CreatedgBy:gAgSolutiong
Test Bank for Current Diagnosis and Treatment P
g g g g g g g
ediatrics, 24th Edition by William Hay Test Bank 2
g g g g g g g g
024 A+ g
Chapterg1:gThegNewborngInfant
CurrentgDiagnosisgandgTreatmentgPediatrics,g24thgEditiongTestgBankgMultiplegChoice
1. Whichgmilestonegisgdevelopmentallygappropriategforgag2-month-
oldginfantgwhengthegnursegpullsgtheginfantgtogagsittinggposition?
a. Headglaggisgpresentgwhengtheginfantsgtrunkgisglifted.
b. Theginfantgisgablegtogsupportgthegheadgwhengthegtrunkgisglifted.
c. Theginfantgisgbrieflygablegtogholdgthegheadgerect.
d. Theginfantgisgfullygablegtogsupportgandgholdgthegheadgingagstraightgline.
ANS:gC
Ag2-month-
oldginfantgisgablegtogholdgthegheadgerectgonlygbrieflygandgcontinuesgtoghavegsomegheadglag.gItgisg
notguntilg4gmonthsgofgagegthatgtheginfantgcangkeepghisgorghergheadgingagstraightglinegwhengpulledg
togagsittinggposition.
2.
Approximatelygwhatgshouldgagnewborngweighgatg1gyeargofgagegifgthegnewbornsgbirthgwei
ghtgwasg7gpoundsg6gounces?
a. 14g3/4gpounds
b. 22g1/8gpounds
c. 29g1/2gpounds
d. Unablegtogestimategweightgatg1gyear
A+ Pageg1
,CreatedgBy:gAgSolutiong
ANS:gB
Anginfantgtriplesgthegbirthgweightgbyg1gyeargofgage.gAnginfantgdoublesgthegbirthgweightgbyg6gmon
thsgofgage.gAnginfantgquadruplesgthegbirthgweightgbyg2gyearsgofgage.gWeightgatg6gmonths,g1gyear,
gandg2gyearsgofgagegcangbegestimatedgfromgthegbirthgweight.
g
3. Whichgstatementgmadegbygagparentgwouldgbegconsistentgwithgagdevelopmentalgdelay?
a. Ighavegnoticedgthatgmyg9-month-
oldginfantgrespondsgconsistentlygtogthegsoundgofghisgname.
b. Ighavegnoticedgthatgmyg12-month-
oldgchildgdoesgnotggetgherselfgtogagsittinggpositiongorgpullgtogstand.
c. Igamgsoghappygwhengmyg1g1/2-month-oldginfantgsmilesgatgme.
d. Myg5-month-oldginfantgisgnotgrollinggovergingbothgdirectionsgyet.
ANS:gB
Criticalgdevelopmentalgmilestonesgforggrossgmotorgdevelopmentgingag12gmonthgoldgincludegstand
inggbrieflygwithoutgsupport,ggettinggtogagsittinggposition,gandgpullinggtogstand.gIfgag12-month-
oldgchildgdoesgnotgperformgthesegactivities,gitgmaygbegindicativegofgagdevelopmentalgdelay.gAngi
g
nfantgwhogrespondsgtoghisgnamegatg9gmonthsgofgagegisgdemonstratinggabilitiesgtogbothgheargandgi
nterpretgsound.gAgsocialgsmilegisgpresentgbyg2gmonthsgofgage.gRollinggovergingbothgdirectionsgisg
notgagcriticalgmilestonegforggrossgmotorgdevelopmentguntilgthegchildgreachesg6gmonthsgofgage.
