Growth and Development

the nurse is watching a group of toddlers in the playroom. which of the following type of play is typical of older toddlers? a) solitary b) parallel c) team d) mutusal

b) parallel

The nurse notes that an infant develops arm movements before fine-motor skills and interprets this as an example of which pattern of development? a) cephalocaudal b) proximodistal c) differentiation d) mass-to-specific

b) proximodistal

At 18 mo Jose is admitted for same day surgery. What does the RN anticipate as his biggest fear? a) pain b) separation anxiety c) death d) body integrity

b) separation anxiety

the nurse is preparing to provide education to a 9 yo girl with asthma. which of the following should be taken into consideration? a) the child should be the focus of the education b) the parent should be the focus of the education c) info should be provided in written form only d) the parent should be encouraged to ask questions when the child is not present

b) the parent should be the focus of the education

a child speaks 3-4 word sentences. how old is the child? a) 3 yo b) 4 yo c) 5 yo d) 6 yo

a) 3 yo

you note that Joshua's head circumference is now smaller than his chest circumference. his age is most likely? a) 3 mo b) 9 mo c) 15 mo d) 30 monts

d) 30 monts

which is the first sign of puberty in males? a) testicular enlargement

testicular enlargement

when assessing the development of a 6 mo which of the following would be most concerning? a) the child weighs 2x birth weight b) the child does not look for hidden objects c) the child does not understand the word no d) the child does not transfer objects from one hand to the other

d) the child does not transfer objects from one hand to the other

school nurse is teaching health education class to a group of adolescents. one girl asks when her period should start. the nurse knows the average age of the start of menses is? a) 13 b) 12 c) 11 d) 10

a) 13

the nurse should begin lead screening at what age? a) 6 mo b) 12 mo c) 18 o d) 24 mo

a) 6 mo

a 3 yo has cancer and is very fearful of healthcare professionals. which would be helpful? a) save uncomfortable procedures such as abdominal palpation for end of the assessment b) have ben hold on to a fave stuffed animal during assessment c) encourage ben to put the BP cuff on his stuffed bear nd take the bears BP d) attempt to obtain most of ben's assessment while he is asleep

c) encourage ben to put the BP cuff on his stuffed bear nd take the bears BP

Jessica's physical reveals that her BMI is at the 90th percentile. you correctly explain to her mother: a) BMI in the 90th percentile indicates that Jessica is overweight. would you like to talk to a dietitian? b) Jessica is very healthy and taller than most children her age c) a BMI in the 90th percentile indicates a risk to become overweight. we can discuss ways to reduce this risk d) a BMI in the 90th percentile indicates that Jessica underweight. lets talk about her dietary intake.

a) BMI in the 90th percentile indicates that Jessica is overweight. would you like to talk to a dietitian?

the nurse is caring for 3 yo Emily diagnosed with diabetes. which of the following should be included in her plan of care? a) allow Emily to handle and play with equipment being used in her care b) avoid talking about the disease process c) give Emily detailed explanations with pictures when possible d) encourage participation in procedures such as finger sticks and insulin administration

a) allow Emily to handle and play with equipment being used in her care

What is the most important consideration when telling a 4 yo child about an upcoming procedure? a) use simple terms b) speak loudly and clearly c) offer a you to keep the child happy d) include every detail

a) use simple terms

What is the best way to prepare 4 yo Bryant for his admission to the hospital for same day surgery? a) allow him to play with the medical equipment at the pre-op office visit and explain that he will be staying in the hospital for a few days b) do not mention anything to Bryant until he arrives at the hospital on the morning of the operation c) explain the details of the operation and what will happen d) tell hi that a hospital is a place where kids go and visit with each other and eat ice cream

a) allow him to play with the medical equipment at the pre-op office visit and explain that he will be staying in the hospital for a few days

