CreatedpBy:pApSolutionp
Test Bank for Current Diagnosis and Treatment Pe
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diatrics, 24th Edition by William Hay Test Bank 20
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24 A+p
Chapter 1: The Newborn Infant
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CurrentpDiagnosispandpTreatmentpPediatrics,p24thpEditionpTestpBankpMultiplepChoice
1. Whichpmilestonepispdevelopmentallypappropriatepforpap2-month-
oldpinfantpwhenpthepnurseppullspthepinfantptopapsittingpposition?
a. Headplagpisppresentpwhenpthepinfantsptrunkpisplifted.
b. Thepinfantpispableptopsupportpthepheadpwhenptheptrunkpisplifted.
c. Thepinfantpispbrieflypableptopholdpthepheadperect.
d. Thepinfantpispfullypableptopsupportpandpholdpthepheadpinpapstraightpline.
ANS:pC
Ap2-month-
oldpinfantpispableptopholdpthepheadperectponlypbrieflypandpcontinuesptophavepsomepheadplag.pItpispnotpu
ntilp4pmonthspofpagepthatpthepinfantpcanpkeepphisporpherpheadpinpapstraightplinepwhenppulledptopapsittin
gpposition.
2.
Approximatelypwhatpshouldpapnewbornpweighpatp1pyearpofpagepifpthepnewbornspbirthpweightp
wasp7ppoundsp6pounces?
a. 14p3/4ppounds
b. 22p1/8ppounds
c. 29p1/2ppounds
d. Unableptopestimatepweightpatp1pyear
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ANS:pB
Anpinfantptriplespthepbirthpweightpbyp1pyearpofpage.pAnpinfantpdoublespthepbirthpweightpbyp6pmonthsp
ofpage.pAnpinfantpquadruplespthepbirthpweightpbyp2pyearspofpage.pWeightpatp6pmonths,p1pyear,pandp2py
earspofpagepcanpbepestimatedpfrompthepbirthpweight.
p
3. Whichpstatementpmadepbypapparentpwouldpbepconsistentpwithpapdevelopmentalpdelay?
a. Iphavepnoticedpthatpmyp9-month-oldpinfantprespondspconsistentlyptopthepsoundpofphispname.
b. Iphavepnoticedpthatpmyp12-month-
oldpchildpdoespnotpgetpherselfptopapsittingppositionporppullptopstand.
c. Ipampsophappypwhenpmyp1p1/2-month-oldpinfantpsmilespatpme.
d. Myp5-month-oldpinfantpispnotprollingpoverpinpbothpdirectionspyet.
ANS:pB
Criticalpdevelopmentalpmilestonespforpgrosspmotorpdevelopmentpinpap12pmonthpoldpincludepstandin
gpbrieflypwithoutpsupport,pgettingptopapsittingpposition,pandppullingptopstand.pIfpap12-month-
p oldpchildpdoespnotpperformpthesepactivities,pitpmaypbepindicativepofpapdevelopmentalpdelay.pAnpinfa
ntpwhoprespondsptophispnamepatp9pmonthspofpagepispdemonstratingpabilitiesptopbothphearpandpinterpret
p sound.pApsocialpsmilepisppresentpbyp2pmonthspofpage.pRollingpoverpinpbothpdirectionspispnotpapcritical
p milestonepforpgrosspmotorpdevelopmentpuntilpthepchildpreachesp6pmonthspofpage.
4. Atpaphealthyp2-month-oldpinfantspwell-
childpclinicpvisit,pthepnursepshouldpgivepwhichpimmunizations?
a. DTaP,pIPV,pHepB,pHib,pPCV,protavirus
b. MMR,pDTaP,pPVC,pandpIPV
c. Hib,pDTaP,protavirus,pandpOPV
d. HibpandpMMR,pIPV,pandprotavirus
ANS:pA
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DTaP,pIPV,pHepB,pHib,pPCV,pandprotavirusparepthepappropriatepsequencepofpimmunizationspforpaph
ealthyp2-month-
oldpinfant.pMMRpispgivenpatporpafterp12pmonthspofpage.pOralppoliopvaccinep(OPV)pispnoplongerpadmi
nisteredpinpthepU.S.