4. Atgaghealthyg2-month-oldginfantsgwell-
childgclinicgvisit,gthegnursegshouldggivegwhichgimmunizations?
a. DTaP,gIPV,gHepB,gHib,gPCV,grotavirus
b. MMR,gDTaP,gPVC,gandgIPV
c. Hib,gDTaP,grotavirus,gandgOPV
d. HibgandgMMR,gIPV,gandgrotavirus
A+ Pageg2
,CreatedgBy:gAgSolutiong
ANS:gA
DTaP,gIPV,gHepB,gHib,gPCV,gandgrotavirusgaregthegappropriategsequencegofgimmunizationsgforg
aghealthyg2-month-
oldginfant.gMMRgisggivengatgorgafterg12gmonthsgofgage.gOralgpoliogvaccineg(OPV)gisgnoglongerga
dministeredgingthegU.S.
5. Thegnursegadvisesgthegmothergofgag3-month-oldginfant,gexclusivelygbreast-fed,gto:
a. startggivinggtheginfantgagvitamingDgsupplement.
g
b. startgusingganginfantgfeedergandgaddgricegcerealgtogthegformula.
c. startgfeedinggtheginfantgricegcerealgwithgagspoongatgthegeveninggfeeding.
d. continuegbreast-feedinggwithoutganygsupplements.
ANS:gA
BreastgmilkgdoesgnotgprovidegangadequategamountgofgdietarygvitamingD.gInfantsgwhogaregexclusi
velygbreast-
fedgneedgvitamingDgsupplementsgtogpreventgrickets.gAnginfantgfeedergisganginappropriategmethod
ofgprovidinggtheginfantgwithgcaloricgintake.gSolidgfoodsgandgricegcerealgaregnotgrecommendedgfo
g
rgag3-month-
oldginfant.gSolidgfeedingsgdognotgtypicallygbegingbeforeg4gtog6gmonthsgofgage.gBecausegbreastgmi
lkgisgnotgangadequategsourcegofgfluoride,ginfantsgneedgtogbeggivengagfluoridegsupplement.
6. At
monthsgofgage,ganginfantgshouldgfirstgbegexpectedgtoglocategangobjectghiddengfromgview.
a. 4
b. 6
c. 9
d. 20
A+ Pageg3
, CreatedgBy:gAgSolutiong
ANS:gC
Byg9gmonthsgofgageganginfantgwillgactivelygsearchgforgangobjectgthatgisgoutgofgsight.gFour-month-
oldginfantsgaregnotgcognitivelygcapablegofgsearchinggoutgobjectsghiddengfromgtheirgview.gInfantsg
g
atgthisgdevelopmentalglevelgdognotgpursueghiddengobjects.gSix-month-
oldginfantsghavegnotgdevelopedgthegabilitygtogperceivegobjectsgasgpermanentgandgdognotgsearchgo
utgobjectsghiddengfromgtheirgview.gTwenty-month-
oldginfantsgactivelygpursuegobjectsgnotgingtheirgviewgandgaregcapablegofgrecallinggtheglocationgofg
angobjectgnotgingtheirgview.gTheygfirstglookgforghiddengobjectsgaroundgthegagegofg9gmonths.
7.
Thegparentsgofgagnewbornginfantgstate,gWegwillgprobablygnotghavegourgbabygimmunizedgb
ecausegwegaregconcernedgaboutgthegriskgofgourgchildgbeingginjured.gWhichgisgthegbestgresponsegf
orgthegnursegtogmake?
g
a. Itgisgyourgdecision.
b.
Havegyougtalkedgwithgyourgparentsgaboutgthis?gTheygcangprobablyghelpgyougthinkgaboutgt
hisgdecision.
c.
Thegrisksgofgnotgimmunizinggyourgbabygareggreatergthangthegrisksgfromgthegimmunization
s.
d. Yougaregmakinggagmistake.
