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TEST BANK FOR PEDIATRIC PHY
v v v v
SICAL EXAMINATION AN ILLUST
v v v
RATED HANDBOOK 3RDEDITIO
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N DUDERSTADT v
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Chapterv1:vApproachvtovCarevandvAssessmentvofvChildrenvandvAdolescents
MULTIPLEvCHOICE
1. Avnursevisvreviewingvdevelopmentalvconceptsvforvinfantsvandvchildren.vWhichvstatementvbestvd
escribesvdevelopmentvinvinfantsvandvchildren?
a. Development,vavpredictablevandvorderlyvprocess,voccursvatvvaryingvratesvwithinv
normalvlimits.
b. Developmentvisvprimarilyvrelatedvtovthevgrowthvinvthevnumbervandvsizevofvcells.
c. Developmentvoccursvinvavproximodistalvdirectionvwithvfinevmusclevdevelopmentv
occurringvfirst.
d. Developmentvisvmoreveasilyvandvaccuratelyvmeasuredvthanvgrowth.
ANS:vA
Development,vavcontinuousvorderlyvprocess,vprovidesvthevbasisvforvincreasesvinvthevchildsvfunctio
nvandvcomplexityvofvbehavior.vThevincreasesvinvratevofvfunctionvandvcomplexityvcanvvaryvnormally
withinvlimitsvforveachvchild.vAnvincreasevinvthevnumbervandvsizevofvcellsvisvavdefinitionvforvgrowth.
v
Developmentvproceedsvinvavproximodistalvdirectionvwithvfinevmusclevorganizationvoccurringvasva
v
resultvofvlargevmusclevorganization.vDevelopmentvisvavmorevcomplexvprocessvthatvisvaffectedvbyv
v
manyvfactors;vtherefore,vitvisvlessveasilyvandvaccuratelyvmeasured.vGrowthvisvavpredictablevprocess
withvstandardvmeasurementvmethods.
v
2. Frequentvdevelopmentalvassessmentsvarevimportantvforvwhichvreason?
a. Stablevdevelopmentalvperiodsvduringvinfancyvprovidevanvopportunityvtovidentifyv
anyvdelaysvorvdeficits.
b. Infantsvneedvstimulationvspecificvtovthevstagevofvdevelopment.
c. Criticalvperiodsvofvdevelopmentvoccurvduringvchildhood.
d. Childvdevelopmentvisvunpredictablevandvneedsvmonitoring.
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ANS:vC
Criticalvperiodsvarevblocksvofvtimevduringvwhichvchildrenvarevreadyvtovmastervspecificvdevelopment
alvtasks.vChildrenvcanvmastervthesevtasksvmoreveasilyvduringvparticularvperiodsvofvtimevinvtheirvgrow
thvandvdevelopmentalvprocess.vInfancyvisvavdynamicvtimevofvdevelopmentvthatvrequiresvfrequentvev
aluationsvtovassessvappropriatevdevelopmentalvprogress.vInfantsvinvavnurturingvenvironmentvwillvdev
elopvappropriatelyvandvwillvnotvnecessarilyvneedvstimulationvspecificvtovtheirvdevelopmentalvstage.v
Normalvgrowthvandvdevelopmentvarevorderlyvandvproceedvinvavpredictablevpatternvonvthevbasisvofvea
chvindividualsvabilitiesvandvpotentials.
3. Whichvfactorvhasvthevgreatestvinfluencevonvchildvgrowthvandvdevelopment?
a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS:vC
Geneticvfactorsv(heredity)vdetermineveachvindividualsvgrowthvandvdevelopmentalvrate.vAlthoughvfa
ctorsvsuchvasvenvironment,vculture,vnutrition,vandvfamilyvcanvinfluencevgeneticvtraits,vtheyvdovnotvel
iminatevtheveffectvofvthevgeneticvendowment,vwhichvisvpermanent.vCulturevisvavsignificantvfactorvtha
tvinfluencesvhowvchildrenvgrowvtowardvadulthood.vCulturevinfluencesvbothvgrowthvandvdevelopme
ntvbutvdoesvnotveliminatevinbornvgeneticvinfluences.vEnvironmentvhasvavsignificantvrolevinvdetermini
ngvgrowthvandvdevelopmentvbothvbeforevandvaftervbirth.vThevenvironmentvcanvinfluencevhowvandvto
whichvextentvgeneticvtraitsvarevmanifested,vbutvenvironmentalvfactorsvcannotveliminatevtheveffectvofv
v
genetics.vNutritionvisvcriticalvforvgrowthvandvplaysvavsignificantvrolevthroughoutvchildhood.
4. Avnursevisvplanningvavteachingvsessionvwithvavchild.vAccordingvtovPiagetianvtheory,vthevperiodvo
fvcognitivevdevelopmentv invwhichvthevchildv isvablevtovdistinguishv factv fromv fantasyvisvthevperiodvo
fvcognitivevdevelopment.
a. sensorimotor
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