5. Thepnursepadvisespthepmotherpofpap3-month-oldpinfant,pexclusivelypbreast-fed,pto:
a. startpgivingpthepinfantpapvitaminpDpsupplement.
p
b. startpusingpanpinfantpfeederpandpaddpricepcerealptopthepformula.
c. startpfeedingpthepinfantpricepcerealpwithpapspoonpatpthepeveningpfeeding.
d. continuepbreast-feedingpwithoutpanypsupplements.
ANS:pA
BreastpmilkpdoespnotpprovidepanpadequatepamountpofpdietarypvitaminpD.pInfantspwhoparepexclusivel
ypbreast-
fedpneedpvitaminpDpsupplementsptoppreventprickets.pAnpinfantpfeederpispanpinappropriatepmethodpofp
providingpthepinfantpwithpcaloricpintake.pSolidpfoodspandpricepcerealparepnotprecommendedpforpap3-
month-
oldpinfant.pSolidpfeedingspdopnotptypicallypbeginpbeforep4ptop6pmonthspofpage.pBecausepbreastpmilkpi
spnotpanpadequatepsourcepofpfluoride,pinfantspneedptopbepgivenpapfluoridepsupplement.
6. At
monthspofpage,panpinfantpshouldpfirstpbepexpectedptoplocatepanpobjectphiddenpfrompview.
a. 4
b. 6
c. 9
d. 20
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ANS:pC
Byp9pmonthspofpagepanpinfantpwillpactivelypsearchpforpanpobjectpthatpispoutpofpsight.pFour-month-
p oldpinfantsparepnotpcognitivelypcapablepofpsearchingpoutpobjectsphiddenpfromptheirpview.pInfantspatpt
hispdevelopmentalplevelpdopnotppursuephiddenpobjects.pSix-month-
oldpinfantsphavepnotpdevelopedpthepabilityptopperceivepobjectspasppermanentpandpdopnotpsearchpoutpo
bjectsphiddenpfromptheirpview.pTwenty-month-
oldpinfantspactivelyppursuepobjectspnotpinptheirpviewpandparepcapablepofprecallingptheplocationpofpanp
objectpnotpinptheirpview.pTheypfirstplookpforphiddenpobjectsparoundpthepagepofp9pmonths.
7.
Thepparentspofpapnewbornpinfantpstate,pWepwillpprobablypnotphavepourpbabypimmunizedpbec
ausepweparepconcernedpaboutpthepriskpofpourpchildpbeingpinjured.pWhichpispthepbestpresponsepforpthep
nurseptopmake?
p
a. Itpispyourpdecision.
b.
Havepyouptalkedpwithpyourpparentspaboutpthis?pTheypcanpprobablyphelppyoupthinkpaboutpthisp
decision.
c. Thepriskspofpnotpimmunizingpyourpbabyparepgreaterpthanpthepriskspfrompthepimmunizations.
d. Youparepmakingpapmistake.
ANS:pC
Althoughpimmunizationsphavepbeenpdocumentedptophavepapnegativepeffectpinpapsmallpnumberpofpcas
es,panpunimmunizedpinfantpispatpgreaterpriskpforpdevelopmentpofpcomplicationspfrompchildhoodpdise
asespthanpfrompthepvaccines.pItpispthepparentspdecisionpnotptopimmunizepthepchild;phowever,pthepnurs
ephaspapresponsibilityptopinformpparentspaboutptheprisksptopinfantspwhoparepnotpimmunized.pGrandpar
entspcanpbepsupportivepbutparepnotpthepprimarypdecisionpmakerspforpthepinfant.pTellingpparentspthatpt
heyparepmakingpapmistakepispanpinappropriatepresponse.
