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TEST BANK Developmental and Genetic Influences on Child Health Promotion Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition£8.35
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: Developmental and Genetic Influences on Child Health Promotion
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. An infant gains head control before sitting unassisted. The nurse recognizes that this is which
type of development?
a. Cephalocaudal
b. Pro...
WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
Chapter 03: Developmental and Genetic Influences on Child Health Promotion
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. An infant gains head control before sitting unassisted. The nurse recognizes that this is which
type of development?
a. Cephalocaudal
b. Proximodistal
c. Mass to specific
d. Sequential
ANS: A
The pattern of development that is head-to-tail, or cephalocaudal, direction is described by an
infant’s ability to gain head control before sitting unassisted. The head end of the organism
develops first and is large and complex, whereas the lower end is smaller and simpler, and
development takes place at a later time. Proximodistal, or near to far, is another pattern of
development. Limb buds develop before fingers and toes. Postnatally, the child has control of
the shoulder before achieving mastery of the hands. Mass to specific is not a specific pattern
of development. In all dimensions of growth, a definite, sequential pattern is followed.
DIF: Cognitive Level: Understand REF: p. 38
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
NURSINGTB.COM
2. Which refers to those times in an individual’s life when he or she is more susceptible to
positive or negative influences?
a. Sensitive period
b. Sequential period
c. Terminal points
d. Differentiation points
ANS: A
Sensitive periods are limited times during the process of growth when the organism will
interact with a particular environment in a specific manner. These times make the organism
more susceptible to positive or negative influences. The sequential period, terminal points,
and differentiation points are developmental times that do not make the organism more
susceptible to environmental interaction.
DIF: Cognitive Level: Remember REF: p. 39
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age
1 year?
a. 14
b. 16
c. 18
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, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
d. 21
ANS: D
In general, birth weight triples by the end of the first year of life. For an infant who was 7
pounds at birth, 21 pounds would be the anticipated weight at the first birthday; 14, 16, or 18
pounds is below what would be expected for an infant with a birth weight of 7 pounds.
DIF: Cognitive Level: Understand REF: p. 41
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
4. By what age does birth length usually double?
a. 1 year
b. 2 years
c. 4 years
d. 6 years
ANS: C
Linear growth or height occurs almost entirely as a result of skeletal growth and is considered
a stable measurement of general growth. On average, most children have doubled their birth
length at age 4 years. One and 2 years are too young for doubling of length. Most children
will have achieved the doubling by age 4 years.
DIF: Cognitive Level: Remember REF: p. 41
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
NURSINGTB.COM
5. Parents of an 8-year-old child ask the nurse how many inches their child should grow each
year. The nurse bases the answer on the knowledge that after age 7 years, school-age children
usually grow what number of inches per year?
a. 1
b. 2
c. 3
d. 4
ANS: B
The growth velocity after age 7 years is approximately 5 cm (2 inches) per year. One inch is
too small an amount. Three and 4 inches are greater than the average yearly growth after age 7
years.
DIF: Cognitive Level: Apply REF: p. 41
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
6. Parents express concern that their pubertal daughter is taller than the boys in her class. The
nurse should respond with which statement regarding how the onset of pubertal growth spurt
compares in girls and boys?
a. It occurs earlier in boys.
b. It occurs earlier in girls.
c. It is about the same in both boys and girls.
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