When performing a physical assessment of a 10 yo girl, the nurse keeps in mind that the first sign of sexual maturity in girls is? a) breast bud development b) pubic hair c) axillary hair d) menarche

a) breast bud development

Which of the following assessments would be abnormal in a newborn? a) closed anterior fontanel b) red, flaky skin c) crossed eyes d) vernix

a) closed anterior fontanel

When assessing a school age child's development the nurse understands that a primary developmental task of this age group is: a) developing friends b) learning to read c) learning to trust others d) developing independence

a) developing friends

4 mo is being evaluated in developmental clinic. which would be most concerning? a) doesn't hold objects in his hands b) doesn't rake objects with his hands c0 doesn't transfer objects from hand to hand d) doesn't clap his hands

a) doesn't hold objects in his hands

You are the inpatient RN caring for a 12 yo who has been admitted for appendicitis. He shares with you that he is concerned about his short stature. Based on your knowledge of G&D you know that: a) in boys, the height spurt occurs later in puberty than in girls b) in boys the height spurt occurs about the same time during puberty as in girls c) in boys, the height spurt occurs earlier in puberty than in girls d) it is impossible to predict how much more the child will grown

a) in boys, the height spurt occurs later in puberty than in girls

Which of the following would be the most accurate info to share with the other of an 8 yo girl who is asking about the onset of puberty? a) in girls, puberty begins on average at 10 years with the development of breast buds b) in girls, puberty. begins on average at 10 yo with the development of pubic hair c) in girls, puberty begins on average at 10 yo with the onset of menses d) in girls, puberty begins on average at 10 yo with a height spurt

a) in girls, puberty begins on average at 10 years with the development of breast buds

4 yo Erika is being admitted today for treatment of pyelonephritis. you know that Erika is in which developmental stage according to Erickson? a) initiative vs guilt b) identify vs role confusion c) industry vs inferiority d) autonomy vs shame and doubt

a) initiative vs guilt

a preschooler's mother states she is concerned that her child has imaginary playmate. which of the following is the nurses's best response? a) many 4 yo children have imaginary playmates. it really isn't cause for concern b) this is unusual. has she had a stressful event lately? c) it really isn't any cause for concern as long as she doesn't talk to her d) most children don't develop imaginary playmates until much later in childhood. your child must be very smart for her age

a) many 4 yo children have imaginary playmates. it really isn't cause for concern

ms Garcia brings 5 yo Jeffrey to a local museum where children are encouraged to interact with the attractions. she praises and helps him explore the museum. what kind of play is this known as? a) mutual play b) imaginative play c) solitary play d) parallel play

a) mutual play

A healthy 6 mo infant brought to the well-baby clinic for a checkup. When assessing the infants anterior fontanel, the nurse expects it to be: a) open b) sunken c) closed d) bulging

a) open

Which developmental milestone would you expect to see the 9 mo developing? a) pincer grasp b) walking c) speaking intelligible words d) sitting up without support

a) pincer grasp

14 you Thalia is being treated for acute renal failure. in order to help meet her developmental needs which of the following is important to include in her plan of care? a) providing privacy and respect for her need in modesty b) promptly respond to her call light and reassure her that her needs will be met c) encourage one of her parents to spend the night d0 provide opportunities for Thalia to participate in her care and encourage a sense of achievement

a) providing privacy and respect for her need in modesty

a mother plans to provide her baby with breastmilk post op. the nurse recommends a breast pump because: a) pumping will maintain the mother's supply of breastmilk b) bottle feeding pumped breast milk is a more accurate way of monitoring intake and output post op c) giving the mom a task that will give her baby post op will help to promote mother infant attachment d) most infants are unable to breastfeed post op

a) pumping will maintain the mother's supply of breastmilk

The nurse should expect a 3 yo child to be able to perform which action? a) ride a tricycle b) tie his shoelace c) roller-skate d) jump rope

a) ride a tricycle

Maria has to leave her 2 yo daughter. she is worried about how her daughter will react. the nurse responds: a) tell Maria that you need to get Christy and you will be back when lunch is over and dora the explorer comes on tv b) tell Maria that you need to leave to get Christy and if she doesn't cry you will bring her a surpirse c) wait until Maria starts her nap and quietly sneak out d) I'll distract Maria while you leave. I'll give her a special toy to keep her entertained.