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Test Bank for Current Diagnosis and Treatment Pe
p p p p p p p
diatrics, 24th Edition by William Hay Test Bank 20
p p p p p p p p
24 A+p
Chapter 1: The Newborn Infant
p p p p
CurrentpDiagnosispandpTreatmentpPediatrics,p24thpEditionpTestpBankpMultiplepChoice
1. Whichpmilestonepispdevelopmentallypappropriatepforpap2-month-
oldpinfantpwhenpthepnurseppullspthepinfantptopapsittingpposition?
a. Headplagpisppresentpwhenpthepinfantsptrunkpisplifted.
b. Thepinfantpispableptopsupportpthepheadpwhenptheptrunkpisplifted.
c. Thepinfantpispbrieflypableptopholdpthepheadperect.
d. Thepinfantpispfullypableptopsupportpandpholdpthepheadpinpapstraightpline.
ANS:pC
Ap2-month-
oldpinfantpispableptopholdpthepheadperectponlypbrieflypandpcontinuesptophavepsomepheadplag.pItpispnotpu
ntilp4pmonthspofpagepthatpthepinfantpcanpkeepphisporpherpheadpinpapstraightplinepwhenppulledptopapsittin
gpposition.
2.
Approximatelypwhatpshouldpapnewbornpweighpatp1pyearpofpagepifpthepnewbornspbirthpweightp
wasp7ppoundsp6pounces?
a. 14p3/4ppounds
b. 22p1/8ppounds
c. 29p1/2ppounds
d. Unableptopestimatepweightpatp1pyear
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,CreatedpBy:pApSolutionp
ANS:pB
Anpinfantptriplespthepbirthpweightpbyp1pyearpofpage.pAnpinfantpdoublespthepbirthpweightpbyp6pmonthsp
ofpage.pAnpinfantpquadruplespthepbirthpweightpbyp2pyearspofpage.pWeightpatp6pmonths,p1pyear,pandp2py
earspofpagepcanpbepestimatedpfrompthepbirthpweight.
p
3. Whichpstatementpmadepbypapparentpwouldpbepconsistentpwithpapdevelopmentalpdelay?
a. Iphavepnoticedpthatpmyp9-month-oldpinfantprespondspconsistentlyptopthepsoundpofphispname.
b. Iphavepnoticedpthatpmyp12-month-
oldpchildpdoespnotpgetpherselfptopapsittingppositionporppullptopstand.
c. Ipampsophappypwhenpmyp1p1/2-month-oldpinfantpsmilespatpme.
d. Myp5-month-oldpinfantpispnotprollingpoverpinpbothpdirectionspyet.
ANS:pB
Criticalpdevelopmentalpmilestonespforpgrosspmotorpdevelopmentpinpap12pmonthpoldpincludepstandin
gpbrieflypwithoutpsupport,pgettingptopapsittingpposition,pandppullingptopstand.pIfpap12-month-
p oldpchildpdoespnotpperformpthesepactivities,pitpmaypbepindicativepofpapdevelopmentalpdelay.pAnpinfa
ntpwhoprespondsptophispnamepatp9pmonthspofpagepispdemonstratingpabilitiesptopbothphearpandpinterpret
p sound.pApsocialpsmilepisppresentpbyp2pmonthspofpage.pRollingpoverpinpbothpdirectionspispnotpapcritical
p milestonepforpgrosspmotorpdevelopmentpuntilpthepchildpreachesp6pmonthspofpage.
4. Atpaphealthyp2-month-oldpinfantspwell-
childpclinicpvisit,pthepnursepshouldpgivepwhichpimmunizations?
a. DTaP,pIPV,pHepB,pHib,pPCV,protavirus
b. MMR,pDTaP,pPVC,pandpIPV
c. Hib,pDTaP,protavirus,pandpOPV
d. HibpandpMMR,pIPV,pandprotavirus
ANS:pA
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DTaP,pIPV,pHepB,pHib,pPCV,pandprotavirusparepthepappropriatepsequencepofpimmunizationspforpaph
ealthyp2-month-
oldpinfant.pMMRpispgivenpatporpafterp12pmonthspofpage.pOralppoliopvaccinep(OPV)pispnoplongerpadmi
nisteredpinpthepU.S.
