Deck 6: Growth and Measurement

Question 1

During adolescence, the head size normally increases as a result of

A)sinus development.
B)brain mass increase.
C)evolution of lymphatic tissue.
D)hypertrophy of glial cells.
E)hypertrophy of myelin.

Answer 1

sinus development.

Question 2

By 10 to 12 years of age, lymphatic tissues are about _____ adult size.

A)25% of
B)50% of
C)the same as
D)twice the size as in
E)five times the size as

Answer 2

twice the size as in

Question 3

You should measure the child's head circumference at every health visit until at least age _____ months.

A)3
B)8
C)12
D)18
E)24

Answer 3

24

Question 4

Gender-specific skeletal differences first occur during

A)the second stage of fetal development.
B)late infancy.
C)early childhood.
D)adolescence.
E)early adulthood.

Question 5

Fifty percent of an individual's ideal weight is gained during

A)pregnancy.
B)preschool years.
C)adolescence.
D)early adulthood.
E)older adulthood.

Question 6

During a preventive health care visit, Ms. G, an older patient, states that she is getting shorter. She says that her son mentioned that her change in stature became noticeable to him during his last visit with her. Her posture appears straight and aligned. When addressing Ms. G's present concerns, it is most important to inquire about

A)number of pregnancies.
B)parents' height.
C)history of scoliosis.
D)approximate height at menarche.
E)usual height and weight.

Question 7

To measure head circumference, the tape is wrapped snugly around the child's head at the occipital protuberance and the

A)supraorbital prominence.
B)brow line.
C)nasal bridge.
D)chin.
E)hairline.

Question 8

The gonads begin to secrete estrogen and testosterone during

A)infancy.
B)puberty.
C)pregnancy.
D)early childhood.
E)early adulthood.

Question 9

Which organ(s) completes physical development more quickly than any other body part?

A)Brain
B)Kidneys
C)Heart
D)Lungs
E)Lymphoid tissue

Question 10

How much of the weight gained during a normal pregnancy is accounted for by an increase in blood volume?

A)Less than 1 pound
B)1 to 2 pounds
C)3 to 4 pounds
D)4 to 6 pounds
E)6 to 8 pounds

Question 11

After 50 years of age, stature

A)becomes fixed.
B)begins a barely perceptible secondary increase.
C)increases at a rate of 0.5 cm/year.
D)declines.
E)declines and then begins a barely perceptible increase.

Question 12

Infants born to the same parents are normally within which range of weight of each other?

A)1 ounce
B)6 ounces
C)12 ounces
D)1 pound
E)2 pounds

Question 13

The legs are the fastest growing body part during

A)early infancy.
B)late infancy.
C)childhood.
D)adolescence.
E)early adulthood.

Question 14

Achieving an optimal infant birth weight is difficult for pregnant adolescents because

A)they have not completed their own growth spurt.
B)there are insufficient uterine supporting structures.
C)the amnionic fluid is variable in adolescents.
D)blood volume has not reached adult proportions.
E)most of the maternal tissue growth occurs in the third trimester.

Question 15

Infants normally increase their birth length by ____% during the first year of life.

A)10
B)25
C)50
D)100
E)200

Question 16

Over the past 2 decades, there has been a trend toward

A)preservation of weight.
B)preservation of height.
C)obesity in older adults.
D)preservation of muscle mass.
E)increase in size and weight of various organs in older adults.

Question 17

Milestone achievements are data most likely to appear in the history of

A)adolescents.
B)infants.
C)school-age children.
D)young adults.
E)older adults.

Question 18

Skeletal mass and organ systems double in size during

A)infancy.
B)early childhood.
C)adolescence.
D)early adulthood.
E)mid life.

Question 19

Healthy term babies generally double their birth weight by what age?

A)1 month
B)3 months
C)5 months
D)9 months
E)12 months

Question 20

Developmental changes of puberty are caused mainly by the interaction of the pituitary gland, gonads, and the

A)hypothalamus.
B)islet cells.
C)thalamus.
D)Wernicke area.
E)thymus.

Question 21

Which of the following statements regarding female pubertal changes is true?

A)Most adolescent girls develop breasts before pubic hair.
B)Peak height velocity should occur after menarche.
C)Breast asymmetry is an abnormal finding.
D)Menarche should occur by Tanner breast stage B.
E)Sexual maturation begins later in taller and heavier girls.

Question 22

In clinical practice, the Ballard Assessment Tool is used to assess a newborn's

A)length.
B)weight.
C)lung maturity.
D)gestational age.
E)future IQ.

Question 23

The upper-to-lower segment ratio should be calculated

A)bimonthly for the first year of life.
B)annually for the first 5 years.
C)only when a child is suspected of having a growth problem or unusual body proportions.
D)in children of first-generation immigrants.
E)every 6 months for the first 24 months.

Question 24

The term large for gestational age (LGA) indicates that an infant is larger than ____% of infants born at the same number of weeks' gestation.

A)10
B)25
C)50
D)75
E)90

Question 25

Frontal skull bossing, cranial ridges, mandibular overgrowth, and maxillary widening are characteristics of

A)infantile hydrocephalus.
B)acromegaly.
C)Cushing syndrome.
D)achondroplasia.
E)Turner syndrome.

Question 26

An 11-year-old boy is brought in for an annual physical examination by his mother. You suspect _____ when you measure his arm span at 65 inches and his height at 60 inches.

A)premature pubarche
B)hypothyroidism
C)scoliosis
D)Marfan syndrome
E)dwarfism

Question 27

At what age does peak height growth velocity occur in boys?

A)6 years
B)10 years
C)12 years
D)13 years
E)15 years

Question 28

What is the youngest age at which pubic hair growth in a boy may be considered normal?

A)7 years
B)8 years
C)9 years
D)10 years
E)11 years

Question 29

Which Tanner stage is marked by the most significant growth in penis length?

A)Stage 1
B)Stage 2
C)Stage 3
D)Stage 4
E)Stage 5

Question 30

A woman with a normal prepregnancy body mass index (BMI) should gain approximately _____ pounds during pregnancy.

A)10
B)15
C)20
D)30
E)40

Question 31

Which breast Tanner stage corresponds to a secondary areola mound development above the breast?

A)Stage 1
B)Stage 2
C)Stage 3
D)Stage 4
E)Stage 5

Question 32

Between 5 and 24 months of life, the infant's chest circumference is normally

A)about equal to the head circumference.
B)greater than the head circumference by 2 inches.
C)smaller than the head circumference by about 4 inches.
D)at least 2 inches smaller than head circumference.
E)none of the above; there is no relation between head and chest circumference during this period.

Question 33

A round face, preauricular fat, hyperpigmentation, and a buffalo hump in the posterior cervical area are associated with

A)infantile hydrocephalus.
B)hypopituitary dwarfism.
C)Cushing syndrome.
D)achondroplasia.
E)acromegaly.

Question 34

A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy?

A)1/2pound
B)1 pound
C)1 1/2 pounds
D)2 pounds
E)2 1/2 pounds