a) tell Maria that you need to get Christy and you will be back when lunch is over and dora the explorer comes on tv

which is accurate about puberty in females? a) the growth spurt occurs before menarche b) pubic hair develops after menarche c) breast development is the last sign of puberty d) breast development begins between the ages of 12-13 years

a) the growth spurt occurs before menarche

Why does the nurse instruct the mother of an infant who is being introduced to baby foods for the first time to wait a few days before adding another new type of food to this diet? a) to determine is he has any allergies to the new foods b) to allow his stomach to adjust to the mixture of the various types of foods c) to determine what type of foods he really likes to eat d) to allow his digestive system to adjust to individual foods

a) to determine is he has any allergies to the new foods

You are the nurse at the community health clinic. The mother of a 2 yo male expresses concern to you that her PH child is non-verbal. Which of the following responses is most appropriate? a) "try not to worry. Language milestones vary. Boys have a tendency to lag behind girls." b) "Given your son's age, we should probably test his hearing to be sure that is not the source of his delayed language skills" c) "Autism is the most frequent reason why children as old as 2 you are non-verbal. We will likely consult a developmental pediatrician for an evaluation." d) "Lets look at your son's birth order as this is a significant predictor of language skills development:

b) "Given your son's age, we should probably test his hearing to be sure that is not the source of his delayed language skills"

whole milk is essential to which age group? a) 9-11 months b) 1-2 years

b) 1-2 years

Evan measured 20 inches at birth. now measures 30 inches. what is his current age? q) 6 mo b) 12 mo c) 18 months d) 24 months

b) 12 mo

An infant, age 6 months, is brought to the clinic for a well baby visit. The mother reports that the infant weighted 7 lbs at birth. Based on the nurse's knowledge of infant weight gain, which current weight would be considered the minimum weight expected for this infant to be WNL? a) 10 lbs b) 14 lbs c) 18 lbs d) 21 lbs

b) 14 lbs

You expect which of the following developmental assessments of a 2 year old in your primary care clinic? a) toilet training b) 2-3 word sentences c) cooperative play d) sharing willingly

b) 2-3 word sentences

the nurse is caring for an infant who raises her chest when lying on her stomach, is beginning to babble, and follows an object 180 degrees with her eyes. what age is the infant? a) 4 wko b) 3 mo c) 4 mo 5) 5 mo

b) 3 mo

the earliest time to start baby foods is: a) 3 mo b) 4 mo c) 6 mo d) when the infant starts waking up at night

b) 4 mo

which of the following formula feeding patterns would warrant further evaluation for a 1 yo infant? a) 4 feedings of 5 oz each b) 5 feedings of 8 oz each c) 3 feedings of 6 oz each d) 4 feedings of 6 oz each

b) 5 feedings of 8 oz each

the mother of 1 yo rowen asks the nurse how many words she should have in her vocabulary? a) 1-2 words b) 5 words c) 20 words d) 50 words

b) 5 words

Which is an example of cephalocaudal development? a) a child crawls before he walks; walks before he runs; runs before he jumps b) a child lifts his head before lifting his shoulders; sits with support before sitting without support c) a child rakes before developing pincer grasp; develops pincer grasp before feeding himself with a spoon d) a child first develops reflexive behaviors; then develops imitative behaviors

b) a child lifts his head before lifting his shoulders; sits with support before sitting without support

The nurse would expect a 4 mo to: a) sit alone b) attempt to roll over c) begin to crawl d) grasp feet and pull them to mouth

b) attempt to roll over

When assessing a toddler's growth and development, the nurse understands that a child in this age group displays behavior that fosters which developmental task? a) initiative b) autonomy c) trust d) industry

b) autonomy

The mother of a 2 yo voices concern because her child does not share and uses the word "mine". you know that this is typical of which developmental stage according to Erickson? a) trust vs mistrust b) autonomy vs shame and doubt c) initiative vs guilt d) industry vs inferiority

b) autonomy vs shame and doubt

the mother of an infant tells the nurse Molly used to put her hands in her mouth but now she is placing her feet in her mouth. the RN knows this is an example of what concept of development? a) proximodistal b) cephalocaudal c) general to specific d) stereognosis

b) cephalocaudal

a group of preschool aged children are playing with dress up clothes. this kind of play is known as: a) imaginative play b) dramatic play c) parallel play d) team play

b) dramatic play

which is important nursing intervention to reduce to SIDS? a) allow only small stuffed animals not pillows in the crib b) encourage the use of a pacifier c) only encourage infants with GERD to be placed on their stomachs for sleeps d) only allow co sleeping in breast feeding infants

b) encourage the use of a pacifier

When developing a plan of care for an adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development depends on ; a) becoming industrious b) establishing an identity c) achieving intimacy d) developing initiative

b) establishing an identity

talking about height growth spurt among males and females. which of the following is true? a) girls tend to experience the growth spurt at a later age than boys do b) girls have lower potential for growth after the beginning of menarche c) the height growth spurt in males occurs 2 years earlier than in girls d) girls have a longer period in which to grow

