PEDIATRIC PHYSICAL
EXAMINATION: AN
ILLUSTRATED HANDBOOK 4TH
EDITION
BY UDERSTADT,KEETON
100%VERIFIED ANSWERS
,TABLE OF CONTENTS
CHAPTER 1: APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND
ADOLESCENTS ........................................................................................................ 3
CHAPTER 2. PHYSICAL ASSESSMENT PARAMETERS .............................................. 21
CHAPTER 3. DEVELOPMENTAL SURVEILLANCE AND SCREENING.......................... 37
CHAPTER 4. COMPREHENSIVE HEALTH GATHERING ............................................ 49
CHAPTER 5. ENVIRONMENTAL HEALTH HISTORY ................................................. 58
CHAPTER 6 NEWBORN ASSESSMENT ................................................................... 67
CHAPTER 7. SKIN .................................................................................................. 89
CHAPTER 8. HEART AND VASCULAR SYSTEM ..................................................... 102
CHAPTER 9. CHEST AND RESPIRATORY SYSTEM ................................................. 122
CHAPTER 10. HEAD AND NECK ........................................................................... 147
CHAPTER 11. LYMPHATIC SYSTEM ..................................................................... 155
CHAPTER 12. EYES .............................................................................................. 168
CHAPTER 13. EARS ............................................................................................. 184
CHAPTER 14. NOSE, MOUTH, AND THROAT ....................................................... 190
CHAPTER 15. ABDOMEN AND RECTUM ............................................................. 194
CHAPTER 16. MALE GENITALIA .......................................................................... 222
CHAPTER 17. MALE AND FEMALE BREAST ......................................................... 226
CHAPTER 18. FEMALE GENITALIA ....................................................................... 243
CHAPTER 19. MUSCULOSKELETAL SYSTEM ........................................................ 250
CHAPTER 20. NEUROLOGICAL SYSTEM............................................................... 273
,CHAPTER 1: APPROACH TO CARE AND ASSESSMENT OF CHILDREN AND
ADOLESCENTS
MULTIPLE CHOICE
1. A NURSE IS REVIEWING DEVELOPMENTAL CONCEPTS FOR INFANTS AND
CHILDREN. WHICH STATEMENT BEST DESCRIBES DEVELOPMENT IN INFANTS AND
CHILDREN?
A. DEVELOPMENT, A PREDICTABLE AND ORDERLY PROCESS, OCCURS AT
VARYING RATES WITHIN NORMAL LIMITS.
B. DEVELOPMENT IS PRIMARILY RELATED TO THE GROWTH IN THE NUMBER
AND SIZE OF CELLS.
C. DEVELOPMENT OCCURS IN A PROXIMODISTAL DIRECTION WITH FINE
MUSCLE DEVELOPMENT OCCURRING FIRST.
D. DEVELOPMENT IS MORE EASILY AND ACCURATELY MEASURED THAN
GROWTH.
ANSWER>>A
DEVELOPMENT, A CONTINUOUS ORDERLY PROCESS, PROVIDES THE BASIS FOR
INCREASES IN THE CHILDS FUNCTION AND COMPLEXITY OF BEHAVIOR. THE
INCREASES IN RATE OF FUNCTION AND COMPLEXITY CAN VARY NORMALLY
WITHIN LIMITS FOR EACH CHILD. AN INCREASE IN THE NUMBER AND SIZE OF
CELLS IS A DEFINITION FOR GROWTH. DEVELOPMENT PROCEEDS IN A
PROXIMODISTAL DIRECTION WITH FINE MUSCLE ORGANIZATION OCCURRING AS
A RESULT OF LARGE MUSCLE ORGANIZATION. DEVELOPMENT IS A MORE
COMPLEX PROCESS THAT IS AFFECTED BY MANY FACTORS; THEREFORE, IT IS LESS
, EASILY AND ACCURATELY MEASURED. GROWTH IS A PREDICTABLE PROCESS WITH
STANDARD MEASUREMENT METHODS.
2. FREQUENT DEVELOPMENTAL ASSESSMENTS ARE IMPORTANT FOR WHICH
REASON?
A. STABLE DEVELOPMENTAL PERIODS DURING INFANCY PROVIDE AN
OPPORTUNITY TO IDENTIFY ANY DELAYS OR DEFICITS.
B. INFANTS NEED STIMULATION SPECIFIC TO THE STAGE OF DEVELOPMENT.
C. CRITICAL PERIODS OF DEVELOPMENT OCCUR DURING CHILDHOOD.
D. CHILD DEVELOPMENT IS UNPREDICTABLE AND NEEDS MONITORING.
ANSWER>>C
CRITICAL PERIODS ARE BLOCKS OF TIME DURING WHICH CHILDREN ARE READY TO
MASTER SPECIFIC DEVELOPMENTAL TASKS. CHILDREN CAN MASTER THESE TASKS
MORE EASILY DURING PARTICULAR PERIODS OF TIME IN THEIR GROWTH AND
DEVELOPMENTAL PROCESS. INFANCY IS A DYNAMIC TIME OF DEVELOPMENT
THAT REQUIRES FREQUENT EVALUATIONS TO ASSESS APPROPRIATE
DEVELOPMENTAL PROGRESS. INFANTS IN A NURTURING ENVIRONMENT WILL
DEVELOP APPROPRIATELY AND WILL NOT NECESSARILY NEED STIMULATION
SPECIFIC TO THEIR DEVELOPMENTAL STAGE. NORMAL GROWTH AND
DEVELOPMENT ARE ORDERLY AND PROCEED IN A PREDICTABLE PATTERN ON THE
BASIS OF EACH INDIVIDUALS ABILITIES AND POTENTIALS.