menvironmentalmfactorsm
cannot meliminatemthemeffect mof mgenetics.mNutritionmismcriticalmformgrowthmand mplaysmamsignificant mr
olemthroughout mchildhood.
4. A mnursemismplanningm amteachingmsessionmwithmamchild.mAccordingmtomPiagetianmtheory,mthemperi
od mof mcognitivemdevelopment minmwhichmthemchild mismablemtomdistinguishmfact mfrommfantasymismthem
m m m m period mof mcognitivemdevelopment.
a. sensorimotor
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