b) girls have lower potential for growth after the beginning of menarche

Ella is a 15 yo adolescent admitted with a diagnosis of asthma. during the admission history she admits that she is currently smoking. the nurse incorporates a long term goal of smoking cessation in Ella's care plan . which of the following interventions would be most effective in helping Ella quit smoking? a) ask Ella open ended questions about why she feels the need to smoke b) have Ella attend a smoking cessation group led and attended by other teens c) talk to Ella's teens about restricting Ella's activity until she quits smoking d) show Ella pics of the inside of a smoker's lungs

b) have Ella attend a smoking cessation group led and attended by other teens

a 7 mo infant lives with his parents. he is kept clean and dry and is picked up and comforted when he cries. by consistently meeting his basic needs which psychological strength are his parents meeting? a) will b) hope c) purpose d) loyalty

b) hope

you are the RN in adolescent clinic caring for a 14 yo Lisa who experienced menarche 1 year ago. Lisa is concerned that she is short and wants to know if she will grow much taller. based on your knowledge of growth and development: a) in girls menarche occurs early in puberty before the height spurt b) in girls menarche occurs late in puberty after the height spurt c) in girls the peak height velocity is usually around 15 yo d) it is impossible to predict how much more Lisa will grow

b) in girls menarche occurs late in puberty after the height spurt

8 yo Sarah has Wilmers tumor. she is in which of the developmental stages according to Erickson? a) identity vs role confusion b) industry vs inferiorty c) initiative vs guilt d) autonomy vs shame and doubt

b) industry vs inferiorty

the nurse is teaching a parenting class to a group of expectant parents. one of the parents asks at what age a child typically begins to develop modesty. which of the following is the nurse's best answer? a) most children do not develop modesty until the adolescent years b) most children develop modesty by age 4 c) most children develop modesty by age 10 d) most children develop modesty by age 2

b) most children develop modesty by age 4

A parent calls the clinic to express concern over her child's eating habits. She says the child eats very little and consumes only a single type of food for weeks on end. The nurse knows this behavior is characteristic of: a) toddlers b) preschoolers c) school age d) adolescents

b) preschoolers

Which nursing action would be most important in the psychosocial support of a 2 year old who is having an invasive procedure performed? a) assuring her that it is not her fault b) providing for parental presence c) providing adequate pain control d) performing the procedure quickly

b) providing for parental presence

Which of the following developmental milestones of the 5 mo best reflects the principle of proximodistal growth and development? a) babbling b) raking objects c) rolling over d) eating solid foods

b) raking objects

6 yo Josie is being seen in the ER after falling off her bike. the nurse is preparing to assist with suturing her scalp lacerations while Josie cries out" I'm sorry I didn't wear my helmet. I promise I'll be good next time. Please don't hurt me!" which of the following is the nurse's best response? a) helmets are very important and protect your head. please make sure you wear it in the future. b) we need to fix your head. you are doing such a good job of trying to stay still c) you're right. you probably wouldn't be here if you had been wearing a helmet d) this won't take very long. you're actually very lucky. it could've been a lot worse.

b) we need to fix your head. you are doing such a good job of trying to stay still

Same is a 2 mo who weighed 8 lbs at birth. Based on your knowledge of pediatric growth you know that his weight at 1 yo should be at least? a) 16 lbs b) 20 lbs c) 24 lbs d) 32 lbs

c) 24 lbs

theres a group of children playing at a park. the nurse notes that 1 child is running and hears her mother say " look at Cindy go. she just learned how to run". how old is the child? a) 12 mo b) 18 mo c) 24 mo d) 36 mo

c) 24 mo

Sammy identifies most colors. he draws a picture of a person with just 2 body parts. how old is he? a) 2 yo b) 3 yo c) 4 yo d) 5 yo

c) 4 yo

A baby's length is 20 inches at birth. You approximate her height at 4 yo to be? a) 30 inches b) 35 inches c) 40 inches d) 45 inches

c) 40 inches

The 5 yo uses how many words in a sentence? a) 3-4 b) 4-5 c) 5-6 d) 6-7

c) 5-6

a nurse notes that her patient pushes up from her stomach onto her knees and rocks back and forth. what's the age? a) 4 weeks b) 3 mo c) 6 mo 3) 8 mo