ANS:gC
Althoughgimmunizationsghavegbeengdocumentedgtoghavegagnegativegeffectgingagsmallgnumbergofg
cases,gangunimmunizedginfantgisgatggreatergriskgforgdevelopmentgofgcomplicationsgfromgchildhoo
dgdiseasesgthangfromgthegvaccines.gItgisgthegparentsgdecisiongnotgtogimmunizegthegchild;ghowever,
thegnurseghasgagresponsibilitygtoginformgparentsgaboutgthegrisksgtoginfantsgwhogaregnotgimmuniz
g
A+ Pageg4
Test Bank for Current Diagnosis and Treatment P
g g g g g g g
ediatrics, 24th Edition by William Hay Test Bank 2
g g g g g g g g
024 A+ g
Chapterg1:gThegNewborngInfant
CurrentgDiagnosisgandgTreatmentgPediatrics,g24thgEditiongTestgBankgMultiplegChoice
1. Whichgmilestonegisgdevelopmentallygappropriategforgag2-month-
oldginfantgwhengthegnursegpullsgtheginfantgtogagsittinggposition?
a. Headglaggisgpresentgwhengtheginfantsgtrunkgisglifted.
b. Theginfantgisgablegtogsupportgthegheadgwhengthegtrunkgisglifted.
c. Theginfantgisgbrieflygablegtogholdgthegheadgerect.
d. Theginfantgisgfullygablegtogsupportgandgholdgthegheadgingagstraightgline.
ANS:gC
Ag2-month-
oldginfantgisgablegtogholdgthegheadgerectgonlygbrieflygandgcontinuesgtoghavegsomegheadglag.gItgisg
notguntilg4gmonthsgofgagegthatgtheginfantgcangkeepghisgorghergheadgingagstraightglinegwhengpulledg
togagsittinggposition.
2.
Approximatelygwhatgshouldgagnewborngweighgatg1gyeargofgagegifgthegnewbornsgbirthgwei
ghtgwasg7gpoundsg6gounces?
a. 14g3/4gpounds
b. 22g1/8gpounds
c. 29g1/2gpounds
d. Unablegtogestimategweightgatg1gyear
A+ Pageg1
,CreatedgBy:gAgSolutiong
ANS:gB
Anginfantgtriplesgthegbirthgweightgbyg1gyeargofgage.gAnginfantgdoublesgthegbirthgweightgbyg6gmon
thsgofgage.gAnginfantgquadruplesgthegbirthgweightgbyg2gyearsgofgage.gWeightgatg6gmonths,g1gyear,
gandg2gyearsgofgagegcangbegestimatedgfromgthegbirthgweight.
g
3. Whichgstatementgmadegbygagparentgwouldgbegconsistentgwithgagdevelopmentalgdelay?
a. Ighavegnoticedgthatgmyg9-month-
oldginfantgrespondsgconsistentlygtogthegsoundgofghisgname.
b. Ighavegnoticedgthatgmyg12-month-
oldgchildgdoesgnotggetgherselfgtogagsittinggpositiongorgpullgtogstand.
c. Igamgsoghappygwhengmyg1g1/2-month-oldginfantgsmilesgatgme.
d. Myg5-month-oldginfantgisgnotgrollinggovergingbothgdirectionsgyet.
ANS:gB
Criticalgdevelopmentalgmilestonesgforggrossgmotorgdevelopmentgingag12gmonthgoldgincludegstand
inggbrieflygwithoutgsupport,ggettinggtogagsittinggposition,gandgpullinggtogstand.gIfgag12-month-
oldgchildgdoesgnotgperformgthesegactivities,gitgmaygbegindicativegofgagdevelopmentalgdelay.gAngi
g
nfantgwhogrespondsgtoghisgnamegatg9gmonthsgofgagegisgdemonstratinggabilitiesgtogbothgheargandgi
nterpretgsound.gAgsocialgsmilegisgpresentgbyg2gmonthsgofgage.gRollinggovergingbothgdirectionsgisg
notgagcriticalgmilestonegforggrossgmotorgdevelopmentguntilgthegchildgreachesg6gmonthsgofgage.
4. Atgaghealthyg2-month-oldginfantsgwell-
childgclinicgvisit,gthegnursegshouldggivegwhichgimmunizations?
a. DTaP,gIPV,gHepB,gHib,gPCV,grotavirus
b. MMR,gDTaP,gPVC,gandgIPV
c. Hib,gDTaP,grotavirus,gandgOPV
d. HibgandgMMR,gIPV,gandgrotavirus
A+ Pageg2
,CreatedgBy:gAgSolutiong
ANS:gA
DTaP,gIPV,gHepB,gHib,gPCV,gandgrotavirusgaregthegappropriategsequencegofgimmunizationsgforg
aghealthyg2-month-
oldginfant.gMMRgisggivengatgorgafterg12gmonthsgofgage.gOralgpoliogvaccineg(OPV)gisgnoglongerga
dministeredgingthegU.S.