5. Thepnursepadvisespthepmotherpofpap3-month-oldpinfant,pexclusivelypbreast-fed,pto:
a. startpgivingpthepinfantpapvitaminpDpsupplement.
p
b. startpusingpanpinfantpfeederpandpaddpricepcerealptopthepformula.
c. startpfeedingpthepinfantpricepcerealpwithpapspoonpatpthepeveningpfeeding.
d. continuepbreast-feedingpwithoutpanypsupplements.
ANS:pA
BreastpmilkpdoespnotpprovidepanpadequatepamountpofpdietarypvitaminpD.pInfantspwhoparepexclusivel
ypbreast-
fedpneedpvitaminpDpsupplementsptoppreventprickets.pAnpinfantpfeederpispanpinappropriatepmethodpofp
providingpthepinfantpwithpcaloricpintake.pSolidpfoodspandpricepcerealparepnotprecommendedpforpap3-
month-
oldpinfant.pSolidpfeedingspdopnotptypicallypbeginpbeforep4ptop6pmonthspofpage.pBecausepbreastpmilkpi
spnotpanpadequatepsourcepofpfluoride,pinfantspneedptopbepgivenpapfluoridepsupplement.
6. At
monthspofpage,panpinfantpshouldpfirstpbepexpectedptoplocatepanpobjectphiddenpfrompview.
a. 4
b. 6
c. 9
d. 20
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ANS:pC
Byp9pmonthspofpagepanpinfantpwillpactivelypsearchpforpanpobjectpthatpispoutpofpsight.pFour-month-
p oldpinfantsparepnotpcognitivelypcapablepofpsearchingpoutpobjectsphiddenpfromptheirpview.pInfantspatpt
hispdevelopmentalplevelpdopnotppursuephiddenpobjects.pSix-month-
oldpinfantsphavepnotpdevelopedpthepabilityptopperceivepobjectspasppermanentpandpdopnotpsearchpoutpo
bjectsphiddenpfromptheirpview.pTwenty-month-
oldpinfantspactivelyppursuepobjectspnotpinptheirpviewpandparepcapablepofprecallingptheplocationpofpanp
objectpnotpinptheirpview.pTheypfirstplookpforphiddenpobjectsparoundpthepagepofp9pmonths.
7.
Thepparentspofpapnewbornpinfantpstate,pWepwillpprobablypnotphavepourpbabypimmunizedpbec
ausepweparepconcernedpaboutpthepriskpofpourpchildpbeingpinjured.pWhichpispthepbestpresponsepforpthep
nurseptopmake?
p
a. Itpispyourpdecision.
b.
Havepyouptalkedpwithpyourpparentspaboutpthis?pTheypcanpprobablyphelppyoupthinkpaboutpthisp
decision.
c. Thepriskspofpnotpimmunizingpyourpbabyparepgreaterpthanpthepriskspfrompthepimmunizations.
d. Youparepmakingpapmistake.
ANS:pC
Althoughpimmunizationsphavepbeenpdocumentedptophavepapnegativepeffectpinpapsmallpnumberpofpcas
es,panpunimmunizedpinfantpispatpgreaterpriskpforpdevelopmentpofpcomplicationspfrompchildhoodpdise
asespthanpfrompthepvaccines.pItpispthepparentspdecisionpnotptopimmunizepthepchild;phowever,pthepnurs
ephaspapresponsibilityptopinformpparentspaboutptheprisksptopinfantspwhoparepnotpimmunized.pGrandpar
entspcanpbepsupportivepbutparepnotpthepprimarypdecisionpmakerspforpthepinfant.pTellingpparentspthatpt
heyparepmakingpapmistakepispanpinappropriatepresponse.
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