c) 6 mo

the nurse is caring for a child who is very outgoing and liekes to talk about his friends. he asks to play a board game and is very concerned about the rules of the game. when the nurse wins the game he throws the game and says "you cheated!". how old is this child likely to be? a) 2 b) 4 c) 7 d) 13

c) 7

a group of children are playing in the playroom. the children are tested on the concept of conservation. 1 child has just mastered this concept. how old is this child most likely to be? a) 4 yo b) 6 yo c) 8 yo d) 12 yo

c) 8 yo

at what age should she give her daughter cheerios as a snack? the nurse remembers the pincer grasp is usually developed by which of the following ages? a) 3 mo b) 6 mo c) 9 mo d) 12 mo

c) 9 mo

a bottle fed 3 mo infant is brought to the pediatrician's office. during previous visits the nurse taught the mother about infant nutritional needs. which statement by the mother during the current visit indicates effective teaching? a) I started the baby on cereals on fruits b) I started putting cereal in the bottle with formula because the baby kept spitting it up c) I will start my baby on infant cereal between 4-6 months d) I'm giving the baby skim milk

c) I will start my baby on infant cereal between 4-6 months

When examining a 6 who is quietly sitting on her mother's lap, which of the following should the nurse do first? a) assessment of the fontanel b) palpation of pulses c) auscultation of the chest d) palpation of the abdomen

c) auscultation of the chest

Jose is 2 yo admitted with RSV is in which of the following stages of psychosocial development? a) trust vs mistrust b) autonomy vs guilty c) autonomy vs shame and doubt d) initiative vs guilt

c) autonomy vs shame and doubt

you recommend that the order of progression of baby food introduction is: a) fruit, veggies, cereals b) fruit, meat, cereals c) cereals, fruit, meat d) cereals, meat, veggies

c) cereals, fruit, meat

the nurse is teaching a parenting class when a mother asks when a child develops a conscience. basing her response on Ericksons theory of development the nurse knows that this usually occurs during which of the following stages? a) by the end of the first year of life b) by the end of the toddler stage c) during the preschool stage d) during the school age years

c) during the preschool stage

Which of the following assessments would be most concerning in a 3 mo? a) closed posterior fontanel b) inability to roll over c) failure to track objects through visual fields d) failure to laugh

c) failure to track objects through visual fields

9 yo jordán is being seen in a diabetic clinic. he tells the RN that he is responsible for testing his own blood sugar and administering his own insulin based on a sliding scale. which of the following is the most appropriate action for the nurse? a) praise and encourage Jordan to continue as he has done a good job with increased responsibility b) contact a social worker as Jordan is assuming too much responsibility for his age c) gather more info about Jordan's diabetic care from his parents d) tell Jordan that surely he is exaggerating

c) gather more info about Jordan's diabetic care from his parents

which of the following is a cause for concern in a 6 mo? a) infant doesn't sit without support b) infant does not clap hands c) infant does not grasp and hold objects d) infant does not have pincer grasp

c) infant does not grasp and hold objects

the nurse is caring for a 5 yo with leukemia. when planning the care for this child the nurse considers that the child is in which of the following Erickson stages? a) trust vs mistrust b) industry vs inferiorty c) initiative vs guilt d) identity vs role confusion

c) initiative vs guilt

in which of the following age groups does the child experience the fastest rate of growth in the limbs? a) infancy b) preschool c) school age d) adolescent

c) school age

according to piget the child who is beginning to imitate behavior is in which of the following stages? a) intuitive b) pre conceptual c) sensorimotor d) reflexive

c) sensorimotor

mr Gilbert doesn't like how his 12 mo son plays with his toys. he says he hits and throws anything that's handed to him. a) it sounds like mike is going to be a ball player one day b) I wouldn't worry. this is typical behavior for boys c) try not to worry. this is normal behavior d) mark is learning about his world be feeling, hitting and throwing objects d) it is normal for 1 year olds to hit and throw objects. mark is testing his limits and wants to see what kind of reaction you will have

c) try not to worry. this is normal behavior c) mark is learning about his world be feeling, hitting and throwing objects

the nurse asks the child if its ever ok to tell a fib. the child responds: I think telling a lie to get out of trouble is wrong but telling your mom you like her haircut when its really ugly is ok. how old is the child? a) 7 b) 8 c) 9 d) 10

d) 10

Emily was 22 inches at birth and is now 44 inches. how old is she? a) 1 yo b) 2 yo c) 3 yo d) 4 yo

d) 4 yo

the nurse is caring for a 3 yo child who is restricted to bed rest due to fractured femur. which of the following toys should the RN select for this child? a) a stuffed bear b) a large ball c) dress up clothes d) a play hammer and pounding board

d) a play hammer and pounding board

which of the following statements concerning growth and development is true? a) growth implies an increase in size and development b) development refers to the maturation of structures of the body but does not include growth c) growth and development usually progress from specific to general d) development refers to the maturation of structures of the body and includes growth

d) development refers to the maturation of structures of the body and includes growth