5. Thegnursegadvisesgthegmothergofgag3-month-oldginfant,gexclusivelygbreast-fed,gto:
a. startggivinggtheginfantgagvitamingDgsupplement.
g
b. startgusingganginfantgfeedergandgaddgricegcerealgtogthegformula.
c. startgfeedinggtheginfantgricegcerealgwithgagspoongatgthegeveninggfeeding.
d. continuegbreast-feedinggwithoutganygsupplements.
ANS:gA
BreastgmilkgdoesgnotgprovidegangadequategamountgofgdietarygvitamingD.gInfantsgwhogaregexclusi
velygbreast-
fedgneedgvitamingDgsupplementsgtogpreventgrickets.gAnginfantgfeedergisganginappropriategmethod
ofgprovidinggtheginfantgwithgcaloricgintake.gSolidgfoodsgandgricegcerealgaregnotgrecommendedgfo
g
rgag3-month-
oldginfant.gSolidgfeedingsgdognotgtypicallygbegingbeforeg4gtog6gmonthsgofgage.gBecausegbreastgmi
lkgisgnotgangadequategsourcegofgfluoride,ginfantsgneedgtogbeggivengagfluoridegsupplement.
6. At
monthsgofgage,ganginfantgshouldgfirstgbegexpectedgtoglocategangobjectghiddengfromgview.
a. 4
b. 6
c. 9
d. 20
A+ Pageg3
, CreatedgBy:gAgSolutiong
ANS:gC
Byg9gmonthsgofgageganginfantgwillgactivelygsearchgforgangobjectgthatgisgoutgofgsight.gFour-month-
oldginfantsgaregnotgcognitivelygcapablegofgsearchinggoutgobjectsghiddengfromgtheirgview.gInfantsg
g
atgthisgdevelopmentalglevelgdognotgpursueghiddengobjects.gSix-month-
oldginfantsghavegnotgdevelopedgthegabilitygtogperceivegobjectsgasgpermanentgandgdognotgsearchgo
utgobjectsghiddengfromgtheirgview.gTwenty-month-
oldginfantsgactivelygpursuegobjectsgnotgingtheirgviewgandgaregcapablegofgrecallinggtheglocationgofg
angobjectgnotgingtheirgview.gTheygfirstglookgforghiddengobjectsgaroundgthegagegofg9gmonths.
7.
Thegparentsgofgagnewbornginfantgstate,gWegwillgprobablygnotghavegourgbabygimmunizedgb
ecausegwegaregconcernedgaboutgthegriskgofgourgchildgbeingginjured.gWhichgisgthegbestgresponsegf
orgthegnursegtogmake?
g
a. Itgisgyourgdecision.
b.
Havegyougtalkedgwithgyourgparentsgaboutgthis?gTheygcangprobablyghelpgyougthinkgaboutgt
hisgdecision.
c.
Thegrisksgofgnotgimmunizinggyourgbabygareggreatergthangthegrisksgfromgthegimmunization
s.
d. Yougaregmakinggagmistake.
ANS:gC
Althoughgimmunizationsghavegbeengdocumentedgtoghavegagnegativegeffectgingagsmallgnumbergofg
cases,gangunimmunizedginfantgisgatggreatergriskgforgdevelopmentgofgcomplicationsgfromgchildhoo
dgdiseasesgthangfromgthegvaccines.gItgisgthegparentsgdecisiongnotgtogimmunizegthegchild;ghowever,
thegnurseghasgagresponsibilitygtoginformgparentsgaboutgthegrisksgtoginfantsgwhogaregnotgimmuniz
g
A+ Pageg4