Julianne is a 4 yo newly diagnosed with diabetes who is frightened of finger sticks. the nurse's best response is: a) allow Julianne to hold her fave stuffed animal during finger sticks b) encourage Julianne's mother to coach her during finger sticks c) encourage Julianne to count backwards from 10 during finger sticks d) encourage Julianne to play with the equipment and practice with her dolls

d) encourage Julianne to play with the equipment and practice with her dolls

which of the following is not a risk factor for anemia in infants? a) prematruity b) multiple births c) drinking whole milk at 9 months d) introduction to baby foods

d) introduction to baby foods

the nurse is caring for 2.5 yo Mikey hospitalized with cellulitis. when selecting a toy for Mikey which is the best? a) a simple board game b) a stuffed animal c) crayons and coloring books d) large dump truck

d) large dump truck

you're a nurse working telephone on a triage hotline. you get a call that a 2 yo has swallowed an unknown substance. you instruct the mother to call poison control and to: a) give milk b) give water c) give syrup of ipecac d) make NPO and avoid induction of vomiting

d) make NPO and avoid induction of vomiting

the clinic nurse measures the head circumference of a 6 mo Adam and finds that it has changed from the 25th percentile to the 75th percentile. which of the following represents the nurses best action? a) immediately notify the physician as this may indicate increased ICP a medical emergency b) reassure Adam's mother that this is a period of growth and changes in head circumference are to be expected c) prepare adam's mother for placement of a helmet as safety is a concern d) measure Adam's head again to check for accuracy

d) measure Adam's head again to check for accuracy

Which of the following assessment findings are normal in a 6 mo? a) closed anterior and posterior fontanel b) open anterior and posterior fontanel c) closed anterior and open posterior fontanel d) open anterior and closed posterior fontanel

d) open anterior and closed posterior fontanel

Which of the following would likely pose the greatest fear for 7 yo dana who was recently admitted to your unit for treatment of osteomyelitis? a) oral meds b) visit from the doctor c) having her mother leave for a few minutes d) rectal temp

d) rectal temp

a nurse is at a developmental clinic evaluating a 4 yo. what is the greatest concern? a) Lucy cannot tie her shoes b) she doesn't have a best friend c) she doesn't enjoy board games d) she cannot throw a ball overhand

d) she cannot throw a ball overhand

Which of the following developmental milestones would be most advanced for 6 mo Harry? a) reaching for objects b) rolling over from back to front c) laughing out loud d) sitting up unsupported for short periods

d) sitting up unsupported for short periods

the father of a 9 mo brings his daughter julie to the clinic for a well baby assessment. the father asks why it is important to record pam's length and weight on a growth chart. select the RNs best response: a) the growth charts are used to plot pam's growth and we can see how she is growing compared to other 9 mo girls throughout the world b) it is important to measure her to see if she is too heavy or small for her age c) we measure all babies d) the growth chart shows how julie's strength and weight compare to other infants her age as well as show us a pattern over time

d) the growth chart shows how julie's strength and weight compare to other infants her age as well as show us a pattern over time

the mother of a 3 mo Brian tells the nurse she is concerned that he doesn't turn his head toward her when she talks to him. how does the nurse respond? a) the hearing doesn't mature for almost a year. keep an eye on him and we'll talk about it at his next visit b) Brian can most likely hear you but lacks the muscular maturity to turn his head. his muscles will continue to develop over the next few months c) its not uncommon for an infants hearing to lack maturity at this age. continue to work with him and we'll see how he's doing in a month d) this can be a concern. tell me more about things that you've noticed regarding Brian's hearing.

d) this can be a concern. tell me more about things that you've noticed regarding Brian's hearing.

Which of the following would be most helpful when assessing a child's bone age? a) birth date b) BMI c) blood test d) x-rays

d) x-rays